public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.

public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.

W2 D see attachment




Week 1

Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study

Preparing the Discussion

You are a family nurse practitioner employed in a busy primary care office. The providers in the group include one physician and three nurse practitioners. The back-office staff includes eight medical assistants who assist with patient care as well as filing, answering calls from patients, processing laboratory results and taking prescription renewal requests from patients and pharmacies. Stephanie, a medical assistant, has worked in the practice for 10 years and is very proficient at her job. She knows almost every patient in the practice and has an excellent rapport with all of the providers. 

Mrs. Smith was seen today in the office for an annual physical. Her last appointment was a year ago for the same reason. During this visit, Mrs. Smith brought an empty bottle of amoxicillin with her and asked if she could have a refill. You noted the patient's name on the label, and the date on the bottle was 1 week ago. You also noted your name printed on the label as the prescriber. The patient admitted that she called last week concerned about her cough and spoke to Stephanie. You do not recall having discussed this patient with Stephanie nor do the other providers in the practice. 

Case Study Questions: 

1. What are the potential ethical and legal implications for each of the following practice members? 

· Medical assistant

· Nurse Practitioner

· Medical Director

· Practice

2. What strategies would you implement to prevent further episodes of potentially illegal behavior? 

3. What leadership qualities would you apply to effect a positive change in the practice?  Be thinking about the culture of the practice.

4. A scholarly resource must be used for EACH discussion question each week.



Week 7: Change Project Final Paper

Your final paper will encompass all assignments you have completed thus far. At this

point, you will have submitted each section individually and a comprehensive rough

draft. You have received extensive feedback. An attempt to incorporate all previous

assignment feedback should be evident. 

The paper should be between 20 and 30 pages in length, not including the cover page,

references, and any appendices. It must follow the current APA manual style and

format. Each section of the paper should be clearly identified using proper headings.

The final paper should be professionally written in a manner suitable for publication.

NURS_691B_DE – NURS 691-B Rubric: Culminating Experience Evidence-Based

Change Project Paper Rubic (Final))

NURS_691B_DE – NURS 691-B Rubric: Culminating Experience Evidence-Based Change Project Paper

Rubic (Final))

Criteria Ratings Pts

This criterion is linked to a
Learning Outcome
Introduction and

15 to >12.3 pts

Meets Expectations

The change project topic is introduced. All

background information is included. Project

importance within the field or significance for

the designated facility is described.

15 pts


This criterion is linked to a
Learning Outcome
Problem Identification and
Description in PICOT

15 to >12.3 pts

Meets Expectations

Presents a thorough and insightful analysis of the

chosen topic/problem. Describes the problem

thoroughly, including the target population

description and history/background information

at the assigned clinic or hospital. The significance

and applicability to nursing is included and well

presented. Includes an appropriate topic

identification related to an advanced practice

nursing issue or practice problem of concern.

Population is fully defined and present in the

research question. Includes specific

interventions, identifies comparisons, and

presents appropriate outcomes in a timely

manner for the question. Overall, the question is

well-built using the PICOT format.

15 pts

This criterion is linked to a
Learning Outcome Critical

18 to >14.76 pts

Meets Expectations

The minimum requirement of peer-reviewed

articles, books, or limited non-research literature

(tool kits or standardized procedures) are

present. Literature is supported by scientific

evidence that is credible and timely. Subtopics

are used to support the main topic. In-text

citations are present and correctly formatted.

Presents a thorough and insightful analysis of

significant findings related to the change project

topic. Ideas are synthesized and professionally

sound and creative. Insightful and

comprehensive conclusions and solutions are


18 pts


This criterion is linked to a
Learning Outcome Project
Aims, Values, and Desired

18 to >14.76 pts

Meets Expectations

The project, aims, values, and desired outcomes

are well-developed. They are clear and thorough.

Aims include examples of projected features and

functions. Values include implementation

benefits for specific stakeholders. Desired

outcomes state the purpose, have a quality

focus, and describe the benefits that will occur

as a result of implementation.

18 pts

This criterion is linked to a
Learning Outcome
Theoretical Framework

18 to >14.76 pts

Meets Expectations

Identifies independent theories or conceptual

models that relate to the change project topic

and describes how they will be applied to the

change project. Thoroughly discusses how each

element of the phenomenon applies to the

framework. Clearly applies each element of the

theory to the elements of the phenomenon

under study. Develops the rationale for the

sample selection criteria, and expertly discusses,

analyzes, and critiques pertinent research that

uses the framework.

18 pts


This criterion is linked to a
Learning Outcome

18 to >14.76 pts

Meets Expectations

Provides keen insight into obstacles and

proposes sound, creative solutions or

interventions based on the literature review

findings. Expertly compares other views on the

problem and solutions with detail. Uses

examples to thoroughly address the FNP role in

the intervention and discusses implications for

clinical practice. Thoughtfully discusses the

implications of the change project and its

significance to the nursing profession and filling

gaps in knowledge. Accurately categorizes and

thoroughly explains specific methods of data

collection to be used. Explains in detail how data

will be analyzed and used. Provides a sound

justification for subject selection and sampling

procedure. Accurately and thoroughly describes

potential limitations to data collection and


18 pts

This criterion is linked to a
Learning Outcome
Recommendations and

18 to >14.76 pts

Meets Expectations

Provides an insightful and thorough summary of

the project, main points, and details the

significance of the project to the advanced

practice nursing profession. Provides detailed

and creative recommendations for future

research and implications for clinical practice.

Discusses limitations of the study in detail.

Suggests specific directions for future research.

Insightfully considers changes in theoretical

construct and provides reasonable and creative

suggestions for public policy and/or changes in

educational practice. Expertly ties the theoretical

framework to the overall product.

18 pts


This criterion is linked to a
Learning Outcome
Mechanics and APA

30 to >24.6 pts

Meets Expectations

Writing is clear, concise, formal, and organized.

Information is well organized and clearly

communicated. The assignment is free of spelling

and grammatical errors. All the requirements

related to format, length, source citations, and

layout are followed. A complete reference page is

included and formatted using correct APA format. If

applicable, appendices and tables are complete and


30 pts

Total Points: 150

  • Week 7: Change Project Final Paper

Discussion: Social Determinant of Health



The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced health assessment. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared.

Course Outcomes

This discussion enables the student to meet the following course outcomes:

  • CO 1: Apply advanced practice nursing knowledge to collecting health history information and physical examination findings for various patient populations. (POs 1, 2)
  • CO 4: Adapt health history and physical examination skills to the developmental, gender-related, age-specific, and special population needs of the individual patient. (POs 1, 2)
  • CO 5: Conduct focused and comprehensive health histories and examinations for various patient populations. (POs 1, 2)

Due Dates

Initial posts are due to the discussion board by Wednesday at 11:59 p.m. MT. Instructor and peer responses are due by Sunday at 11:59 p.m. MT. Students must post on a minimum of two separate days. A 10% late penalty will be imposed for discussions posted after the deadline Wednesday at 11:59 p.m. MT, regardless of the number of days late. NOTHING will be accepted after 11:59 p.m. MT on Sunday (i.e., the student will receive an automatic 0).

Total Points Possible

The total points possible for this assignment is 75.

Preparing the Discussion

Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions.

This week, you will consider assessment questions and appropriate interventions related to social determinants of health. Healthy physical, social, and economic environments strengthen the potential to achieve health and well-being. The nurse practitioner (NP) must assess all facets of clients’ health during a comprehensive health history. Identify the assigned topics listed by the first letter of your first name. For example, if your first name is Gilda then your assigned topic is education access and quality. Select an objective related to your assigned social determinant from the Healthy People website.

First Letter of Your First NameTopicA – EEconomic stabilityF – JEducation access and qualityK – OHealth care access and qualityP – SNeighborhood and built environmentT – ZSocial and community context

Complete the following requirements:

  1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
    1. Correctly identify your assigned social determinant. Briefly define the determinant and describe how it impacts healthcare outcomes.
    2. Select an objective related to your assigned social determinant from the Healthy People website linked above. Identify the status of the objective and the population to whom the objective applies.
    3. Provide at least three appropriate questions related to the chosen objective that the NP could incorporate into the health history and interview to assess the client and family.
    4. Identify at least two online, national, or local resources and explain how the resources could help meet the chosen objective for at-risk clients or families.
  2. Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations.
    1. Cite a scholarly source in the initial post.
    2. Cite a scholarly source in one faculty response post.
    3. Cite a scholarly source in one peer post.
    4. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
    5. Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.
  3. Engagement in Meaningful Dialogue:Engage peers and faculty by asking questions, and offering new insights, applications, perspectives, information, or implications for practice:
    1. Peer Response: Respond to at least one peer on a topic other than the initially assigned topic.
    2. Faculty Response: Respond to at least one faculty post.
    3. Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice.
  4. Professionalism in Communication:Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
  5. Reference Citation: Use current APA format to format citations and references and is free of errors.
  6. Wednesday Participation Requirement:Provide a substantive response to the graded discussion topic (not a response to a peer or faculty), by Wednesday, 11:59 p.m. MT of each week.
  7. Total Participation Requirement: Provide at least three substantive posts (one to the initial question or topic, one to a student peer, and one to a faculty question) on two different days during the week.

Nursing Chapter 3a-assignment

Page 1 of 2 Leadership and Management Theory

“People may not remember what you said, but they remember the way

you made them feel.” Maya Angelou

Emotional Intelligence (EI)

Introduction to Emotional Intelligence
Emotions play a big role in our lives; they help to guide decisions for the world around
us and influence our interactions with others. Accordingly, emotions are also shaped
from the external world. Emotional intelligence brings control to our everyday emotions
and will affect every aspect of our lives. The ability to control one’s emotions and use
them in a healthy manner can be life-changing. Emotional intelligence combines
emotional and social skills to navigate through organizations and relationships, as well
as deal with emotional stress. It is a skill that can be learned and strengthened, bringing
great success to an individual’s personal and professional life. With an emotionally
intelligent team, maximum success can be achieved.

Defining Emotional Intelligence
Every day we face situations in which we emotionally react. Emotional intelligence (EI)
brings cognition to emotional responses. It involves recognizing, understanding, and
managing our own emotions, as well as recognizing, understanding, and influencing the
emotions of others. This includes being aware of the emotions that drive specific
behaviors. It does not mean denying personal feelings, but rather identifying and
reasoning with them. Developing emotional intelligence is especially important in the
workplace, as it teaches professional and empathetic communication.

The Importance of Emotional Intelligence
Emotional intelligence is incredibly valuable to many major aspects of our lives, our
mental and physical health, professional success, and personal relationships. There are
many positive traits that come from emotional intelligence. In business, emotional
intelligence will cultivate motivation, change, and leadership. It encourages us to step
away from an autopilot mode and become better at navigating through the many social
complexities in life. Respectively, emotional intelligence will help us to create a healthy
and balanced lifestyle. Signs of low emotional intelligence include:
• Having a victim mentality
• Being unaccepting of feedback
• Dwelling on mistakes
• Difficulty listening and connecting
• Often quick to make judgments

Page 2 of 2 Leadership and Management Theory

Who Needs It?

Humans are wired for connection; these connections consist of social interactions full of
emotions. Essentially, identifying and building emotional intelligence is important for
everyone. High emotional intelligence is a hiring trait desired by leading corporations,
and to some extent, more important than IQ. Emotional intelligence provides a strong
foundation for humans to reflect on their emotional responses, including when
managing feelings of stress or overwhelm, creating a collaborative environment, and
having difficult conversations with others. It is the key to achieving success in any
leadership role. When emotional intelligence is lacking from one individual in the
workplace, it affects everyone else within the organization. These repercussions can
include a lower company morale, and decrease in productivity and performance. A
positive work environment requires employees who are willing to coach and motivate
one another, in which emotional intelligence is the foundation.

What Are Emotions?

Since emotional intelligence is all about the management and control of emotions, it is
advantageous to understand what emotions are and why they matter. Although we all
share the same emotions, we do not all experience these emotions the same way.
Emotions are natural reactions that we experience, in response to a situation, mood, or
connection. They signal a change that has occurred within us, or in our environment.
The six basic human emotions, also known as primary emotions, are happiness,
sadness, surprise, fear, disgust, and anger. Emotions may be momentary or long-lived.
There are three key elements of emotions, including the subjective experience (how
someone experiences an emotion), the physiological response (how their body reacts to
this emotion), and the behavioral/expressive response (how they behave in response to
this emotion). Emotions will guide decisions, help us to avoid danger, and motivate
action. Our daily lives are influenced on whether we are feeling happy, sad, or bored.

Practical Illustration
Shawn was in charge of hiring the new marketing analyst. He was looking for an
employee who was knowledgeable in this field, along with great social skills and
emotional control. After reading a few resumes, he had two strong prospects that he
chose to interview. The first candidate, Hunter, had many years of experience. Although
he had a lot of knowledge to bring to the team, he did not demonstrate strong
leadership and interpersonal skills. Shawn’s second prospect, Leah, did not have many
years of experience. Leah understood the essentials for the position, and assured
Shawn that she was willing to learn and transition with the company. She was confident,
empathetic, and professional. The positive impact that Leah left on Shawn had helped
to guide his decision. He believed that Leah was perfect for the position, and would
share her enthusiastic attitude with the rest of the team.

evidence based


Advanced Nursing Inquiry and Evidence Based Practice


Identify an article that is at least five years old. Summarize the statistical findings and discuss the significant it has on nursing.

Please post your initial post by Wednesday midnight with 400 words and one scholarly article. Please answer two peers by Saturday midnight. 

Vital Organs / Unconscious State


After studying the course materials located on Module 5: Lecture Materials & Resources page, answer the following:

  1. Name some very important organs that are not vital organs.
  2. List the functional description of all the normal vital organs, including today’s exceptions.
  3. Is it possible to live without a vital organ? Why? Example?
  4. Distinction between assisting or substituting vital organs. Bioethical analysis.
  5. Do the following practices assist or substitute the vital organ? Why?
    • Dialysis
    • Respirator
    • Ventilator
    • Tracheotomy
    • CPR
  6. Read and summarize ERD PART FIVE Introduction.
  7. Unconscious state: Definition.
  8. Clinical definitions of different states of unconsciousness: Compare and contrast
  9. Benefit vs Burden: bioethical analysis.

Submission Instructions:
 is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.

  • If references are used, please cite properly according to the current APA style

m3 discussion


Watch one of these films and  then discuss anyone of these “dying and death” representations as  presented in movies or plays such as:

  • Bringing Out the Dead
  • Angela’s Ashes
  • Beaches
  • Philadelphia
  • Terms of Endearment
  • Wit
  • Evan Mayday’s Good Death

Address the following questions if pertinent to the film you watched:

  • What were the causes of death?
  • Where did people die?
  • Who cared for the dying?
  • Who was present at the time of death?
  • How did the significant other person respond?
  • How did the community respond?
  • What expectations or beliefs were associated with dying and death?
  • How did people cope with loss?

Envision  yourself as one of the characters in the film, and, according to their  personal or professional (eg. the nurse in: “WIT”) expectations about  death:

  • Dying well
  • Bad death
  • Good death
  • Sad death

advanced pathophysiology

Fluid and electrolyte case study