Chamberlain NR-451 RN Capstone Course – Full Course



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Devry NR451 Week 1 Discussion DQ 1 & DQ 2

DQ 1
Assessing Need for Change (graded)

Think about a problem in your clinical practice. Are the satisfaction scores in your unit low? Does your unit have a higher than average infection rate? What is a problem you see in your clinical practice? What are some of the possible solutions? Why is it important to evaluate the need for change and not just stick with the “it’s the way we always have done it” mentality?


DQ 1
Nurse’s Role in EBP (graded)

Evidence based practice dates back to Florence Nightingale, yet it took a long time for nurses to conduct nursing research. Why is it important for nurses to have their own body of knowledge? Give a specific example of how bedside nurses contribute to nursing research?


Devry NR451 Week 2 Discussion DQ 1 & DQ 2


DQ 1
Forming the PICO Question (graded)

Form a PICO question that you will use for your change project. Include each element of the PICO question. How did you develop this question? Why is it important to your clinical practice?


DQ 2
Appraisal of Evidence (graded)

When reviewing a journal article, how do you best determine its credibility and reliability? Why is it important to determine the strength of evidence and how does that affect your implementation of the results into clinical practice?


Devry NR451 Week 3 Discussion DQ 1 & DQ 2


DQ 1
Feasibility of your Capstone Project (graded)

Now that you have identified your capstone project. What is the cost involved to implement your project? Remember that cost isn’t always just money but also time and resources (both tangible and intangible). Will the initial cost pay off in the long run with improved outcomes?

DQ 2
Communication Errors (graded)

Have you ever played the telephone game when you were younger? Communication can take on a life of its own and the content can often be distorted over time. Give an example in your clinical practice where miscommunication was the root cause of an error. How could this communication error have been prevented?

NR451 Week 3 Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines

CapstoneProject Milestone 1:
Practice Issue and EvidenceSummary Guidelines
Purpose

Clear identification of the practice issue is the first step in evidence-based nursing. Next, the evidence is reviewed to determine the best intervention to change practice outcomes. Completion of the milestone will include identification of the practice issue using the ACE Star Model of Knowledge Transformation and a review of the evidence that will support an intervention that will change outcomes. The evidence summary will be conducted through the ‘breaking down’ of a systematic review on your topic for your change project.

Course Outcomes

This assignment enables the student to meet the following course outcomes:
·         CO4: Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO #4)

·         CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO #8)

Due Dates

Milestone 1 consists of the completion of two worksheets; the Practice Issue Worksheet and Evidence Summary Worksheet. Submit the completed worksheets to the Dropbox by Sunday, 11:59 p.m. MT at the end of Week 3.
Points
Milestone 1 is worth 175 points (75 points for the Practice Issue and 100 points for the Evidence Summary).
Practice Issue Worksheet Directions
1.    Locate the list of systematic reviews in Course Resources. Choose the ONE systematic topic that of most interest to you, or most relevant to your practice situation.
2.    Follow the grading criteria below to formulate your practice issue, which must be based on the topic of the systematic review you have selected.
3.    Use the worksheet found in Course Resources to document the practice issue presented and approved by your instructor in the Week 2 Discussions.
4.    Your practice issue will be the same for all three Milestone assignments in this course.
5.    Please type your answers directly into the worksheet.

Evidence Summary Worksheet Directions
1.    Develop an evidence summary by following the grading criteria below.
2.    Document this on the evidence summary portion of the worksheet, which may be found in Course Resources.
3.    You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.
4.    Please type your answers directly into the worksheet.

Grading Criteria: Practice issue
Category
Points
%
Description
Practice issue statement, scope of practice, practice area
20
27%
Identifies a Practice issue statement that is an independent nursing decision, and is relevant to the systematic review topic chosen from among the list provided in the course.
Describes the scope of practice issues.
Example: The number of falls in your facility has been increasing, especially during shift change.What do you believe may be causing this? Are there any new interventions that could be put into place that would lessenor eliminatethe falls?Thisis where you begin your initial searchinto the problem or practice issue identified.
Identifies the practice area.
Practice issue identification, rationale for selections
35
46%
Identifies how rationale behind how the practice issue was selected as a practice issue/problem
Documents the practice issue in a logical manner.
Types of evidence to gather, rationale for selections
20
27%
Identifies and documents types of evidence that must be gathered for review of the Practice Issue.
Describes rationale for each type of evidence that is selected.
Total
75 points
100%


Grading Rubric: Practice Issue
Assignment Criteria
A (100%)
Exceptional

Outstanding or highest level of performance
B (88%)
Exceeds

Very good or high level of performance
C (80%)
Meets

Competent or satisfactory level of performance
NI (38%)
Needs Improvement
Poor or failing level of performance
F (0%)
Developing

Unsatisfactory level of performance
Practice issue statement, scope of practice, practice area
20 points
Practice issueis identified based on the systematic review topic chosen.
Practice issue is an independent nursing decision.
Scope of practice issue is fully described.
Practice area identified.
20 points
Practice issue is identified but is not clear, however it is based on the systematic review topic chosen.
Practice issue is an independent nursing decision.
Scope of practice issue is described in simple terms.
Practice area identified.
18 points
Practice issue is identified but is not clearly related to a nursing practice issue, however it is based on the systematic review topic chosen.
Practice issue isnot an independent nursing decision.
Scope of practice issue is described but is not logical in comparison to Practice Issue described.
Practice area identified.
16 points
Practice issue is unclear.
Practice issue is not based on the systematic review topic.
Practice Issueis not an independent nursing decision.
Scope of practice issue is not described.
Practice area identified.
8 points
Practice issueisnot identified; practice issue is not an independent nursing decision; scope of practice issue is not described; practice area is not identified.
0 points
Practice issue identification, rationale for selections
35 points
Documents how the practice issue was identified.
Rationale for responses islogical anddescribed thoroughly.
35 points
Documents how the practice issue was identified.
Rationale for responses islogical and brieflydescribed.
33 points
Documents how the practice issue was identified.
Rationale for responses issomewhat logical and vaguely described.
30 points
Vaguely describes how the practice issue was identified.
Rationale for responses is somewhat logical and vaguely described.
15 points
Does not document how the practice issuewas identified.
Rationale is not completed.
This section of the form is blank.
0 points
Types of evidence to gather, rationale for selections
20 points
Identifies and documents what types of evidence is needed for review.
Thoroughlydescribes rationale for all checked types of evidence selected.
20 points
Identifies and documents what types of evidence is needed for review.
Briefly describes rationale for all checked types of evidence selected.
18 points
Identifies and documents what types of evidence is needed but includes only a minimum description for rationale for selected evidence.
16 points
Does not document more than one type of evidence that is neededfor reviewand does not include rationale for selected type of evidence.
8 points
Does not document types of evidenceor rationale.
0 points
Total Points Possible = 75 points


