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PCN 527 Psychopharmacology and Addictions
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 PCN 527 Psychopharmacology and Addictions
 GC PCN527 Full Course
 GC PCN527 Week 1 Discussion 1 & 2
 dq 1
 There have been many legislative attempts at controlling the use of illicit drugs (whether prescription-type or otherwise). Why, or why not, have these attempts been effective? In your response, consider the root causes of illicit drug use.
 dq 2
 What are some of the social problems you have observed in your local community due to substance use related issues? What programs or resources are available?
 GC PCN527 Week 2 Discussion 1 & 2
 dq 1
 View the 1980s public service announcement “This is Your Brain on Drugs”. Explain why you feel this advertising campaign was or was not effective.
 dq 2
 Describe the so-called “brain reward pathway” and explain its importance to understanding the effects of drug seeking behavior. Provide an example to support your description.
 GC PCN527 Week 3 Discussion 1 & 2
 dq 1
 Nicotine, a legal stimulant for those 18 years of age and older, is responsible for more than 400,000 deaths annually. Do you feel current legislative actions concerning tobacco use are sufficient when compared to “illegal” substances, which result in about 50,000 deaths annually?
 dq 2
 Since the 1970s, have the effects of cocaine use on society gotten worse or better? Defend your position with examples.
 GC PCN527 Week 4 Discussion 1 & 2
 dq 1
 The text (page 106) describes the phenomenon of “therapeutic index.” Addiction to barbiturates can be critical in terms of lethality as measured by the therapeutic index. Provide an example which explains how this phenomenon might lead to an accidental overdose. Why is this factor more critical with barbiturates than with other classes of depressant drugs?
 dq 2
 What is your opinion about the direct marketing of sedative hypnotics like Lunesta and Ambien? How has the marketing of these drugs influenced society’s perception of the benefits of drug use?
 GC PCN527 Week 5 Discussion 1 & 2
 dq 1
 Should individuals who are arrested and convicted of a crime while under the influence of drugs and/or alcohol face incarceration, treatment, or both? Research support for your opinion and provide an APA citation and/or link to your reference.
 dq 2
 Although genetic research is inconclusive, what is your belief about the genetic predisposition to alcohol? How does that belief affect treatment choices – or does it?
 GC PCN527 Week 6 Discussion 1 & 2
 dq 1
 Marijuana remains the third most popular substance of abuse behind nicotine and alcohol. Should marijuana be legalized for general use and why? How would treatment differ for someone using it legally and someone using it illegally?
 dq 2
 Consider the physiological effects of the so-called “designer” drugs. Are these drugs any more dangerous than nicotine or alcohol? Defend your answer.
 GC PCN527 Week 7 Discussion 1 & 2
 dq 1
 Discuss the differences between intoxication and toxicity. Explain the digestive elimination process of two of the following:
1.     1. Over-the-counter drugs
2.     2. Dietary supplements
3.     3. Performance enhancing drugs
 dq 2
 Does the mainstream media play a role in the use of performance-enhancing drugs, over-the-counter drugs, and dietary supplements? Provide examples to support your position.
 GC PCN527 Week 8 Discussion 1 & 2
 dq 1
 How would you explain the “chicken/egg” conundrum as to which disorder came first, the mental illness or the addiction? Provide an example to support your explanation.
 dq 2
 How would you incorporate psychopharmacological treatment when working with a client suffering from depression and addiction? What types of medication would you expect the client to be prescribed?
 GC PCN527 Week 1 Assignment
 Details:
Throughout this course, you will write a research paper (due in Topic 7) on a topic related to psychopharmacology and addictions.
First, choose a topic you are interested in for your research paper. The topic can be from any topic covered in the course.
Submit your chosen topic to the instructor for review and approval. Include a brief explanation of why this topic is of particular interest to you.
You are not required to submit this assignment to Turnitin.
 GC PCN527 Week 3 Assignment
 Details:
Select six to eight articles that you will use for your research paper.
Create an annotated bibliography that summarizes the information and relevance of the articles you have selected.
For each article, provide the following:
1.     1. An APA reference entry.
2.     2. Paragraph summary (50 to 100 words).
3.     3. A short explanation of the relevance of the article to the topic of your research paper.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center.
Refer to the resource, “Preparing Annotated Bibliographies,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
 GC PCN527 Week 5 Assignment
 Details:
Submit a draft of your research paper to your instructor for review and feedback.
 PCN-527 Research Paper Draft Review Checklist
 70 Completion Points Total
The instructor will review the research paper briefly to ensure the required components as outlined below are present. The student will receive full points as long as it is evident that an actual draft of the research paper has been submitted. The instructor may use discretion for awarding less points (for example, if a student only submits a title page and a few sentences then only 10 points would be awarded).
REQUIREMENTS:
YES
NO
Provides brief  history of topic
Discusses current  trends or issues
Identifies and  discusses societal concerns or issues related to the topic
Explains  significance or relevance of topic to the counseling profession
Identifies any  future implications related to the topic
Paper is between  1,500-2,000 words
APA formatting,  citations, and references are present
Paper seems to be organized  well
Additional  Feedback:
 GC PCN527 Week 7 Assignment
 Details:
In this course, you are required to complete a research paper on a topic of your choice discussed in the course.
Review the topics in the course and choose a topic to focus your research paper on.
Your research paper should be 1,500-2,000-words and reflect critical thinking and analysis. Refer to the Academic Writing Guidelines Resource located in the Course Materials section for assistance with this.
You must have a minimum of six references to support your research.
