Category: Nursing

PICOT question – 
During shift change in hospital settings(P), how does implementing bedside shift report(I), compared to communication/shift change at the nurse’s station(C), affect improved satisfaction and safety outcomes(O), over a three-month period(T)?
NR505-10926
Week 7: Evidence-Based Practice Project Proposal
Week 7: Evidence-Based Practice Project Proposal
Due Sunday by 11:59pm
Points 150
Submitting a file upload
Purpose
Earlier in the course, an issue was identified that influences practice. The impact of the issue was explored, and an evidence-based intervention was proposed via development of a PICOT statement. Scholarly literature was reviewed to identify evidence in support of the intervention in order to achieve the outcome described in the PICOT statement.
The purpose of this assignment is to draw upon previous learning in the course to create a proposal for an evidence-based practice intervention. The outline will include the following elements: overview and significance of the practice issue, PICOT statement, description of proposed intervention and expected outcome, synthesis of evidence from scholarly literature to support the proposed intervention, and stakeholder implications.
Click the following link to download and view a student exemplar example: NR505 Week 7 Assignment: Evidence-based Practice Project Proposal Student ExemplarLinks to an external site..
Click the following link for a printable version of the instructions: NR505 Week 7 Evidence-Based Practice Project Proposal AssignmentLinks to an external site.
Course Outcomes
Through this assignment, the student will address the following Course Outcomes:
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)
Due Date Sunday 11:59 PM MT at the end of Week 7
Total Points: 150 points
Assignment Overview
In this assignment, you will draw upon previous assignments in the NR 505 course to create the outline of a proposal for evidence-based practice change (using the template provided). Within the outline, you will address the following:
Overview and significance of the practice issue
PICOT statement
Proposed evidence-based intervention and expected outcome
Synthesis of evidence from the literature to support the proposed intervention
Stakeholder Implications
Assignment Instructions
Abide by the Chamberlain College of Nursing Academic Integrity Policy.
Complete the Week 7 Evidence-based Practice Change Proposal OutlineLinks to an external site. template using complete sentences.
Include a minimum of 5 original nursing research studies to support your work.
Sources should be from peer-reviewed, scholarly journals.
Sources should be current within 5 years.
Credit sources with citations and a reference list using current APA format guidelines.
Use correct grammar, sentence structure, spelling, word usage, and punctuation congruent with scholarly writing.
No direct quotes may be used in this assignment.
Directions and Assignment Criteria
Assignment Criteria
Points
%
Description
Overview and Significance of the Practice Issue
15
10%
Identify and describe the practice issue
Explain the significance of the issue and its impact on health outcomes, nursing practice, and/or healthcare delivery
Include sufficient integration of scholarly sources to support information presented
PICOT Statement
5
3%
Include the PICOT statement
Include each of the required elements in the PICOT statement (P- population and problem, I-intervention, C- comparison, O- outcome, T- timeframe for outcome achievement)
Proposed Intervention and Expected Outcome
25
17%
Describe the proposed evidence-based intervention
Discuss the expected outcome that will result from the proposed intervention
Include sufficient integration of scholarly sources to support information presented
Synthesis of Evidence to Support the Proposed Intervention
60
40%
Synthesize key ideas, facts, and themes from the review of scholarly literature sources
Explain how the findings support the proposed evidence-based intervention
Integrate a minimum of 5 original nursing research studies, current within 5 years, to support the information presented.
Important reminder: This section should not be presented as an annotated bibliography; instead, a synthesis of findings should be presented that demonstrate evidence to support the proposed intervention.
Stakeholder Implications
30
20%
Describe the stakeholders who are impacted by the practice issue
Explain how each stakeholder is impacted by issue
Discuss the implications of the proposed evidence-based intervention for each stakeholder
Graduate-level Writing Style
15
10%
For full credit in this rubric category, all of the following criteria must be met:
Correct spelling and word usage
Correct use of grammar, punctuation, and sentence structure
Clarity, organization, and logical flow of ideas within writing
Scholarly, professional writing tone with no use of first person
Synthesis of information is present with no direct quotes
Correct APA format for the following:
Citing sources
Referencing sources
Total
150
100%
A quality assignment will meet or exceed all the above requirements.