Grading Criteria: Evidence Summary
Category
Points
%
Description
Practice Problem
10
10%
States practice problem in own words, with reference to the population, setting, and magnitude and in measurable terms.
Describes practice setting in measureable terms.
Example: Consider the example given in the evidence summary above. The setting is the long term care facility where falls have been increasing and a trend has been identified that it seems to occur mainly during shift change. What do you believe may be causing this? What can be done to lessen or eliminate the falls? How does this number of falls relate to other months that have been tracked?
Source of evidence
20
20%
Identifies a source of evidencethat is a nursing topic that is the subject of a systematic review article.
Provides a complete reference for the systematic review article that was chosen from the list provided.
Objectives of the article/Statement of questions
20
20%
Identifies the objectives of the article.
Identifies questions being addressed by author/s.
Explains relationship to the chosen practice issue.
Interventions/Main findingssummary
30
30%
Summarizes, in own words, suggested interventions by the author/s to improve patient outcomes.
Summarizes main findings of the author/s including strength of evidence for each main outcome.
Describes the relevance to the Milestone 2 paper.
Evidence-based solutions and limitations
20
20%
Outlines evidence-based solutions to consider for the capstone project.
Discusses any limitations to the studies included in the systematic review that he/she believes may impact use of the evidence provided in their project.
Total
100 points
100%


Grading Rubric: Evidence Summary
Assignment Criteria
A (100%)
Exceptional

Outstanding or highest level of performance
B (88%)
Exceeds

Very good or high level of performance
C (80%)
Meets

Competent or satisfactory level of performance
NI (38%)
Needs Improvement
Poor or failing level of performance
F (0%)
Developing

Unsatisfactory level of performance
Practice Problem
10 points
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is identified
-Magnitudeof problem is discussed.
-The practice issue is stated in measurable terms.
Met all objectives as stated above
10 points
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is discussed.
-The practice issueis stated in measurable terms.
Met 3 out of 4 objectives
9 points
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is not discussed.
-The practice issue is stated in measurable terms.
Met 2 out of 4 objectives
8 points
-Practice problem is in own words, with reference to the population of interest.
-Setting of the problem is not discussed.
-Magnitude of problem is not discussed.
-The practice issue is stated but not measurable.
Met only 1 out of 4 objectives
4 points
-Practice problem is not in own words
-There are no references to the population of interest.
-Setting and magnitude of problem is not discussed
-The practice issue is not stated in measurable terms.
Did not meet any objectives
0 points
Source of evidence
20 points
-Source is a Systematic Review article chosen from the approved list.
-Complete APA formatted reference is given for Systematic Review article with no errors.
-The source must be relevant to the practice issue identified.
20 points
-Source is a Systematic Review article chosen from the approved list.
-A reference is given, but it has APA formatting errors.
-The source must be relevant to the practice issue identified.
18 points
-Source is a Systematic Review article chosen from the approved list.
-No reference is provided.
-The source must be relevant to the practice issue identified.

16 points
-Source of evidence is a research article or systematic review no on the approved list.
-A reference for the article or systematic review is given.
-The source is not relevant to the practice issue identified.
8 points
-Source of evidence is not provided, or is not a research article or systematic review.
-Reference is missing.
0 points
Objectives of the article/ Statement of questions
20 points
-Objectives of article are identified.
-Questions addressed by author/s are thorough.
-Relationship to your practice issue is explained.
20 points
-Objectives of article are identified.
-Questions addressed by author/s are explained but not thorough.
-Relationship to your practice issue is explained.
18 points
-Objectives of article are identified.
-Questions addressed by author/s are not thorough.
-Relationship to your practice issue is vague.
16 points
-Objectives of article are identified.
-Questions addressed by author/s is missing.
-Relationship to your practice issue is not explained.
8 points
-Objectives of articleare not identified.
-Questions addressed in article and relationship to own practice is not identified.
0 points
Interventions/ Main findings summary
30 points
-Thoroughly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Thoroughly summarized main findings of the author/s.
-Included strength of evidence for each main outcome.
30 points
-Briefly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Briefly summarized main findings of the author/s.
-Included strength of evidence for each main outcome.
27 points
-Vaguely summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes.
-Vaguely summarized main findings of the author/s.
-Included strength of evidence for most of main outcomes.
25 points
-Summary of interventions is not in own words.
-Summarized main findings of the author/s is not apparent.
-Did not include strength of evidence for any of the main outcome.
12 points
-Summary of the interventions the author(s) suggest to improve patient outcomes is missing.
-Summary of the main findings of the author is missing.
-The strength of the evidence for outcomes are missing.
0 points
Evidence-based solutions and limitations
20 points
-Outline of evidence-based solutions considered for project is documented and clear.
Discussed any limitations to the studies performed.
Documents limitations believed may impact use in project.
20 points
-Outline of evidence-based solutions being considered for project is documented but not clear.
Discussed any limitations to the studies performed.
Documents limitations believed may impact use in project.
18 points
-Outline of evidence-based solutions considered for project is documentedbut not clear.
Discussed most limitations to the studies performed.
Documents limitations believed may impact use in project.
16 points
-Outline of evidence-based solutions being considered for project is not documented.
-Discussed most limitations to the studies performed.
Documents limitations believed may impact use in project.
8 points
-Outline of evidence-based solutions, limitationsof studies and potential impact to project is missing.
0 points
Total Points Possible = 100 points


Capstone Project Milestone 1:
Practice Issue and Evidence Summary Worksheets

Student Name:                                                          Date:
Directions
1.    Refer to the guidelines for specific details on how to complete this assignment.
2.    Type your answers directly into the worksheets below.
3.    Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT.
4.    Post questions about this assignment to the Q & A Forum. You may also email questions to the instructor for a private response.