Your research paper should include information about the following:
1.     1. Brief history
2.     2. Current trends or issues
3.     3. Societal concerns or issues related to the topic
4.     4. Significance or relevance of topic to the counseling profession
5.     5. Any future implications
Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.
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PCN 527 Psychopharmacology and Addictions Entire Course
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 PCN 527 Psychopharmacology and Addictions Entire Course
 PCN 527 Week 1 Assignment Historical Timeline Paper (Obj. 1.1, 1.2, and 1.3 )
 Details:
Review the list of major historical events listed below and select one to examine for this assignment.
1.     The Pure Food and Drug Act
2.     The Harrison Act
3.     Prohibition
4.     End of Prohibition
5.     The Comprehensive Drug Abuse Prevention and Control Act
Write a 750-1,050-word paper about the selected historical event. Include the following in your presentation:
1.     A description of the event
2.     The history of the law(s) related to the drug
3.     The impact of the drug on society to include how the legal status of the drug has impacted society
4.     A description of how an understanding of the history and legality of the drug from the event has impacted the counseling profession
5.     A minimum of two scholarly references
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 Turnitin. Refer to the directions in the Student Success Center.
 PSC 527 Week 2 Assignment Neurotransmission Presentation (Obj. 2.1 and 2.3)
 Details:
Create a 7-12-slide PowerPoint Presentation about the way drugs affect the brain. Include the following in your presentation:
1.     Title and Reference slide
2.     A description of the effects of addiction on the components of the central nervous system and other organs
3.     A description of the process of neurotransmission
4.     Detailed speaker notes that include what would be said if giving the presentation in person
5.     At least two scholarly sources
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.
This assignment meets the following CACREP Standard: 5.C.2.g. Impact of biological and neurological mechanisms on mental health.
 PCN 527 Week 3 Assignment Nicotine Public Service Announcement (Obj. 3.3)
 etails:
For this assignment, you will create a public service announcement (PSA) against the use of nicotine. Select one of the options below for your PSA.
Option 1:
Create a 1-3-minute public service video message against the use of nicotine. Include the following in the PSA:
1.     A description of the adverse effects of nicotine on the body
2.     At least one available resource for persons wanting to quit smoking
Option 2:
Write a one-page memo of approximately 300 to 500 words against the use of nicotine that could be sent to employees of a large corporation. Include the following in the memo:
1.     A description of the adverse effects of nicotine on the body
2.     At least one available resource for person’s wanting to quit smoking
3.     Follow standard memo formatting and include an opening and closing.
This assignment uses a scoring guide. Please review the scoring guide prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to Turnitin.
 PCN 527 Week 4 Assignment Research Paper: Annotated Bibliography (Course Obj.)
 Details:
In this course, you are required to complete a research paper about one of the topics of your choice discussed in the course.
Review the topics in the course and choose a topic to focus your research paper on. Some suggestions include:
1.     Pharmacological treatment for substance use disorders
2.     The history of the increase in opiate addiction
3.     Opiate replacement treatment approaches
4.     Detoxification from alcohol and opiates
5.     The psychopharmacology of methamphetamines
For this week, select a topic and compile a list of references that you will use to support the content of your “Research Paper” assignment due in Topic 7. A minimum of six scholarly sources are required.
In a Word document, list the sources you selected and provide a short description of 75-100 words for each source. Also, describe the relevance as to why you selected the source, and how it will support your paper.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
Refer to the resource, “Preparing Annotated Bibliographies,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
This assignment meets the following CACREP Standards:
5.C.2.e. Potential for substance use disorders to mimic and/or co-occur with a variety of neurological, medical, and psychological disorders.
5.C.2.g. Impact of biological and neurological mechanisms on mental health.
5.C.2.h. Classifications, indications, and contraindications of commonly prescribed psychopharmacological medications for appropriate medical referral and consultation.
 PCN 527 Week 5 Assignment Research Paper: Outline (Course Obj.)
 Details:
Review the assignment details for the Research Paper due in Topic 7.
Create an outline for the final paper that follows standard outline formatting standards. Be sure to include the following in your outline to ensure the final paper addresses all required content:
1.     Brief history of the drug
2.     Psychopharmacology of the drug
3.     Current trends or issues
4.     Societal concerns or issues related to the topic
5.     Significance or relevance of topic to the counseling profession
6.     Any future implications
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
You are not required to submit this assignment to Turnitin.
This assignment meets the following CACREP Standards:
5.C.2.e. Potential for substance use disorders to mimic and/or co-occur with a variety of neurological, medical, and psychological disorders.
5.C.2.g. Impact of biological and neurological mechanisms on mental health.
5.C.2.h. Classifications, indications, and contraindications of commonly prescribed psychopharmacological medications for appropriate medical referral and consultation.
 PCN 527 Week 6 Assignment Legalization of Marijuana Debate (Obj. 6.3)
 Details:
Your instructor will assign you one of the following positions related to the legalization of recreational marijuana use:
1.     For Recreational Marijuana Legalization
2.     Against Recreational Marijuana Legalization
Part One:
Research your assigned position as well as the alternatives so you can critically engage with your opponents’ position.
In 750 to 1,000 words, write a summary about your assigned position that describes its major tenets and arguments for them. Make sure to include the physiological, psychological, and sociological effects of marijuana use in your summary.
Use three to five academic resources.
Part Two:
By Day 4, post your 750-1,000-word paper as your initial response to the thread in the Main Forum titled “Recreational Marijuana Legalization Debate” for the topic you have been assigned.