Rubric
Week 7: Evidence-based Practice Project Proposal Outline (MAY21)
Week 7: Evidence-based Practice Project Proposal Outline (MAY21)
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeAssignment Criteria
15 pts
Exemplary
Exemplary presentation of information evidenced by all of the criteria are included and covered in a comprehensive manner: • Identify and describe the practice issue • Explain the significance of the issue and its impact on health outcomes, nursing practice, and/or healthcare delivery • Include sufficient integration of scholarly sources to support information presented
13 pts
Accomplished
Accomplished presentation of information evidenced by all of the criteria are included and most are covered in a comprehensive manner, but in one area the coverage is superficial: • Identify and describe the practice issue • Explain the significance of the issue and its impact on health outcomes, nursing practice, and/or healthcare delivery • Include sufficient integration of scholarly sources to support information presented
12 pts
Proficient
Proficient presentation of information evidenced by all of the criteria are included however content is superficial manner in two or more of areas: • Identify and describe the practice issue • Explain the significance of the issue and its impact on health outcomes, nursing practice, and/or healthcare delivery • Include sufficient integration of scholarly sources to support information presented
11 pts
Marginally Acceptable
Marginally acceptable presentation of information evidenced by content that is limited, missing, or unsatisfactory in one of the following areas: • Identify and describe the practice issue • Explain the significance of the issue and its impact on health outcomes, nursing practice, and/or healthcare delivery • Include sufficient integration of scholarly sources to support information presented
0 pts
Insufficient
Insufficient presentation of information evidenced by content that is limited, missing, or unsatisfactory in two or more of the following areas: • Identify and describe the practice issue • Explain the significance of the issue and its impact on health outcomes, nursing practice, and/or healthcare delivery • Include sufficient integration of scholarly sources to support information presented
15 pts
This criterion is linked to a Learning OutcomePICOT Statement
5 pts
Accurate PICOT Statement
Accurate PICOT statement is provided with all of the following required elements included: • P- Population and Problem • I-Intervention • C- Comparison • O- Outcome • T- Timeframe for outcome achievement
0 pts
Insufficient PICOT Statement
Insufficient statement of the PICOT statement that does not portray all of the following required elements: • P- Population and Problem • I-Intervention • C- Comparison • O- Outcome • T- Timeframe for outcome achievement
5 pts
This criterion is linked to a Learning OutcomeProposed Intervention and Expected Outcome
25 pts
Exemplary
Exemplary presentation of information evidenced by all of the criteria are included and covered in a comprehensive manner: • Describe the proposed evidence-based intervention • Discuss the expected outcome that will result from the proposed intervention • Include sufficient integration of scholarly sources to support information presented
23 pts
Accomplished
Accomplished presentation of information evidenced by all of the criteria are included and most are covered in a comprehensive manner, but in one area the coverage is superficial: • Describe the proposed evidence-based intervention • Discuss the expected outcomes that will result from the proposed intervention • Include sufficient integration of scholarly sources to support information presented
21 pts
Proficient
Proficient presentation of information evidenced by all of the criteria are included however content is superficial manner in two or more of areas: • Describe the proposed evidence-based intervention • Discuss the expected outcomes that will result from the proposed intervention • Include sufficient integration of scholarly sources to support information presented
19 pts
Marginally Acceptable
Marginally acceptable presentation of information evidenced by content that is limited, missing, or unsatisfactory in one of the following areas: • Describe the proposed evidence-based intervention • Discuss the expected outcomes that will result from the proposed intervention • Include sufficient integration of scholarly sources to support information presented
0 pts
Insufficient
Insufficient presentation of information evidenced by content that is limited, missing, or unsatisfactory in two or more of the following areas: • Describe the proposed evidence-based intervention • Discuss the expected outcomes that will result from the proposed intervention • Include sufficient integration of scholarly sources to support information presented
25 pts
This criterion is linked to a Learning OutcomeSynthesis of Evidence to Support the Proposed Intervention
60 pts
Exemplary
Exemplary presentation of information evidenced by all of the criteria are included and covered in a comprehensive manner: • Synthesize key ideas, facts, and themes from the review of scholarly literature sources • Explain how the findings support the proposed evidence-based intervention • Integrate a minimum of 5 original nursing research studies, current within 5 years, to support the information presented.