Practice Issue Worksheet

List the topic and include the citation for the systematic review you have selected:


What is the practice issue you have identified related to the topic you have chosen?


Define the scope of the practice issue:


What is the practice area?
___ Clinical
___ Education
___ Administration
___ Other (List):


How was the practice issue identified? (check all that apply)
___ Safety/risk management concerns
___ Unsatisfactory patient outcomes
___ Wide variations in practice
___ Significant financial concerns


___ Difference between hospital and community practice
___ Clinical practice issue is a concern
___ Procedure or process is a time waster
___ Clinical practice issue has no scientific base
__ Other:
Describe the rationale for your checked selections:


What evidence must be gathered? (check all that apply)
___ Literature search
___ Guidelines
___ Expert Opinion
___ Patient Preferences
___ Clinical Expertise
___ Financial Analysis
___ Standards (Regulatory, professional, community)
___ Other

Describe the rationale for your checked selections:



Evidence Summary Worksheet
Directions: Please type your answers directly into the worksheet.

Describe the practice problem in your own words with reference to the identified population, setting and magnitude of the problem in measurable terms:


Type the complete APA reference for the systematic review article you chose from the list provided,It must be relevant to the practice issue you described above.


Identify the objectives of the article.

Provide a statement of the questions being addressed in the work and how they relateto your practice issue:


Summarize (in your own words) the interventions the author(s) suggest to improve patient outcomes.

Summarize the main findings by the authors of your systematic review including the strength of evidence for each main outcome.  Consider the relevance to your project proposal for the Milestone 2 project paper.


Outline evidence-based solutions that you will consider for your project.

Discuss any limitations to the studies performed that you believe impacts your ability to utilize the research in your project.



Devry NR451 Week 4 Discussion DQ 1 & DQ 2

DQ 1
Patterns of Nursing Care (graded)

Your lesson this week discussed patterns of nursing care delivery. In your opinion, what is the most effective nursing care delivery model and why? What are the advantages and disadvantages of your chosen nursing care delivery model? Give specific clinical examples.

DQ 2
Discussion of Articles (graded)

Discuss the two articles that you read from the Patient Safety and Quality: An Evidence-based Handbook for Nurses website. Give the title and the URL address for each article. How is the information in each article applicable to your practice?

NR451 Week 4 Capstone Project Milestone 2:

Design for Change Proposal Guidelines

Capstone Project Milestone 2:
Design for Change Proposal Guidelines

Purpose

You are to create a Design for Change proposal inclusive of your Practice Issue and Evidence Summary worksheet from your Capstone Project Milestone 1. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced. In the event you are not currently working as a nurse, please use a hypothetical clinical situation you experienced in nursing school, or nursing education issue you identified in your nursing program.

Course Outcomes

This assignment enables the student to meet the following course outcomes.
·         CO1: Applies the theories and principles of nursing and related disciplines to individuals, families, aggregates, and communities from entry to the healthcare system through long-term planning. (PO #1)
·         CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO #2)

Due Date
Milestone 2 consists of the proposal for your Design for Change Capstone Project. Submit this assignment to the Dropbox by the end of Week 4.

Points

Milestone 2 is worth 225 points.

Directions

1.    Create a proposal for your Design for Change Capstone Project. Open the NR451_Milestone2_Design_Proposal_ template in Course Resources to create your paper. You will include the information from Milestone 1, your practice issue and evidence summary worksheets, as you compose this proposal. Your plan is to convince your management team of a practice problem you have uncovered that is significant enough to change current practice.
2.    The format for this proposal will be a paper following the Publication manual of APA 6th
3.    The paper is to be four- to six-pages excluding the Title page and Reference page.
4.    As you organize your information and evidence, include the following topics.
1.    Introduction:Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63). Introduce the reader to the plan with evidence-based problem identification and solution.
2.    Change Model Overview: Overview of the ACE Star model (the model we have been discussing this session); define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members.
3.    Evidence: Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change.
4.    Translation: develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings.
5.    Conclusion: Provide a clear and concise summary, inclusive of the problem issue, the five points of the ACE Star change model; and ways to maintain the change plan.

5.    Citations and Referencesmust be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means using peer-reviewed journals and credible websites.
6.    Tables and Figures may be added as appropriate to the project. They should be embedded within the body of the paper (see your APA manual for how to format and cite). Creating tables and figures offers visual aids to the reader and enhances understanding of your literature review and design for change.