By Day 5, respond to the two alternative positions with a 500-750 word rebuttal.
Days 6-7, continue the dialog with at least one of the alternative positions.
Be sure to ask your opponents follow-up questions that challenge their views and answer your opponent’s questions.
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 Turnitin. Please refer to the directions in the Student Success Center.
This assignment meets the following CACREP Standard: 5.C.2.h. Classifications, indications, and contraindications of commonly prescribed psychopharmacological medications for appropriate medical referral and consultation.
 PCN 527 Week 7 Assignment Research Paper: Final (Course Obj.)
 Details:
At this point in the course, you should have an approved topic, an annotated bibliography, and an outline for your Final Research Paper. During this week, you will create the final paper. Your research paper should be 1,500-2,000-words and reflect critical thinking and analysis. Refer to the Academic Writing Guidelines Resource located in the Course Materials section for assistance with this.
You must have a minimum of six references to support your research. The references should be taken from the annotated bibliography completed earlier in the course.
Your research paper should include information about the following:
1.     Brief history of the drug
2.     Psychopharmacology of the drug
3.     Current trends or issues
4.     Societal concerns or issues related to the drug
5.     Significance or relevance of topic to the counseling profession
6.     Any future implications
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 Turnitin. Please refer to the directions in the Student Success Center.
This assignment meets the following CACREP Standards:
5.C.2.e. Potential for substance use disorders to mimic and/or co-occur with a variety of neurological, medical, and psychological disorders.
5.C.2.g. Impact of biological and neurological mechanisms on mental health.
5.C.2.h. Classifications, indications, and contraindications of commonly prescribed psychopharmacological medications for appropriate medical referral and consultation.
 PCN 527 Week 8: Short Answer Questions (Topic 8 Obj.)
 Details:
Complete the Topic 8 Short Answer Worksheet.
You are not required to submit this assignment to Turnitin.
This assignment meets the following CACREP Standards:
5.C.2.e. Potential for substance use disorders to mimic and/or co-occur with a variety of neurological, medical, and psychological disorders.
5.C.2.g. Impact of biological and neurological mechanisms on mental health.
5.C.2.h. Classifications, indications, and contraindications of commonly prescribed psychopharmacological medications for appropriate medical referral and consultation.
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PCN 520 Group Counseling Theory and Practice
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 PCN 520 Group Counseling Theory and  Practice
 PCN520 Full Course
 GC PCN520 Full Course Latest
 GC PCN520 Week 1 Discussion 1 & 2
 dq 1
 Complete Self-Inventory of Ethical Behaviors. Select the five behaviors that you consider to be the most serious violations of ethical practice. What are the reasons for your selection of these behaviors? Explain.
 dq 2
 In Corey, Corey, & Corey (Chapter 2), identify the personal characteristics of an effective group leader. Which three skills do you consider to be the most important? Explain your selections. What do you think are your strengths and areas of needed growth in these skills?
 GC PCN520 Week 2 Discussion 1 & 2
 dq1
 Which of the therapeutic forces discussed in this week’s readings do you think are the most important for successful group outcomes? Explain and give examples of how you can incorporate this knowledge into your future counseling practice. For example, if you are in the addictions program, your example should be related to substance use disorders.
 dq 2
 What are some specific goals and methods that you may incorporate into group counseling that might be shaped by your culture? Describe how you could accommodate group members’ diverse cultural backgrounds, values, and styles as they relate to these goals and methods.
 GC PCN520 Week 3 Discussion 1 & 2
 dq 1
 Conflict typically appears when a group is in transition. State several forms of conflict you can expect in the types of groups you will lead. Consider group members suffering with substance use disorders. What are your own reactions to conflict? How will this influence your ability to help members recognize and work through conflicts?
 dq 2
  How could the use of role plays among group members facilitate the goals of early and transition stage groups? What purpose could role plays serve for individual members and for the group as a whole?
 GC PCN520 Week 4 Discussion 1 & 2
 dq 1
 What are three symptoms that you might observe in a final group meeting that might indicate that the group had been successful in achieving its primary purpose and goals? What are three symptoms that might indicate that the group had not been successful?
 dq 2
 What factors would cause you to initiate follow-up contacts with one or more group members? What would be the purpose of such contacts?
 GC PCN520 Week 5 Discussion 1 & 2
 dq 1
 Consider the videotape of the Corey’s counseling group. How would the Corey’s group have been different if they had incorporated more exercises? Why do you think they did not? What guidelines does this suggest to you for decisions about whether and when to use structured exercises in a group?
 dq 2
 You are leading a group of adolescents referred because of school, behavior, and/or substance use. Describe an opening exercise and a trust-building exercise you might use with this group. Explain your choice.
 GC PCN520 Week 6 Discussion 1 & 2
 dq 1
 What form of resistive behavior (or difficult behavior displayed by a group member) would you find most problematic in one of your groups? Why? How might you work in a therapeutic way with such a member’s behavior?
 dq 2
 After watching the second part of the DVD (Challenges Facing Group Leaders), what skills do you think you need to acquire or refine to more effectively address challenging situations in groups? How can you work on developing these skills?
 GC PCN520 Week 7 Discussion 1 & 2
 dq 1
 Under what circumstances might it be beneficial to design a group in which both children and their parents would participate? What special issues might arise in such a group, and how would you manage them?
 dq 2
 Review the group proposal for children who have been abused, described on pages 313-319 in the textbook. If you were screening children for such a group, what would be some signs that this group would be contraindicated for a particular child? How would you strive to obtain consent from parents or legal guardians, and how would you want to involve them? How might you orient children to this kind of group?
 GC PCN520 Week 8 Discussion 1 & 2
 dq 1
 When developing and implementing an adult support group, the following important guidelines should be considered: how the group is organized, how the format of each group session is structured, and what the short- and long-term outcomes of the group are. Consider the following three adult support groups: an HIV/AIDS support group, a support group for college students, and a domestic violence support group. What similarities do you see, and how do these similarities suggest guidelines for developing these groups?
 dq 2
 At some point in your career, you may be asked to design and implement a group for involuntary clients, such as domestic violence perpetrators, drunk drivers, substance users, abusive parents, or prison inmates. What are your thoughts and feelings about working with mandated group participants? Describe fully. How would you approach counseling differently with them than with voluntary participants?
 GC PCN520 Week 2 Group Design Part 1 Assignment
 Details:
Throughout this course, you will be designing a Counseling Group from start to finish. The assignment will be broken into three parts. Due at different intervals in the course. You will choose from the following group types (If you are in the addiction counseling program, select an addiction group):
1.     1. Children of divorce.
2.     2. Children of addicts.
3.     3. Adult Survivors of abuse (could be sexual or physical).
4.     4. Treatment for adults who are addicts.
5.     5. Grief recovery.
6.     6. Teens struggling with gender dysphoria (sexual identity).
7.     7. Teen support group (parents who are addicts).
8.     8. Relationship building (homosexual and heterosexual – there does not have to be a division because a group is a group).
9.     9. Domestic violence group for nonoffenders.
10.   10. Parenting group
For Part 1: Identify what type of group you will design. Write a summary (300-600 words) of your group. Be sure to include:
1.     1. Group type.
2.     2. Why you chose this type of group.
3.     3. Population serving.
4.     4. Number of sessions.
5.     5. Number of participants.
6.     6. Goals of the counseling group.
APA format is not required, but solid academic writing is expected. You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center. Submit Group Design Part 1 to the instructor by the end of Module 2.
 GC PCN520 Week 3 Groups in Action Workbook Assignment
 Details:
Upon viewing “The Evolution of a Group” from the Groups in Action DVD, you will answer workbook questions that emphasize the application of concepts and techniques appropriate to the various stages of a group’s development.
As you watch the DVD, you will come to an icon number (1-16). It is at this time that you must stop the DVD and read the text corresponding to the icon number in the workbook. For example, the first icon you will come to is: 1: Initial Stage. Stop the DVD and read the text for Icon 1: Initial Stage in the workbook (pages 20-21).
Answer the assigned questions below on “Groups in Action Workbook – Evolution of a Group (Segments 1-3).”
Icon 1: Questions 3 and 4 (pageS 20-21)
Icon 2: Question 3 (page 23)
Icon 3: Questions 1 and 3 (pages 24-25)
Icon 4: Questions 2 and 3 (page 26)
Icon 5: Questions 1 and 3 (page 27)
Icon 6: Questions 1 and 2 (page 30)
Icon 7: Questions 1 and 2 (pages 30-31)
Icon 8: Questions 1 (page 31) and 1 (page 32)
Icon 9: Questions 1 and 3 (page 33)
Icon 10: Questions 1 and 5 (pages 35-36)
Icon 11: Question 2 (page 43)
Icon 12: Question 1 (page 45)
Icon 13: Questions 2-4 (pages 46-47)
Icon 14: Questions 2 and 4 (page 51)
Icon 16: Questions 3 and 4 (page 53)
You will be graded on the overall quality of your responses, which may range from a few sentences to a short paragraph, depending on the nature of the question.
APA format is not required, but solid academic writing is expected.
You are not required to submit this assignment to Turnitin.
 Groups in Action Workbook–Evolution of a Group (Segments 1-3)
 Upon viewing the Groups in Action DVD (Segments 1-3), you will answer workbook questions that emphasize the application of concepts and techniques appropriate to the various stages of a group’s development.
As you watch the DVD, you will come to an icon number (1-16). It is at this time you must stop the DVD and read the text corresponding to the icon number in the workbook.
For example, the first icon you will come to is 1: Initial Stage. Stop the DVD and read the text for Icon 1: Initial Stage in your workbook (pp. 20-21).
Icon 1: Questions 3 and 4 (p. 21)
3) James says, “I feel like an outsider.” How might you work with his statement?
4) Jacqueline says, “I feel stupid when I ramble.”How would you deal with her self-deprication in the first session?
Icon 2: Question 3 (p. 23)
3) Imagine yourself as a member at the first meeting.What fears would you have about participating?What would help you feel more trusting?
Icon 3: Questions 1 and 3 (pp. 24-25)
1) What would help you feel comfortable enough to speak about yourself if you were a member of a group?
3) What would you say to a quiet member who tells you that in his/her culture it is considered impolite to speak up without being specifically asked to talk?
Icon 4: Questions 2 and 3 (p. 26)
2) James says, “I worry a lot that I need to prove myself.”
3) Casey says, “I rehearse countless times before I speak because I want to say things right.”
Icon 5: Questions 1 and 3 (p. 27)
1) What purpose do you see in asking members to engage in role-playing, even at the early sessions?
3) What factors pertaining to a member’s culture or gender might you consider before initiating a role play in this group?
Icon 6: Questions 1 and 2 (p. 30)
1) How would you use contracts with a group you are leading?How would you help members design their contract?
2) If you were a member of this group, how open would you be in agreeing to make a contract?What would help you in making a contract?
Icon 7: Questions 1 and 2 (pp. 30-31)
1) What do you observe in members when they talk directly to another person as opposed to talking about that person?
2) If you were a leader in this group, what cultural factors would you be sensitive to before asking members to speak directly to one another?
Icon 8: Questions 1 (p. 31) and 1 (p. 32)
1) What therapeutic value do you see in asking members to make eye contact with another person in the group as they are talking about a problem area?
1) Jyl cries and says she feels exposed.As a leader, how would you respond to her?
Icon 9: Questions 1 and 3 (p. 33)
1) How might the way you deal with conflict in your personal life help or hinder you as a leader in dealing with conflicts in groups?
3) How would you respond to Jacqueline when she makes the comment, “What I have to say would not be nice.”?
Icon 10: Questions 1 and 5 (pp. 35-36)
1) Imagine you are co-leading this group.Pick one of the member’s statements above and write your response to him/her.
5) What other strategies can you think of to address a member’s hesitation and/or avoidance?
Icon 11: Question 2 (p. 43)
2) What intervention might you make with SusAnne, and what would you most hope to accomplish with it?
Icon 12: Question 1 (p. 45)
1) If Andrew declared he was tired of feeling locked up and wanted to be different, how would you pursue work with him?
Icon 13: Questions 2-4 (pp. 46-47)
2) Of the comments made above by SusAnne, Jackie, Jacqueline, and James, which one of them most catches your interest and why?What would you say to this person?
3) In the closing minutes of a group, a member says she feels cut off by you.What would you say or do?
4) A member says, “I didn’t feel that we accomplished anything today.I was bored, but didn’t say anything for fear of offending anyone.”How would you respond?
Icon 14: Questions 2 and 3 (p. 51)
2) At the check in, assume Jyl says, “Last week I left feeling very disappointed.Even though I stated I wanted to talk about my father, we never got around to it.I felt cheated.”What would be your response?
4) How would you handle the situation if you discovered that several members meet regularly between sessions?
Icon 16: Questions 3 and 4 (p. 53)
3) What intervention would you make if several other members joined in with SusAnne and stated that they too had difficulty trusting this group?
4) In the scenario described on the previous page, Casey has concerns about both SusAnne and Jacqueline, and expresses her fear that they might judge her. What intervention would you make?
From Corey, G., Corey, M.S., & Haynes, R. (2006). Groups in Action: Evolution and Challenges(8th ed.).Belmont, CA: Thomson Brooks/Cole.
 GC PCN520 Week 4 Group Design Part 2 Assignment
 Details:
Develop a brochure (one page front and back with graphics and descriptions) that will “sell” your group to the public.
1.     Complete this assignment in MS Word.
2.     The brochure should be universal as it should be available in various locations around your community (e.g., schools, doctor’s offices, human services offices, restaurants, agencies serving the population of the group, etc.).
Develop a set of screening questions and criteria that you, as the group leader, will use to choose the members of the group.
1.     Begin with demographics questions (name, age, address, presenting issue, etc).
2.     There should be a minimum of 10 screening questions not including the demographics questions.
3.     Describe (500-750 words) the criteria that you as the leader will use to choose the members for the group.
APA format is not required, but solid academic writing is expected. You are not required to submit this assignment to Turnitin. Submit Group Design Part 2 to the instructor by the end of Week 4.
 GC PCN520 Week 4 Groups in Action Workbook Assignment
 Details:
Upon viewing “The Evolution of a Group” from the Groups in Action DVD, you will answer workbook questions that emphasize the application of concepts and techniques appropriate to the various stages of a group’s development.
As you watch the DVD, you will come to an icon number (17-29). It is at this time that you must stop the DVD and read the text corresponding to the icon number in the workbook.
Answer the assigned questions below on “Groups in Action Workbook – Evolution of a Group (Segments 4-5).”
Answer these questions:
1.     Icon 17: Questions 1 and 2 (page 59)
2.     Icon 19: Questions 2-5 (pages 61-62)
3.     Icon 20: Question 2 (page 63)
4.     Icon 21: Question 2 (page 64)
5.     Icon 22: Questions 1 and 2 (page 64)
6.     Icon 23: Questions 1 and 3 (page 67)
7.     Icon 24: Questions 3 and 6 (pages 69-70)
8.     Icon 25: Questions 2 and 3 (page 72)
9.     Icon 26: Question 1 (page 78)
10.   Icon 27: Questions 1 and 2 (page 79) and Question 2 (page 81)
11.   Icon 28: Question 1 (page 82)
12.   Icon 29: Questions 1 and 2 (page 83)
You will be graded on the overall quality of your responses, which may range from a few sentences to a short paragraph, depending on the nature of the question.
APA format is not required, but solid academic writing is expected.
Groups in Action Workbook – Evolution of a Group (Segments 4 and 5)
Upon viewing the Groups in Action DVD (Segments 4-5, you will answer workbook questions that emphasize the application of concepts and techniques appropriate to the various stages of a group’s development.
As you watch the DVD, you will come to an icon number (17-29). It is at this time that you must stop the DVD and read the text corresponding to the icon number in the workbook.
For example, the first icon you will come to is 1: Initial Stage. Stop the DVD and read the text for Icon 1: Initial Stage in your workbook (pp. 20-21).
Icon 17: Questions 1 and 2 (p. 59)
1) A member (SusAnne) tells you she wants to work, yet she keeps herself very vague and global. What do you say to her?
2) You are leading a group and ask, “Who wants to work?” There is a long silence and nobody gives any indication of wanting to work. What assumptions might you draw from this situation? What might you say?
Icon 19: Questions 2-5 (pp. 61-62)
2) Assume that after Casey disclosed that she was gay, one member of the group said, “Casey, I need to let you know that I have a hard time hearing this, because I am not comfortable with homosexuality.” How would you intervene?
3) In a role play, Casey spoke to her symbolic mother in Vietnamese. As she did so, what did you observe?
4) Would you have any concerns for Casey if she indicated her intention to tell her mother that she is gay? Would you address your concerns with her? Why or why not?
5) What would you say if several group members began pressuring Casey to talk to her mother in real life and let her know about her sexual orientation?
Icon 20: Question 2 (p. 63)
2) How would you decide what to focus on with Jyl? Would you focus on her sadness over losing her father? Her issues with men? Her disappointment of not having become a pianist? What would guide you in your decision?
Icon 21: Question 2 (p. 64)
2) Given that Jackie has insight into her behavior, would you be inclined to suggest homework to her, and if so, what would this be?
Icon 22: Questions 1 and 2 (p. 64)
1) Jacqueline talks about striving to get her mother’s approval. What strategies would you use to facilitate her work?
2) Discuss what you consider to be the pros and cons of the leader being utilized by group members in role play.
Icon 23: Questions 1 and 3 (p. 67)
1) How were you personally affected as you observed Darren’s work described above? How might that influence the way you work with him?
3) Assume you are leading the group and after Darren’s work, he announces, “I’m feeling vulnerable and embarrassed. I can’t believe that I lost control like that.” How would you deal with this statement?
Icon 24: Questions 3 and 6 (pp. 69-70)
3) Assume that several members displayed anger toward James for having hurt a woman in his life. How would you respond?
6) Observe the nonverbal behavior of James when SusAnne is finished handing over to him the hurt she’s been keeping inside. How might you work with the nonverbal behaviors James expresses?
Icon 25: Questions 2 and 3 (p. 72)
2) Andrew says, “It’s like I’ve been stabbed, in my heart and my core.” What possibilities do you see of working with his symbolic and powerful words? Did any other words catch your attention for possible exploration?
3) Andrew says, “I want to let my hurt go out the back door. I want to put it in the freezer.” How might you intervene?
Icon 26: Question 1 (p. 78)
1) What value do you see in journal writing once a group terminates? Explain.
Icon 27: Questions 1 and 2 (p. 79) and Question 2 (p. 81)
1) How do you deal with endings in your personal life? How might that influence the manner in which you address group endings?
2) What are your ethical responsibilities to group members with regard to the termination of their group? Explain.
2) What would you say to a member in your group that said he was extremely disappointed in himself for doing so little in the group?
Icon 28: Question 1 (p. 82)
1) As a leader, how will you deal with a conflict that does not surface until the end of a group?
Icon 29: Questions 1 and 2 (p. 83)
1) A member says, “I don’t want this group to end. I’d like to see us continue meeting as a group.” What would you be inclined to do?
2) Assume Jyl were to say, “I revealed a lot about myself and took risks. Now I am sorry that I did because I feel more vulnerable and won’t have any place to go for support.” What might you say or do?
From Corey, G., Corey, M.S., & Haynes, R. (2006). Groups in Action: Evolution and Challenges(8th ed.).Belmont, CA: Thomson Brooks/Cole.
 GC PCN520 Week 6 Groups in Action Workbook Assignment
 Groups in Action Workbook–Challenges Facing Group Leaders
 Upon viewing the Groups in Action DVD, you will answer workbook questions that emphasize the application of concepts and techniques appropriate to the various stages of a group’s development.
This portion of the workbook has 25 sections, each corresponding to a specific numbered segment of the DVD. Watch the DVD, stopping after each segment as indicated in the workbook and on the DVD.
Answer the assigned questions below:
Page 102 #4
4) Assume you are leading this group and during the check-in several members emphatically stated that they are not getting what they want and they are not sure that they will remain in it. What would you say?
Page 104 #2
2) How would you deal with a member’s concern about confidentiality?
Page 106 #2
2) How would you address Joel’s guilt about having taken up too much time and having disclosed too much?
Page 109 #3
3) Can you think of ways to work with Nadine so that she could get something out of the group, even though her attendance was mandatory?
Page 113 #1
1) Would you consider possible cultural messages to be relevant in exploring with Vivian her hesitation to express emotions? If so, how would you attend to that?
Page 114 #5
5) How can you facilitate Toni in establishing trust and safety? What would you say to her?
Page 116 #2
2) Assume you ask Nicole not to withdraw, yet she crosses her arms and curtly says, “I’m not going to say anything more.” How would you deal with this stance? Can you think of an intervention that might be helpful to her?
Page 118 #2
2) As a group leader, how would you react to Nicole if she told you that she wanted you to share more of yourself personally? If she tells you that she is hesitant to opening up and participating until she gets to know more about you, what would you say to her?
Page 120 #3
3) If Vivian were to tell you that she learns best by observing the process quietly, how would you respond?
Page 121 #7
7) How would you intervene if other members interpreted Galo’s quietness as meaning that he is judging them? What specifically will you say?
Page 125 #1
1) At the beginning of this session, there was a silence. Assume the silence was to continue for some time after you made an opening statement. What might you be inclined to say or do? How long would you let the silence go before you intervened? If members do not respond to the invitation to participate, what would be the next step for you?
Page 127 #3
3) If a member of your group was assuming the role of a co-leader, what direction would you pursue?
Page 131 #6
6) What would you most want to teach members about the consequences of not dealing with conflict when it arises in the group?
Page 132 #12
12) What is your greatest fear or concern as you think of yourself being the leader in this group where conflict is occurring?
Page 135 #2
2) Below are some of Galo’s statements. With each one, think of a brief response that you might make as a group leader.
1.     a) “I never had a voice at home.”
2.     b) “I grew up believing it was a sign of weakness to have and express feelings.”
3.     c) “In my life, people don’t seem to listen to me.”
4.     d) “I didn’t get my time in this session.”
5.     e) “I want you leaders to call on me.”
Page 137 #4
4) Assume that you were a member in this group when this conflict initially erupted. How might you have responded? What would you need from the leaders and other members that would be helpful to you?
Page 141 #6
6) What are your thoughts about leaders needing to be bicultural in order to be effective with bicultural clients?
Page 143 #4
4) Assume that a member in your group says, “I feel very different from others in here. I’m having trouble in making a connection with anyone.” How would you respond?
Page 144 #1
1) Sometimes members form alliances with one another within a group. Describe some ways that could facilitate or impede group cohesion.
Page 146 #3
3) How aware are you in your own life of how you respond to people who speak with an accent or use words incorrectly?
Page 148 #5
5) When members say that they have been discriminated against and oppressed, what interventions will you make to prevent this from evolving into an abstract discussion about society at large? How can you facilitate a more personal interaction within the present context of the group?
Page 150 #2
2) What are some common themes that you see emerging in this group?
Page 152 #4
4) How important is it for you to understand what the group member said in his/her own primary language and why?
Page 155 #6
6) How might you deal with a group member who is insensitive in the manner in which he/she relates to other members who are different?
Page 156 #2
2) What would you respond to a member who states, “There is really nobody in this group that I can identify with.”
Page 157 #5
5) What, if any, responsibility do you have as a leader when members show evidences of racism, ethnocentricity, prejudices, and stereotypes?
Page 159 #1
1) It is common for members to want answers from group leaders. How would you respond to such requests?
Page 162 #3
3) What are some important lessons you have learned about dealing with the range of problematic situations that often occur within a group?
Page 163 #6
6) What are some skills you most need to acquire or refine for you to more effectively address the challenging situations you observed?
From Corey, G., Corey, M.S., & Haynes, R. (2006). Groups in Action: Evolution and Challenges(8th ed.).Belmont, CA: Thomson Brooks/Cole.
 GC PCN520 Week 6 Group Design Part 3 Assignment
 Details:
In narrative form (1,000-1,500 words) present the first two group sessions.
Assume that one participant states that he/she “is uncomfortable being with groups and really does not want to be here.” How would you as the group leader address this?
Over the next three to four sessions, challenging issues arise. Choose three issues from the following list that are realistic to your group type and describe how you would handle these situations.
1.     Sexual abuse
2.     Homosexuality
3.     Religious preferences
4.     Abortion
5.     Use of illegal drugs
6.     Drinking and driving
Develop a plan for how you will start the transition of ending your group.
Assume that one participant must be referred to ongoing services. Describe how you, as the counselor, will handle this referral for continued services. Will you continue with individual services, refer to another therapist, or refer to another group?
APA format is not required, but solid academic writing is expected.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Submit Group Design Part 3 to the instructor by the end of Module 6.
 GC PCN520 Week 7 Group Design Final Product Assignment
 Details:
Write an abstract that presents a complete, concise overview of all parts of the project.
Compile parts 1-3 together in one document. Be sure to make any corrections previously suggested by the instructor for parts 1-3.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Submit the assignment to the instructor by the end of Module 7.
 GC PCN520 Week 8 Practice Exam
 Addiction Counseling Quiz
#1. Which of the following is not true of group counseling?
#2. Which of the following is considered a psychological risk of participating in a therapeutic group?
#3. According to the ASGW’s Best Practice Guidelines, informed consent involves?
#4. Certain types of members can sap a group’s energy for productive work. These include…?
#5. If the goal of a group is the simulation of everyday life, then it is a good idea to have?
#6. Which of the following statements is not true regarding ways group members can be encouraged to get more out of their experience?
#7. When helping group members to define their personal goals, it is important to remember that?
#8. Which of the following is characteristic of a working group?
#10. The therapeutic factor in groups that involves a willingness to specify desired modifications of one’s behavior is?
 GC PCN520 Week 8 Brief Personal Reflection Paper
 Details:
Write a personal reflection paper (400-750 words) summarizing the following:
1.     Most significant things you learned about group counseling in this course.
2.     Most significant things you learned about yourself as a potential group leader.
3.     Specific skills and experiences that you believe you need to develop in order to be a competent group counselor, based on your current strengths, weaknesses, and prior experience.
4.     Your areas of greatest confidence and lack of confidence when you think about leading counseling groups.
5.     Types of groups you might enjoy leading in your future career as a counselor.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
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PCN 509 Social and Cultural Diversity Issues in Counseling
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 PCN 509 Social and Cultural Diversity Issues in Counseling
 PCN 509 Full Course
 PCN509 Week 1 Discussion 1 & 2
 dq 1
 When and how did you become aware of people being treated differently because of race, culture, or religion? Explain
 dq 2
 The textbook uses the term “persons of color” What is your reaction to this? Why do you think the author uses this term? Support your answer with at least one scholarly reference
 PCN509 Week 2 Discussion 1 & 2
 dq 1
 How can a counselor with Christian beliefs demonstrate the golden rule when working with clients who have diverse worldviews?
 dq 2
 Are the major counseling theories culture-bound? Explain
 PCN509 Week 3 Discussion 1 & 2
 dq 1
 Why do people tend to deny, rationalize, and avoid discussing their feelings and beliefs about race and ethnicity?
 dq 2
 Historically, racism and issues associated with it have been resistant to change State some reasons for the resistance
 PCN509 Week 4 Discussion 1 & 2
 dq 1
 What steps can the professional or addiction counselor take to set clients at ease in a manner that has meaning to them? Give examples of such steps for three different ethnic groups
 dq 2
 What is the best first step to take when beginning to work with a client struggling with substance use? What are some cultural considerations to keep in mind? Explain your rationale
 PCN509 Week 5 Discussion 1 & 2
 dq 1
 What are the dominant cultural features found within Native American homes, and how do Native Americans shape their response to the broader American society?
 dq 2
 How is substance use viewed in the Hispanic/Latino culture?
 PCN509 Week 6 Discussion 1 & 2
 dq 1
 How do early personal experiences influence the positive or negative ethnic identity of persons of color? Can you think of a best example? Provide a scholarly reference to support your response
 dq 2
 What family and community support conditions must be in place to assist children of color from being at risk for low self-concept as a result of racism? Provide a scholarly reference to support your response
 PCN509 Week 7 Discussion 1 & 2
 dq 1
 How do racial, social, political, and religious attitudes affect the counselor’s perception and treatment of clients? How could the Christian worldview/chosen religious beliefs help with providing treatment to diverse populations?
 dq 2
 Explain how mental health and addiction therapy are viewed in various cultures Give at least two examples
 PCN509 Week 8 Discussion 1 & 2
 dq 1
 How should a culturally competent counselor approach the processes of assessment and diagnosis when dealing with clients from minority client populations? Support your answer with at least one scholarly reference
 dq 2
 Provide an example of cultural bias in counseling/psychological research and support your answer with at least one scholarly reference
 PCN509 Week 1 Assignment
 Counseling Disposition Reflection Worksheet
 Directions:Review the dispositions document and select three dispositions that you currently meet and that have helped to be culturally competent Complete the chart by listing the dispositions met as well as a description of how the disposition is met Each description response should be 75-100 words in length
Dispositions  Related to Cultural Competence
Description  of how the disposition is met
1
2
3
Directions:Now that you have identified dispositions that you currently meet, review the disposition document again and select two dispositionsrelated to cultural competence that may be areas of improvement Complete the chart below by adding the two dispositions you do not meet as well as a preliminary plan in regards to how you plan to improve the identified dispositions Each description response should be 75-100 words in length
Disposition
Description  of how you plan to improve the disposition
1
2
  PCN509 Week 2,4,6 & 8 Assignment  Details:
Refer to “Social and Cultural Paper Writing Instructions” for a detailed explanation of the requirements for the Social and Cultural Diversity Paper that you will be developing throughout the course
For this assignment, prepare a reference list that includes the sources you will be citing in the paper The paper must include a minimum of 10 scholarly references in addition to the textbook More references may be used if necessary
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center An abstract is not required
You are not required to submit this assignment to Turnitin
 Social and Cultural Diversity Paper Writing Instructions
Overview
The Social and Cultural Diversity Paper (1,750-2,000 words) requires the student to identify and reflect on possible personal biases regarding gender, religion, sexual or gender orientation, race, socioeconomic status, disability status, or culture The purpose of this paper is to raise the student’s personal and professional level of awareness regarding the subject of diverse populations
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center An abstract is not required
This assignment uses a grading rubric Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion
Process Schedule
The Social and Cultural Diversity Paper assignment will be accomplished in a five-step process, with individual steps submitted and graded regularly throughout the course, according to the following schedule:
1) Outline (Due Week 2)
2) References (Due Week 4)
3) First Draft (Due Week 6)
4) Final Paper (Due Week 8)
Content Guidelines
When constructing this paper, use a three-part structure according to the following guidelines:
Part 1
The first part of the paper requires you to identify information from your own personal history Use the following questions to help guide your reflections:
1) Identify your personal biases and how they may be challenges to you as a therapist Remember, everyone has biases The point is not to project them onto your clients
Note: It is preferred you discuss your cultural biases
2) Describe your personal history by documenting experiences with discrimination you may have experienced and how your cultural background impacted these experiences
3) Identify memories of contact with those who were culturally different than you, and your experiences associated with these differences Be specific
4) How has your life experience affected how you may relate to persons different than you? Be specific
Part 2
The second part of the paper requires you to demonstrate an understanding of the concepts of racism/discrimination Use the following questions to help guide your reflections:
1) What does it mean to be a subtle racist? Please include a referenced definition and example
2) Why could there be significant differences in perceptions and values of members within the same ethnic group? Be specific
Part 3
The third part of your paper requires you to review and reflect on the ACA and NAADAC codes of ethics Use the following to help guide your reflection:
1) Discuss how the ACA and NAADAC codes of ethics will inform your practice
1.     a) Identify and cite the specific ACA and NAADA multicultural codes that you will use to inform your practice
2) What did you learn about the importance of cultural sensitivity in treatment planning?
3) How do communication styles differ across cultures?
4) How might strategies to build rapport be differentiated based on culture?
5) Examine underlying reasons for differential treatment methods
1.     a) Consult several professional journals on treatment practices and cultural biases
2.     b) