Complete Parts 1 and 2 of your Assignment:

• Part 1: Literature Review: Be sure you have completed all required sections of the template (PDF) document.(attached below)
• Part 2: Critical Assessment p aper: look at the rubric for instructions. keep in mind to also Apply feedback of value to you in completing your synthesis of evidence to inform a practice change initiative focusing on quality improvement

RUBRIC:- The Assignment: Part 1: Literature Review of at least 10 scholarly articles:• Using the Walden university Library as your source, search to select at least 10 scholarly articles that represent current literature (i.e., published within the previous 5 years) with evidence that addresses your critical question (I will send you the critical question) and could inform a practice change initiative for quality improvement. Using the Individual -Evidence Summary/Synthesis Tool template document, complete all sections for each article.

-The Assignment: Part 2: (example attached below) Critical Assessment In a p a per of at least 7 pages, plus cover page and references page, include the following:• Write a critical assessment of your search outcomes that synthesizes the evidence from your literature review.

-Demonstrate clear connections between the practice problem that informs your critical question, your appraisal of evidence that addresses the critical question, and resulting clarification on the need for a practice change initiative focusing on quality improvement. Be specific and provide examples.

-Written Expression and Formatting: Paragraph/Sentence StructureParagraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance.

-Written Expression and Formatting: The assignment contains parenthetical/in-text citations, and at least 10 evidence-based references are listed.

Post your week eight assignment, a narrated powerpoint presentation, showcasing your business plan to the week eight discussion 

Use week 7 business plan to make power point presentation 

Expectations

Initial Post:

• Length: A minimum of 250 words, not including references
• Citations: At least one high-level scholarly reference in APA from within the last 5 years

Read the following case study and answer the reflective questions. Please provide evidence-based rationales for your answers. APA, 7th ed. Citations must be followed.

CASE STUDY: Active Labor: Susan Wong

Mrs. Wong, a first-time mother, is admitted to the birthing suite in early labor after spontaneous rupture of membranes at home. She is at 38 weeks of gestation with a history of abnormal alpha-fetoprotein levels at 16 weeks of pregnancy. She was scheduled for ultrasonography to visualize the fetus to rule out an open spinal defect or Down syndrome, but never followed through. Mrs. Wong and her husband disagreed about what to do (keep or terminate the pregnancy) if the ultrasonography indicated a spinal problem, so they felt they did not want this information.

Reflective Questions 

1. As the nurse, what priority data would you collect from this couple to help define relevant interventions to meet their needs?

2. How can you help this couple if they experience a negative outcome in the birthing suite? What are your personal views on terminating or continuing a pregnancy with a risk of a potential anomaly? What factors may influence your views? 

3. With the influence of the recent Human Genome Project and the possibility of predicting open spinal defects earlier in pregnancy, how will maternity care change in the future?

Based on your clinical practice area and location. What are some of the greatest cultural issues and trends that are frequently encountered? How do we as professional nurses rise to these challenges? Provide examples of cultural recognition while implementing evidence-based standards of care.

Sections of the assignment must include:

• Introduction
• Focus points covered in the discussion posts 
• Any arguments and rationales for your stance
• Conclusion or Summary

The components of your APA  Assignment includes the following:

• Your APA Assignment must include a title pg (Refer to Purdue OWL). 
• All in-text citations must be used when paraphrasing or quoting a previous author.
• All references must reflect the in-text citations used. 
• All reference sources must be within the past 5 years unless it is the works of a nurse theorist or a significant reference material. 
• The length of the assignment must be 750-1000 words. Please pay attention to spelling and grammar. Points will be deducted for repeat offenders. 
• Upon completion of the assignment, you must submit it via Turnitin.com, and please note that your plagiarism score should be no more than 20%.  If you score higher, please make adjustments.