Grading Criteria: Design for Change Capstone Project

Category
Points
%
Description
Introduction
25
11%
Introduction to the plan is nursing focused, with evidence-based problem identification and potential solutions clearly identified.
Change Model Overview
50
22%
Practice issueis identified and is nursing focused. An overview of the ACE Star model is given. The need for change is evident. Stakeholdersare identified. Practice area, team members and their role are identified and discussed. Scope of the problem is identified. State how nurses should use this model as a guide to facilitate change.
Evidence
50
22%
Evidence is provided thru basic information that indicates a change is needed. For example, there have been 6 urinary tract infections over the last two months and there were none present the last two years at the same time period. What are some of the evidence-based interventions you discovered in your Evidence Summary that do you plan to use?
Translation
50
22%
Activities to achieve the final steps of change are fully described. What is needed to achieve. How do you translate what information you have gathered into practice? How do you inform staff? What is your plan of action to pilot the plan? What is the timeline?
Conclusion
25
11%
Clear, solid summary summarizing the key points and steps of the change plan is included; ways to sustain the change plan are described.
APA Format
25
11%
Minimal errors.
Total
225 points
100%




Grading Rubric: Capstone Project Milestone 2


Assignment Criteria
A (100%)
Exceptional

Outstanding or highest level of performance
B (88%)
Exceeds

Very good or high level of performance
C (80%)
Meets

Competent or satisfactory level of performance
NI (38%)
Needs Improvement
Poor or failing level of performance
F (0%)
Developing

Unsatisfactory level of performance
Introduction
25 points
Introduction to the plan is nursing focused, andevidence-based.Potential interventions clearly identified.
25 points
Introduction to the plan is nursing focused, and evidence-based solutions identified but not clear.
22 points
Introduction to the plan is provided; however, the plan is not nursing focused and evidence-based solutionsarenot convincing.
20 points
Introduction lacks evidence to support need for change and/or potential solution is not evidenced-based.
10 points
Introduction is missing.
0 points
Change Model Overview
50 points
Practice issue is nursing focused.
Overview of the ACE Star model is given. Rationale for change is present.
Stakeholdersare identified. Practice area, team members and role are discussed.
Scope of problem is identified.
50 points
Practice issue is nursing focused.
Overview of the ACE Star model is given. Rationale for change is not present.
Stakeholdersare identified. Practice area, team members and role are discussed.
Scope of problem is identified.
44 points
Practice issue is nursing focused.
Overview of the ACE Star model is given. Rationale for change is not present.
Stakeholdersare not identified. Practice area, team members and role are discussed but without detail.
Scope of problem is identified.
40 points
Practice issue is nursing focused.
Overview of the ACE Star model is given. Rationale for change is not present.
Stakeholdersare not identified. Practice area, team members and role are not discussed.
Scope of problem is identified.
19 points
Change Model Overview is missing
0 points
Evidence
50 points
Evidence is thoroughly provided thru basic information of the current problem in the work setting indicating a change is needed.
Interventions discovered in Evidence Summary are used in planning for change.
50 points
Evidence is briefly provided thru basic information of the current problem in the work setting indicating a change is needed.
Some of the interventions discovered in Evidence Summary are used in planning for change.
44 points
Evidence is vaguely provided thru basic information of the current problem in the work setting indicating a change is needed.
Some of the interventions discovered in Evidence Summary are used in planning for change.
40 points
Evidence is provided thru basic nformation of the current problem but is not convincing.
Interventions discovered in Evidence Summary are not used in planning for change.
19 points
Evidence is not provided thru basic information of the current problem; there is no indication of change; there no interventions listed from the Evidence Summary.
0 points
Translation
50 points
Activities to achieve final steps of change are fully described.
Ways to translateevidence into practiceis discussed.
Methods to inform staff, activities planned for plan of action and timeline are discussed.
50 points
Activities to achieve final steps of change are fully described.
How to translate evidence into practiceis discussed but is not clear.
Methods to inform staff, activities planned for plan of action and timeline are discussed.
44 points
Activities to achieve final steps of change are fully described.
How to translate evidence into practiceis not discussed.
Methods to inform staff, activities planned for plan of action but timeline is not mentioned.
40 points
Activities to achieve final steps of change are described but not in detail.
How to translate evidence into practiceis not discussed.
Methods to inform staff, activities planned for plan of action but timeline is not mentioned.
19 points
Activities for final change plan is missing.
Translation of evidence into practice is missing.
0 points
Conclusion
25 points
Detailed summary of main points.
Ways to sustain plan are thoroughly described.
25 points
Summary of main pointsis brief.
Ways to sustainplan are briefly described.
22 points
Summary of main points is vague.
Ways to sustainplan are vaguely described.
20 points
Summary of main points is vague.
Ways to sustain change are not described.
10 points
Summary ismissing.
There is no plan tosustain change.
0 points
APA formatting, scholarly writing
25 points
APA format sixth edition.
Grammar, sentence structure, punctuation, and spelling correct.
References, citations correct.
Paper formatted in APA format.
No errors to one error.
25 points
Two to three errors.
22 points
Four to five errors.
20 points
Six to seven errors.
10 points
More than seven errors.
0 points

Total Points



NR451 Week 4 Milestone 2 Design Proposal Template







Title
Your Name
Chamberlain College of Nursing
NR451 RN Capstone Course
Term and Year


Your title here
This paragraph(s) is to introduce the paper. State the problem and potential solutions backed by evidence. Briefly, introduce the nursing focused plan. Remember this is a scholarly APA assignment so you cannot use first person. Remember also that you will keep all the bolded headings and just remove the non-bolded content when you start your paper.

Change Model Overview

In this first paragraph, provide an overview of the ACE Star model Evidence-Based Practice Process. Feel free to state why nurses should use this model as a guide to facilitate change. Under each of the second level headers listed below, you now link your identified topic to the ACE Star model EBP Process.

Define the Scope of the EBP

Restate your practice issue. Why is this a problem? Give basic statistics and information to back the scope of the problem at your facility/work area. How does this problem impact healthcare on a broader scale?

Stakeholders

You will be the leader of the team since this is your project. Who will you also include in your team? Make sure you choose relevant stakeholders. You should have no more than eight members. Do not list your team members by name but instead by position (pharmacists, charge nurse, etc.).

Determine Responsibility of Team Members

Why are the members chosen important to your project? What are their roles?

Evidence

Conduct internal/external search for evidence. What type of evidence did you find in addition to you Evidence Summary? EBP guidelines? Quality improvement data? Position statements? Clinical Practice Guidelines?  Briefly discuss the strength of this research. This is not where you describe the results of your studies. This is done in the following steps.
Summarize the Evidence
In this section, you need to synthesize the information from the systematic review article. What are some of the evidence-based interventions you discovered in your Evidence Summary that do you plan to use?Be sure and cite all of your references, in proper APA format, from any and all articles into this one paragraph.


Develop Recommendations for ChangeBased on Evidence


What is your recommendation based on the research? Ideally, you will have found enough support in your evidence to proceed with implementing your pilot program.

Translation

Action Plan

You have not implemented your project yet, therefore, this section will be hypothetical. Develop your plan for implementation. What are the specific steps you will take to implement your pilot study?  What is the timeline for your plan? Make sure you include a plan for evaluation of outcomes and method to report the results.

Process, Outcomes Evaluation and Reporting

What are the desired outcomes? How will they be measured? How will you report the results to the key stakeholders?

Identify Next Steps

How will you implement the plan on a larger scale? Will this be applicable to other units or the facility as a whole? What will you do to ensure that the implementation becomes permanent?

Disseminate Findings
How will you communicate your findings internally (within your organization) and externally (to others outside of your organization)?

Conclusion\

Provide a clear and concise summary. Review the key aspects of the problem as well as the change model. Be sure to include important aspects of the five points of the ACE Star change model EBP process and ways to maintain the change plan.

References


Devry NR451 Week 5 Discussion DQ 1 & DQ 2


DQ 1
An Ethical Dilemma (graded)

Nurses face many ethical issues on a daily basis. Consider the following scenario:
Your unit has team nursing. As luck would have it, you and your best friend, Jill, are paired as a team this shift. Jill is a new nurse so you feel this is a great opportunity to take her under your wing a bit and show her the ropes. It is a busy shift and you administered Mr. Smith his insulin dose based on the sliding scale before lunch. You chart your medication administration and continuing caring for your patients. An hour later, Jill comes to you terrified because she forgot to chart the insulin she gave Mr. Smith and realized that you also gave the medication. She rushed to take his blood sugar and it was 115. Mr. Smith felt fine and was eating a candy bar his family had snuck in for him. No harm done, in fact he probably needed the extra insulin to compensate for the candy bar he wasn’t supposed to have, Jill explained. Jill begs you not to report this since she is still on probation. She says that she has learned her lesson and since nothing bad happened, why does anyone need to know?
What would you do in this situation? Apply ethical principles to explain the rationale for your decision making process.

DQ 2

Core Competencies for Nurses (graded

Explore the website for the Quality and Safety Education for Nurses (QSEN) initiative athttp://www.qsen.org. How can these competencies for nurses be implemented into the workplace or professional nursing setting if you are not currently working?


Devry NR451 Week 6 Discussion DQ 1 & DQ 2

DQ 1

Implementing Change Despite Resistance (graded)

Change can be difficult to implement. Now that you are almost finished with your change project, if you were to implement your project in your clinical practice, what type of resistance do you expect from staff? List at least three ways that you can lessen the resistance you may encounter to help ensure the success of your project.


DQ 2

Workplace Safety (graded)

Select an American Nurses Association (ANA) publication on workplace safety from the ANA. Search the American Nurses Association (ANA) website for workplace safety (http://www.nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Work-Environmentand select a publication on workplace safety. Review the document (publication), include the URL, and discuss implications for you and your work setting.

NR451 Week 6 Milestone 3 Educating Staff: Implementing Change Guidelines

Capstone Project Milestone 3:
Educating Staff: Implementing Change Guidelines

Purpose

The purpose of this assignment is to create the Educating Staff: Implementing Change Project PowerPoint presentation. Your plan is to educate the staff that will be involved in the pilot program. You will need to educate them on the problem, show the supporting evidence, and how your pilot plan

will be implemented.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.
·         CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO #2)
·         CO3: Communicates effectively with patient populations and other healthcare providers in managing the healthcare of individuals, families, aggregates, and communities. (PO #3)
·         CO7: Integrates the professional role of leader, teacher, communicator, and manager of care to plan cost-effective, quality healthcare to consumers in structured and unstructured settings. (PO #7)
Due Date
Milestone 3 consists of the PowerPoint presentation Educating Staff: Implementing Change Project. Submit this Milestone to the Dropbox by Sunday, 11:59 p.m. MT at the end ofWeek 6.
Points
Milestone3 is worth 200 points.

Directions
1.    Create an educational presentation for staff before the launch of your change project. This should inform the staff of the problem, your potential solution, and their role in change project.
2.    The format for this proposal will be a PowerPoint presentation.
3.    Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx The Chamberlain Student Success Strategies (CCSSS) offers a module on Computer Literacy that contains a section on PowerPoint. The link to SSP CCSSS may be found under the Special Courses list in eCollege.
4.    The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides.
5.    Below are the topics for the slides: Bullet (or main points) points on your slides, please
6.    Title slide
7.    Description of the Ace Star change model that you have used for this project.
8.    Practice Issue
9.    Scope of the problem—use basic statisticsfrom what you know of the problem in your work area.
10.  Your team/stakeholders
11.  Evidence to support your need for change—from your Evidence Summary
12.  Action Plan
13.  Timeline for the plan
14.  The nurse’s role and responsibility in the pilot program
15.  Procedure (what steps are to be taken to complete this change process, from start to finish?)
16.  Forms that will be used (if applicable)
17.  Resources available to the staff—including yourself
18.  Summary
19.  References
20.  Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. Citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means choose peer-reviewed journals and credible

Guidelines

·         Late Submission: See the course policy on late submissions.
·         Tutorial: If needed, Microsoft Office has many templates and tutorials to help you get started.

Best Practices in Preparing a PowerPoint Presentation

The following are best practices in preparing this presentation.
1.    Be creative.
2.    Incorporate graphics, clip art, or photographs to increase interest.
3.    Make easy to read with short bullet points and large font.
4.    Use speaker notes (found under the section View and “Notes” in the PowerPoint template you choose. These are for your personal use to use as a reference if you are giving your presentation to an audience and they help faculty identify what you will speak to your audience about.
5.    Review directions thoroughly.
6.     
7.    Cite all sources within the slides with (author, year) as well as on the Reference slide.
8.    Proofread prior to final submission.
9.    Spell check for spelling and grammar errors prior to final submission.
10.  Abide by the Chamberlain academic integrity policy.