55 pts
Accomplished
Accomplished presentation of information evidenced by all of the criteria are included and most are covered in a comprehensive manner, but in one area the coverage is superficial: • Synthesize key ideas, facts, and themes from the review of scholarly literature sources • Explain how the findings support the proposed evidence-based intervention • Integrate a minimum of 5 original nursing research studies, current within 5 years, to support the information presented.
50 pts
Proficient
Proficient presentation of information evidenced by all of the criteria are included however content is superficial manner in two or more of areas: • Synthesize key ideas, facts, and themes from the review of scholarly literature sources • Explain how the findings support the proposed evidence-based intervention • Integrate a minimum of 5 original nursing research studies, current within 5 years, to support the information presented.
45 pts
Marginally Acceptable
Marginally acceptable presentation of information evidenced by content that is limited, missing, or unsatisfactory in one of the following areas: • Synthesize key ideas, facts, and themes from the review of scholarly literature sources • Explain how the findings support the proposed evidence-based intervention • Integrate a minimum of 5 original nursing research studies, current within 5 years, to support the information presented.
0 pts
Insufficient
Insufficient presentation of information evidenced by content that is limited, missing, or unsatisfactory in two or more of the following areas: • Synthesize key ideas, facts, and themes from the review of scholarly literature sources • Explain how the findings support the proposed evidence-based intervention • Integrate a minimum of 5 original nursing research studies, current within 5 years, to support the information presented.
60 pts
This criterion is linked to a Learning OutcomeStakeholder Implications
30 pts
Exemplary
Exemplary presentation of information evidenced by all of the criteria are included and covered in a comprehensive manner: • Describe the stakeholders who are impacted by the practice issue • Explain how each stakeholder is impacted by issue • Discuss the implications of the proposed evidence-based intervention for each stakeholder
27 pts
Accomplished
Accomplished presentation of information evidenced by all of the criteria are included and most are covered in a comprehensive manner, but in one area the coverage is superficial: • Describe the stakeholders who are impacted by the practice issue • Explain how each stakeholder is impacted by issue • Discuss the implications of the proposed evidence-based intervention for each stakeholder
25 pts
Proficient
Proficient presentation of information evidenced by all of the criteria are included however content is superficial manner in two or more of areas: • Describe the stakeholders who are impacted by the practice issue • Explain how each stakeholder is impacted by issue • Discuss the implications of the proposed evidence-based intervention for each stakeholder
22 pts
Marginally Acceptable
Marginally acceptable presentation of information evidenced by content that is limited, missing, or unsatisfactory in one of the following areas: • Describe the stakeholders who are impacted by the practice issue • Explain how each stakeholder is impacted by issue • Discuss the implications of the proposed evidence-based intervention for each stakeholder
0 pts
Insufficient
Insufficient presentation of information evidenced by content that is limited, missing, or unsatisfactory in two or more of the following areas: • Describe the stakeholders who are impacted by the practice issue • Explain how each stakeholder is impacted by issue • Discuss the implications of the proposed evidence-based intervention for each stakeholder
30 pts
This criterion is linked to a Learning OutcomeGraduate level writing style
15 pts
Exemplary
Exemplary graduate level writing style is evident, which meets the criteria below with 0-1 errors present: • Correct spelling and word usage • Correct use of grammar, punctuation, and sentence structure • Clarity, organization, and logical flow of ideas within writing • Scholarly, professional writing tone with no use of first person • Synthesis of information is present with no direct quotes • Correct APA format for the following: o Citing sources o Referencing sources
13 pts
Accomplished
Accomplished graduate-level writing style is evident which addresses the criteria below with 2-3 errors present: • Correct spelling and word usage • Correct use of grammar, punctuation, and sentence structure • Clarity, organization, and logical flow of ideas within writing • Scholarly, professional writing tone with no use of first person • Synthesis of information is present with no direct quotes • Correct APA format for the following: o Citing sources o Referencing sources
12 pts
Proficient
Proficient graduate-level writing style is evident which addresses the criteria below with 4-5 errors present: • Correct spelling and word usage • Correct use of grammar, punctuation, and sentence structure • Clarity, organization, and logical flow of ideas within writing • Scholarly, professional writing tone with no use of first person • Synthesis of information is present with no direct quotes • Correct APA format for the following: o Citing sources o Referencing sources
11 pts
Marginally Acceptable
Marginally acceptable graduate-level writing is evident with 6-7 errors present: • Correct spelling and word usage • Correct use of grammar, punctuation, and sentence structure • Clarity, organization, and logical flow of ideas within writing • Scholarly, professional writing tone with no use of first person • Synthesis of information is present with no direct quotes • Correct APA format for the following: o Citing sources o Referencing sources
0 pts
Insufficient
Insufficient graduate-level writing style is evident with 8 or more errors present: • Correct spelling and word usage • Correct use of grammar, punctuation, and sentence structure • Clarity, organization, and logical flow of ideas within writing • Scholarly, professional writing tone with no use of first person • Synthesis of information is present with no direct quotes • Correct APA format for the following: o Citing sources o Referencing sources
15 pts
Total Points: 150

Evidence-Based Practice Model and Change Model
Create a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least three (3) sources using APA citations throughout your presentation. Make sure to cite the sources using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment.
Part 1: Choose and explain one Evidence Based Practice Model from the textbook (Melnyk and Fineout-Overholt, 2022). Then, related to your research topic from Mod 1, describe in detail how you would utilize the model to implement an evidence-based practice change in your personal clinical practice environment. Models to choose from include: Stetler Model of EBP, Iowa Model of EBP, A Model for EBP Change, ARCC Model, PARIHS, Clinical Scholar Model, John Hopkins Nursing EBP, ACE Star Model of Knowledge Transformation
Part 2: Choose one Change Model/Theory from the textbook (Melnyk and Fineout-Overholt, 2022). Then, related to your research topic from Mod 1, describe in detail how you would utilize the model/theory to implement an evidence-based practice change in your personal clinical practice environment. Models/theories to choose from include: Change Curve, Kotter and Cohen’s, Roger’s Theory of Diffusion of Innovations, The Transtheoretical Module of Health Behavioral Change
Title Slide (1 slide)
Objective Slide (1 slide)
Choose and explain one Evidence Based Practice Model from the textbook (Melnyk and Fineout-Overholt, 2022). (1-2 slides)
Related to your research topic from Mod 1, describe in detail how you would utilize the model to implement an evidence-based practice change in your personal clinical practice environment (2-3 slides)
Choose one Change Model/Theory from the textbook (Melnyk and Fineout-Overholt, 2022). (1-2 slides)
Related to your research topic from Mod 1, describe in detail how you would utilize the model/theory to implement an evidence-based practice change in your personal clinical practice environment. (2-3 slides)
References (1 slide)
Length: 8-14 slides; answers must thoroughly address the questions in a clear, concise manner.
Structure: Include a title slide, objective slide, content slides, reference slide in APA format. Title/Objective/Reference slides do not count towards the minimum slide count for this assignment.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) scholarly sources are required for this assignment.
Format:  Save your assignment as a Microsoft PowerPoint document and a Word document (.pptx) and (.doc or .docx) or Open Office Impress.

LEARNING RESOURCES
Required Readings
McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.
Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 595–607)
Chapter 26, “Our Expanding Realities” (pp. 611–624)
Mosier, S., Roberts, W. D., & Englebright, J. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions: The Role of Executive LeadershipLinks to an external site.. JONA: The Journal of Nursing Administration, 49(11), 543-548.
Ng, Y. C., Alexander, S., & Frith, K. H. (2018). Integration of Mobile Health Applications in Health Information Technology InitiativesLinks to an external site.: Expanding Opportunities for Nurse Participation in Population Health. CIN: Computers, Informatics, Nursing, 36(5), 209-213.
Sipes, C. (2016). Project management: Essential skill of nurse informaticistsLinks to an external site.. Studies in Health Technology and Informatics, 225, 252-256.
To Prepare:
Review the concepts of technology application as presented in the Resources.
Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.
The Assignment: (4-5 pages not including the title and reference page)
In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:
Describe the project you propose.
Identify the stakeholders impacted by this project.
Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
Identify the technologies required to implement this project and explain why.
Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.
Use APA format and include a title page and reference page.
Use the Safe Assign Drafts to check your match percentage before submitting your work.

Nursing & Medical diagnosis/es formulated with correct ICD- 10 codes. Include health maintenance diagnosis per guidelines. You MUST provide at least 3 likely differential diagnoses and list R/Os if appropriate.
Include pertinent positives & negatives for the Mgt plan cost-effective, clinically correct & includes sections for medical & nursing therapeutics. Patient education should be identified as such. Organize categories in your plan: Diagnostic, Therapeutic, Pt Education, Referral, & Follow-Up. major diagnosis only.
Attach a current clinical guideline with clear reference for one of the major diagnoses. Rationale justifies EACH ASPECT of mgt plan with appropriate references. Mechanism of action of medications you change/prescribe should be cited here .
Pathophysiology discussion justifies major diagnoses addressed at visit and mgt plan. 1) You must personalize to your patient’s health status by discussing how it applies specifically to your patient. 2) No more than 2 diagnoses need to be addressed if multiple dx exist. 3) Use a CURRENT primary patho reference 4) Do not duplicate pathophysiology from prior SOAPs Health Promotion/Prevention. Include age/gender/risk specific
Recommendations as your guidelines require.

“Observing”
Day 1
Admitting Nurse- shadowing admitting nurse during the patient’s admission process. Observing Head-to-Toe assessments and other admission assessments.
Day 2
Nurse Practitioner- will be shadowing NP for new patient admission. Observing NP on managing new patient’s medication/ treatment plans.
Day 3
Social Worker- will be shadowing the social worker on how they manage patient’s care plan and process of discharging patient’s out to the community
This journal is “observing” only-no handson experience.
Please rewrite provide journal uploaded.
Provide AI Turnitin and plagiriasm report. 
Instructions for Journal Entries:
Write a personal reflection about each of your AFE Community Experience days. Each journal entry must be 3 paragraphs.
Discuss the following aspects:
Professional Competence: Reflect on positive aspects of your day at the experiential site, including successful interactions with others and any notable observations. Describe any interpersonal interactions observed.
Challenging Situations: Describe any challenges or difficult situations observed during the day at the experiential site. Include reasons for the challenges and potential underlying causes. Consider how to avoid the challenge(s).
Personal and Professional Growth and Development: Reflect on how you observed the ‘art of nursing’ or relevant professional practices during the day. Discuss how these observations contribute to your personal and professional growth, and how they might influence your future practice.
Grading Criteria:
Project Report Log and Journal Submission requirements
The Project Reporting Log contains 22.5 documented and validated hours at an AFE Community site(s) by a site coordinator. Each written journal entry submission is 3 paragraphs and reflects the individual learner’s personal thoughts and observations. Each AFE experience is represented by a journal entry.
Professional Competence
For each experience, in a single paragraph, the learner is descriptive, concise, and professional in their thoughts. Articulates effectively to the prompt ‘Discuss what went well today. Describe interpersonal interactions you witnessed or in which you participated’ during the day’s AFE hours.
Challenging Situations
For each experience, in a single paragraph, the learner is descriptive, concise, and professional in their thoughts. Articulates effectively to the prompts ‘Describe any challenges or difficult situations you observed. Include the reason(s) for the challenge and the potential underlying cause(s). If you are faced with a similar challenge in the future, how will you react/act differently?’ Learner demonstrates insight into the challenging situation and shares how they would react differently in the future if faced with a similar challenge.
Personal and Professional Growth and Development
For each experience, in a single paragraph, the learner is descriptive, concise, and professional in their thoughts. Articulates effectively to the prompt ‘Discuss how you observed the ‘art of nursing’. How will this influence your future professional practice?’.

This assignment is designed to deepen your understanding of the epidemiological aspects of a specific health condition. you may choose a specific/related phenomenon. Ideally you will be able to use and regularly update the epidemiology of your topic in a concise way. You will research and synthesize data into a comprehensive epidemiology table, which will help you visualize and analyze the distribution, determinants, and control of the chosen health condition within a population.
Assignment Details:
Selection of Topic: Choose a health condition of interest, which can be a disease, a health behavior, or a health-related event. The condition should be relevant to your project, public health and/or clinical practice and have sufficient data available for analysis.
Research: Conduct thorough research to gather epidemiological data on your chosen health condition/exposure. Your sources should include peer-reviewed journals, government health statistics, World Health Organization publications, and other reputable sources of epidemiological data.
Table Creation: Create a table that includes the following information:
Incidence and Prevalence Rates: Provide recent statistics on how common the condition is, both in terms of new cases (incidence) and total cases (prevalence) in the population.
Demographics: Describe how the condition affects different groups within the population, such as age, sex, ethnicity, and socioeconomic status.
Risk Factors: List major risk factors associated with the condition, distinguishing between modifiable and non-modifiable factors.
Geographical Distribution: Show the distribution of the condition across different regions or countries, highlighting any notable patterns.
Trends Over Time: Include data on how the incidence or prevalence has changed over time.
Prevention and Control Measures: Discuss existing strategies for prevention and control of the condition.
Submission Requirements:
Format: The table should be clear, well-organized, and easy to read. Use appropriate headings and subheadings.
Documentation of Sources: Provide a reference list for all data sources used in creating your table. Use APA style for citations.
Length: There is no minimum or maximum length, but the table should comprehensively cover the required elements.
Grading Criteria:
Accuracy of Information: All data presented must be accurate and supported by your sources.
Comprehensiveness: The table should provide a useful and easy to update overview of the epidemiology of the condition, covering all required aspects.
Clarity and Organization: The table should be well-structured, making it easy for readers to understand the presented data.
Quality of Sources: Use credible and up-to-date sources for your data. You will NOT be successful
Criteria
Score Range
Description
**Accuracy of Information** (40 points)
**Does Not Meet Expectations (0-10)**
Information is mostly inaccurate or unsupported by sources.
**Partially Meets Expectations (11-20)**
Some information is accurate, but there are several inaccuracies or unsupported data.
**Meets Expectations (21-30)**
Most information is accurate and supported by sources, with minor inaccuracies.
**Exceeds Expectations (31-40)**
All information is accurate and thoroughly supported by credible sources.
**Comprehensiveness** (40 points)
**Does Not Meet Expectations (0-10)**
The table is incomplete and lacks several required aspects.
**Partially Meets Expectations (11-20)**
The table covers some required aspects but misses important details or sections.
**Meets Expectations (21-30)**
The table is comprehensive, covering most required aspects with useful information.
**Exceeds Expectations (31-40)**
The table is fully comprehensive, covering all required aspects in a detailed and useful manner.
**Clarity and Organization** (35 points)
**Does Not Meet Expectations (0-9)**
The table is poorly organized and difficult to understand.
**Partially Meets Expectations (10-18)**
The table is somewhat organized but has sections that are unclear or confusing.
**Meets Expectations (19-27)**
The table is well-structured with clear organization, though some areas could be clearer.
**Exceeds Expectations (28-35)**
The table is excellently structured, making it very easy to understand and follow.

The impact of nurse staffing levels on patient safety and quality of care
Write three pages paper excluding the presentation and references page. Use APA-7 formatting.
Please make sure that you are utilizing information from peer-reviewed journals.
·You must present your writing double-spaced, in Times New Roman, Arial, or Courier New font, with a font size of 12.
·Pay attention to grammar rules (spelling and syntax).
·Your work must be original and not contain material copied from books or the internet. 
Use 3 reference sources with no more than 5 years of publishing
·When citing the work of other authors, including citations and references, use APA -7 style to respect their intellectual property and avoid plagiarism.
·Remember that your writing must have a cover page that includes the name of the institution, the program, the course code, the title of the activity, your name and student number, and the assignment’s due date.

CONCEPT 27: Pain
CASE STUDY Case Presentation
Jenny Alvers is a 38-year-old otherwise healthy female who has been admitted directly to the intensive care unit (ICU) after an automobile accident and emergency abdominal surgery. In addition to surgery, she has deep face, neck, and chest lacerations and contusions. Jenny is on a ventilator and somewhat disoriented and restless with elevated blood pressure and heart rate. She is unable to provide a report of pain, but based on her pathologic condition, the nurse assumes that Jenny has pain and consults with the surgeon about orders for a continuous IV opioid infusion. Knowing that Jenny will be subjected to painful procedures such as endotracheal suctioning and wound care during her stay in the ICU, the nurse also requests supplemental IV opioid doses to administer prophylactically. Jenny’s sister reported that Jenny has no allergies but experienced severe nausea when she was given IV morphine following an appendectomy 3 years ago. The surgeon prescribes an IV infusion of hydromorphone at a dosage appropriate for an adult with moderate to severe pain and supplemental IV hydromorphone bolus doses every hour as needed. Scheduled doses of IV acetaminophen and IV ibuprofen are also ordered. The nurse suspects that Jenny’s restlessness could be related to unrelieved pain and, therefore, administers an IV hydromorphone loading dose before initiating the infusion. Infusions of IV ibuprofen followed by IV acetaminophen are also administered. An aqua pad circulating cool water is placed over Jenny’s chest to provide additional analgesia. The nurse reduces the external stimuli in the room as much as possible and provides Jenny with calm reassurance and orientation while caring for her. Within 45 minutes of these interventions, Jenny is no longer restless, her vital signs are within normal limits and stable, and she appears to be resting comfortably.
Case Analysis Questions
1. What factors place Jenny at high risk for inadequate pain relief?
2. What methods should be used now, and in the future, to assess Jenny’s pain?
3. What type of pain is Jenny most likely experiencing? How does this information affect treatment decisions?
Concept Mapping Spring 23 edits
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeDisease Process and Pathophysiology Risk Factors
5 ptsSatisfactory
Learner performs a thorough review of the disease process pathophysiology; identifies risk factors.
3.5 ptsBeginning
There are critical aspects of pathophysiology missing. This entry is incomplete.
0 ptsUnsatisfactory
The pathophysiology information is missing.
5 pts
This criterion is linked to a Learning OutcomeRecognizing CuesWhat matters most?
5 ptsSatisfactory
Based on available patient data, the learner identifies at least four (4) critical cues that are significant and could impact the patient condition. The learner may consider both subjective and objective patient data.
3.5 ptsBeginning
Based on available patient data, the learner identifies two (2) or three (3) critical cue(s) that are significant and could impact the patient condition. The learner may consider both subjective and objective patient data.
0 ptsUnsatisfactory
Based on available patient data, the learner identifies zero (0) or one (1) critical cue(s) that are significant and could impact the patient condition. The learner may consider both subjective and objective patient data.
5 pts
This criterion is linked to a Learning OutcomeAnalyzing CuesWhat could it mean?
5 ptsSatisfactory
Based on the identified cues, the learner is able to create three (3) – four (4) supporting connections between the relevant cues and client conditions/problems.
3.5 ptsBeginning
Based on the identified cues, the learner is able to create two (2) supporting connections between the cues and patient condition/problems.
0 ptsUnsatisfactory
Based on the identified cues, the learner is able to create one (1) or zero (0) supporting connection(s) between the cues and patient condition/problems.
5 pts
This criterion is linked to a Learning OutcomePrioritizing HypothesesWhere do I start?
5 ptsSatisfactory
Based on the identified connections between cues and patient conditions/problems, learner is able to identify and rank three (3) client conditions/problems critical to positive patient outcomes. These should be listed with most urgent problems first.
3.5 ptsBeginning
Based on the identified connections between cues and patient conditions/problems, learner is able to identify and rank two (2) client conditions/problems critical to positive patient outcomes. These should be listed with most urgent problems first. This point value is also chosen if client/problems are not listed with the priority concern(s) first.
0 ptsUnsatisfactory
Based on the identified connections between cues and patient conditions/problems, learner identifies zero (0) or one (1) client conditions/problems critical to positive patient outcomes.
5 pts
This criterion is linked to a Learning OutcomeGenerating SolutionsWhat can I do?
5 ptsSatisfactory
List five (5) solutions/outcomes with appropriate interventions that will positively impact client outcomes and are appropriate to the care of the client. Outcomes/goals are listed in the SMART format.
3.5 ptsBeginning
List three (3) to four (4) solutions/outcomes with appropriate interventions that will positively impact client outcomes and are appropriate to the care of the client. Outcomes/goals are listed in the SMART format.
0 ptsUnsatisfactory
List zero (0) to two (2) solutions/outcomes with appropriate interventions that will positively impact client outcomes and are appropriate to the care of the client. This point value is also chosen if outcomes/goals are not listed in the SMART format.
5 pts
This criterion is linked to a Learning OutcomeTaking ActionsWhat will I do?
5 ptsSatisfactory
Describe how each of the five (5) identified nursing interventions will be performed, implemented, administered, communicated, or taught.
3.5 ptsBeginning
Describe how three (3) to four (4) of the identified nursing interventions will be performed, implemented, administered, communicated, or taught.
0 ptsUnsatisfactory
Describe zero (0) to two (2) of the identified nursing interventions will be performed, implemented, administered, communicated, or taught.
5 pts
This criterion is linked to a Learning OutcomeEvaluating OutcomesDid it help?
2.5 ptsSatisfactory
Describe how you will determine the effectiveness of the five (5) priority nursing interventions you implemented. How will you know if your interventions are effective or not?
1.5 ptsBeginning
Describe how you will determine the effectiveness of three (3) to four (4) priority nursing interventions you implemented. How will you know if your interventions are effective or not?
0 ptsUnsatisfactory
Describe how you will determine the effectiveness of zero (0) to two (2) priority nursing interventions you implemented.
2.5 pts
This criterion is linked to a Learning OutcomeNursing Process template
2.5 ptsSatisfactory
Recognizing the completion of this template will assist the learner with the concept map assignment, all six (6) boxes are thoroughly completed. The SBAR information is thoroughly identified, and the chosen concept for the assignment is clearly identified.
1.5 ptsBeginning
Information is missing from one (1) to three (3) box(es). The SBAR information is thoroughly identified, and the chosen concept for the assignment is clearly identified.
0 ptsUnsatisfactory
Information is missing from four (4) to six (6) boxes. This point value is also chosen if the SBAR information is missing and/or the chosen concept for the assignment is not identified.
2.5 pts
Total Points: 35

This needs to be a researched paper for Transcultural communication class for Nursing. Please see attached documents for context. I have also added my writing style samples. Please let me know if any questions 

Research different popular nontraditional health care practices. Write a 1,000-1,200-word paper exploring nontraditional health care practices and include the following:
Describe nontraditional health care practices in different cultures. Compare at least three cultures.
Explain the importance of these practices in providing holistic and quality health care.
Identify the nontraditional health care options in your areas, and identify the number of people choosing to use them over traditional medical practices. Propose reasons why the number of people using nontraditional health care options is rising.
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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.