Grading Criteria: Educating Staff: Implementing Change

Category
Points
%
Description
The Problem
30
15%
Summary of change model discussed. PracticeIssue is stated. Scope of the problem includes basic statistics as it relates to your work area and scope of problem to healthcare as a whole discussed. Team and stakeholders and their role/reason chosen is discussed as is logical.
The Evidence
35
17%
Discussion of the evidence is done in terms of themes of the multiple views given in the Systematic Review. Pertinent information is summarized. Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered.
The Plan
35
17%
Plan of action described. Important elements are discussed and logical. Timeline is thorough and contains all elements. Timeline is logical and appropriate.
The Nurse’s Role
25
13%
The nurse’s role in the pilot plan is described and clear. Procedures for the pilot plan are clear and concise.
Resources
20
10%
Form (if applicable) for tracking the outcomes during pilot plan is included. Resources the nurses will need to help implement the plan are included. At least three resources are included. The nurse investigator, the team, internet resources, or other resources the staff needs is included.
Summary
10
5%
Summary slide reiterates the problem and purpose of the plan along with the measurable goals in terms of success.
Overall Presentation
20
10%
Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read. Speaker notes are present.
Mechanics
25
13%
Includes title slide. Grammar, punctuation, and sentence structure are correct. References are properly cited within the paper. Reference page includes all citations. Evidence of spell and grammar check.
Total
200 points
100%


Grading Rubric: Educating the staff Milestone 3
Assignment Criteria
A (100%)
Exceptional

Outstanding or highest level of performance
B (88%)
Exceeds

Very good or high level of performance
C (80%)
Meets

Competent or satisfactory level of performance
NI (38%)
Needs Improvement
Poor or failing level of performance
F (0%)
Developing

Unsatisfactory level of performance
The Problem
30 points
Summary of change model andPractice issue addressed
Basic statistical information as it relates to work area, scope of problem to healthcare as a whole, discussed.
Team, stakeholders and role/reason chosen is discussed and is logical.
30 points
Summary of change model andPractice issue addressed
Basic statistical information as it relates to work area is missing and scope of problem to healthcare discussed.
Team, stakeholders and their role/reason chosen is discussed and is logical.
26 points
Summary of change model discussed andPractice issue addressed
Basic statistical information as it relates to work area is missing and scope of problem to healthcare discussedminimally.
Team, stakeholders and their role/reason chosen discussed and is logical.
24 points
Summary of change model is not discussed however,Practice issue is addressed
Basicstatistical information as it relates to work area is missing and scope of problem to healthcare discussed
Team and stakeholders stated but role/reason chosen is not discussed.
11 points
None of the elements werepresent.
0 points
The Evidence
35 points
Discussion of the evidence is done in terms of themes the author/s pull from the multiple articles in the Systematic Review.
Pertinent information is summarized.
Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered.
35 points
Discussion of the evidence is done in terms of themes.
Pertinent information is in paragraph as one overriding theme pulled from the Systematic Review.
Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered.
31 points
Discussion of the evidence is done in terms of individual authors within the article.
Pertinent information is not summarized.
Sources listed individually but as an Evidence Summary synthesized into concepts discovered.
28 points
Discussion of the evidence is done in terms individual authors.
Pertinent information is not summarized.
Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered.
13 points
There is no discussionof the evidence.
0 points
The Plan
35 points
Plan of action described. Important elements are discussed and logical.
Timeline is thorough and contains all elements.
Timeline is logical and appropriate.
35 points
Plan of action described but not all importantelements included. ORTimeline is present but doesn’t contain all elements.
31 points
Plan of action described but not all importantelements includedANDTimeline is present but doesn’t contain all elements.
28 points
Plan of action is present but not logical and is incomplete.
The timeline is not appropriate or logical.
13 points
Plan of action is not present.
The timeline is not present.
0 points
The Nurse’s Role
25 points
The nurse’s role in the pilot plan is described and clear.
Procedures for the pilot plan are clear and concise.
25 points
The nurses’ role is described but not clear. OR
Procedures are discussed but not clear.
22 points
The nurses’ role is described but not clear. AND
Procedures are discussed but not clear.
20 points
The nurse’s roles are not appropriate.
Procedures are not clearly written and are incomplete.
10 points
Nurses’ roles are absent. Procedures are absent.
0 points
Resources
20 points
Form (if applicable) for tracking outcomes during pilot study is included.
Resources (to help with the project) the nurses need are included. At least three resources included. The nurse investigator, the team, internet resources, or other resources is included.
20 points
Form (if applicablefor tracking outcomes included.
At least three resources the nurses need to help with the project are included but the resources were not the best suited resources for the project.
18 points
Form (if applicablefor tracking outcomes included but was not well-developed.
At least two resources are included but are not included for the duration of the project.
16 points
Form (if applicablefor tracking outcomes is poorly developed.
Only one resource is listed.
8 points
Form(if applicable for tracking outcomes is absent
No appropriate resources arelisted.
0 points
Summary
10 points
Summary slide reiterates the problem and purpose of the plan along with the measurable goals.
10 points
Summary slide reiterates the problemAND purpose.
Goals are stated but are not referenced in terms of success.
9 points
Summary slide reiterates the problem OR the purpose, but not both.
Goals are stated.
8 points
Summary slide reiterates the problem OR the purpose, but not both.
Goals are not mentioned.
4 points
Summary slide is not shown.
0 points
Overall presentation
20 points
Presentation is presented in a clear and logical manner.
PowerPoint is appealing and includes creativity.
Font is easy to read.
20 points
Presentation is accurate and covers most elements.
18 points
Presentation content is accurate and can be followed, but it lacks flow and creativity.
16 points
Presentation lacks organization.  Creativity is difficult to follow.
8 points
Presentation lacks any attempt at organization and comes across as chaotic.
0 points
Mechanics
25 points
Includes title slide.Grammar, punctuation, and sentence structure are correct.
References properly cited within the presentation.
Reference slide includes all citationswithin the PowerPoint presentation.
Evidence of spell and grammar check.
25 points
Title slide is incomplete.
Minimal errors in grammar, punctuation, and/or sentence structure noted.
References arepresent, with minimal errors in formatwithin the PowerPoint presentation.
Citations are present but not correct format.
22 points
Missing title slide
Multiple grammar and punctuation errors noted.
References do not include all citations within the PowerPoint presentation.
20 points
The title slide is missing.
The references are improperly formatted and are incomplete within the PowerPoint presentation.
Errors in spelling and grammar are evident.
10 points
Title slide and citations are missing.
References are missing.
No evidence of proof-reading prior to submitting assignment.
0 points
Total Possible Points = 200 points:



Capstone Project Milestone 3:
Educating Staff: Implementing Change Guidelines
Purpose
The purpose of this assignment is to create the Educating Staff: Implementing Change Project PowerPoint presentation. Your plan is to educate the staff that will be involved in the pilot program. You will need to educate them on the problem, show the supporting evidence, and how your pilot plan will be implemented.
Course Outcomes
This assignment enables the student to meet the following Course Outcomes.
·         CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO #2)
·         CO3: Communicates effectively with patient populations and other healthcare providers in managing the healthcare of individuals, families, aggregates, and communities. (PO #3)
·         CO7: Integrates the professional role of leader, teacher, communicator, and manager of care to plan cost-effective, quality healthcare to consumers in structured and unstructured settings. (PO #7)
Due Date
Milestone 3 consists of the PowerPoint presentation Educating Staff: Implementing Change Project. Submit this Milestone to the Dropbox by Sunday, 11:59 p.m. MT at the end ofWeek 6.
Points
Milestone3 is worth 200 points.
Directions
1.    Create an educational presentation for staff before the launch of your change project. This should inform the staff of the problem, your potential solution, and their role in change project.
2.    The format for this proposal will be a PowerPoint presentation.
3.    Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx The Chamberlain Student Success Strategies (CCSSS) offers a module on Computer Literacy that contains a section on PowerPoint. The link to SSP CCSSS may be found under the Special Courses list in eCollege.
4.    The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides.
5.    Below are the topics for the slides: Bullet (or main points) points on your slides, please
6.    Title slide
7.    Description of the Ace Star change model that you have used for this project.
8.    Practice Issue
9.    Scope of the problem—use basic statisticsfrom what you know of the problem in your work area.
10.  Your team/stakeholders
11.  Evidence to support your need for change—from your Evidence Summary
12.  Action Plan
13.  Timeline for the plan
14.  The nurse’s role and responsibility in the pilot program
15.  Procedure (what steps are to be taken to complete this change process, from start to finish?)
16.  Forms that will be used (if applicable)
17.  Resources available to the staff—including yourself
18.  Summary
19.  References
20.  Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. Citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means choose peer-reviewed journals and credible
Guidelines
·         Application: Use Microsoft PowerPoint 2010.
·         Length: The PowerPoint slide show is expected to be between 15-20 slides in length (not including the title slide and reference list slide).
·         Submission: Submit your files via the basket in the Dropbox: “Educating the Staff: Implementing the Change Project” by 11:59 p.m. Sunday of Week 6.
·         Late Submission: See the course policy on late submissions.
·         Tutorial: If needed, Microsoft Office has many templates and tutorials to help you get started.
Best Practices in Preparing a PowerPoint Presentation
The following are best practices in preparing this presentation.
1.    Be creative.
2.    Incorporate graphics, clip art, or photographs to increase interest.
3.    Make easy to read with short bullet points and large font.
4.    Use speaker notes (found under the section View and “Notes” in the PowerPoint template you choose. These are for your personal use to use as a reference if you are giving your presentation to an audience and they help faculty identify what you will speak to your audience about.
5.    Review directions thoroughly.
6.    Cite all sources within the slides with (author, year) as well as on the Reference slide.
7.    Proofread prior to final submission.
8.    Spell check for spelling and grammar errors prior to final submission.
9.    Abide by the Chamberlain academic integrity policy.
Grading Criteria: Educating Staff: Implementing Change
Category
Points
%
Description
The Problem
30
15%
Summary of change model discussed. PracticeIssue is stated. Scope of the problem includes basic statistics as it relates to your work area and scope of problem to healthcare as a whole discussed. Team and stakeholders and their role/reason chosen is discussed as is logical.
The Evidence
35
17%
Discussion of the evidence is done in terms of themes of the multiple views given in the Systematic Review. Pertinent information is summarized. Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered.
The Plan
35
17%
Plan of action described. Important elements are discussed and logical. Timeline is thorough and contains all elements. Timeline is logical and appropriate.
The Nurse’s Role
25
13%
The nurse’s role in the pilot plan is described and clear. Procedures for the pilot plan are clear and concise.
Resources
20
10%
Form (if applicable) for tracking the outcomes during pilot plan is included. Resources the nurses will need to help implement the plan are included. At least three resources are included. The nurse investigator, the team, internet resources, or other resources the staff needs is included.
Summary
10
5%
Summary slide reiterates the problem and purpose of the plan along with the measurable goals in terms of success.
Overall Presentation
20
10%
Presentation is presented in a clear and logical manner. PowerPoint is appealing to the eye and includes creativity. Font is easy to read. Speaker notes are present.
Mechanics
25
13%
Includes title slide. Grammar, punctuation, and sentence structure are correct. References are properly cited within the paper. Reference page includes all citations. Evidence of spell and grammar check.
Total
200 points
100%


Grading Rubric: Educating the staff Milestone 3
Assignment Criteria
A (100%)
Exceptional

Outstanding or highest level of performance
B (88%)
Exceeds

Very good or high level of performance
C (80%)
Meets

Competent or satisfactory level of performance
NI (38%)
Needs Improvement
Poor or failing level of performance
F (0%)
Developing

Unsatisfactory level of performance
The Problem
30 points
Summary of change model andPractice issue addressed
Basic statistical information as it relates to work area, scope of problem to healthcare as a whole, discussed.
Team, stakeholders and role/reason chosen is discussed and is logical.
30 points
Summary of change model andPractice issue addressed
Basic statistical information as it relates to work area is missing and scope of problem to healthcare discussed.
Team, stakeholders and their role/reason chosen is discussed and is logical.
26 points
Summary of change model discussed andPractice issue addressed
Basic statistical information as it relates to work area is missing and scope of problem to healthcare discussedminimally.
Team, stakeholders and their role/reason chosen discussed and is logical.
24 points
Summary of change model is not discussed however,Practice issue is addressed
Basicstatistical information as it relates to work area is missing and scope of problem to healthcare discussed
Team and stakeholders stated but role/reason chosen is not discussed.
11 points
None of the elements werepresent.
0 points
The Evidence
35 points
Discussion of the evidence is done in terms of themes the author/s pull from the multiple articles in the Systematic Review.
Pertinent information is summarized.
Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered.
35 points
Discussion of the evidence is done in terms of themes.
Pertinent information is in paragraph as one overriding theme pulled from the Systematic Review.
Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered.
31 points
Discussion of the evidence is done in terms of individual authors within the article.
Pertinent information is not summarized.
Sources listed individually but as an Evidence Summary synthesized into concepts discovered.
28 points
Discussion of the evidence is done in terms individual authors.
Pertinent information is not summarized.
Sources are not listed individually but as an Evidence Summary synthesized into concepts discovered.
13 points
There is no discussionof the evidence.
0 points
The Plan
35 points
Plan of action described. Important elements are discussed and logical.
Timeline is thorough and contains all elements.
Timeline is logical and appropriate.
35 points
Plan of action described but not all importantelements included. ORTimeline is present but doesn’t contain all elements.
31 points
Plan of action described but not all importantelements includedANDTimeline is present but doesn’t contain all elements.
28 points
Plan of action is present but not logical and is incomplete.
The timeline is not appropriate or logical.
13 points
Plan of action is not present.
The timeline is not present.
0 points
The Nurse’s Role
25 points
The nurse’s role in the pilot plan is described and clear.
Procedures for the pilot plan are clear and concise.
25 points
The nurses’ role is described but not clear. OR
Procedures are discussed but not clear.
22 points
The nurses’ role is described but not clear. AND
Procedures are discussed but not clear.
20 points
The nurse’s roles are not appropriate.
Procedures are not clearly written and are incomplete.
10 points
Nurses’ roles are absent. Procedures are absent.
0 points
Resources
20 points
Form (if applicable) for tracking outcomes during pilot study is included.
Resources (to help with the project) the nurses need are included. At least three resources included. The nurse investigator, the team, internet resources, or other resources is included.
20 points
Form (if applicablefor tracking outcomes included.
At least three resources the nurses need to help with the project are included but the resources were not the best suited resources for the project.
18 points
Form (if applicablefor tracking outcomes included but was not well-developed.
At least two resources are included but are not included for the duration of the project.
16 points
Form (if applicablefor tracking outcomes is poorly developed.
Only one resource is listed.
8 points
Form(if applicable for tracking outcomes is absent
No appropriate resources arelisted.
0 points
Summary
10 points
Summary slide reiterates the problem and purpose of the plan along with the measurable goals.
10 points
Summary slide reiterates the problemAND purpose.
Goals are stated but are not referenced in terms of success.
9 points
Summary slide reiterates the problem OR the purpose, but not both.
Goals are stated.
8 points
Summary slide reiterates the problem OR the purpose, but not both.
Goals are not mentioned.
4 points
Summary slide is not shown.
0 points
Overall presentation
20 points
Presentation is presented in a clear and logical manner.
PowerPoint is appealing and includes creativity.
Font is easy to read.
20 points
Presentation is accurate and covers most elements.
18 points
Presentation content is accurate and can be followed, but it lacks flow and creativity.
16 points
Presentation lacks organization.  Creativity is difficult to follow.
8 points
Presentation lacks any attempt at organization and comes across as chaotic.
0 points
Mechanics
25 points
Includes title slide.Grammar, punctuation, and sentence structure are correct.
References properly cited within the presentation.
Reference slide includes all citationswithin the PowerPoint presentation.
Evidence of spell and grammar check.
25 points
Title slide is incomplete.
Minimal errors in grammar, punctuation, and/or sentence structure noted.
References arepresent, with minimal errors in formatwithin the PowerPoint presentation.
Citations are present but not correct format.
22 points
Missing title slide
Multiple grammar and punctuation errors noted.
References do not include all citations within the PowerPoint presentation.
20 points
The title slide is missing.
The references are improperly formatted and are incomplete within the PowerPoint presentation.
Errors in spelling and grammar are evident.
10 points
Title slide and citations are missing.
References are missing.
No evidence of proof-reading prior to submitting assignment.
0 points
Total Possible Points = 200 points:



Devry NR451 Week 7 Discussion DQ 1 & DQ 2

DQ 1

Healthcare Policy (graded)

Describe a recent health care policy and discuss it’s implication to your personal clinical practice or health care as a whole. Why is it important for nurses to be aware of health care policy?


DQ 2

Healthcare Economics (graded)

Health care costs are on the rise. What is an example of wasted health care dollars in your clinical practice and how do you propose improving the utilization of these dollars?


Devry NR451 Week 8 Discussion

Educational Preparation as a BSN Graduate (graded)

How has this educational program prepared you for the future of nursing as a BSN graduate?


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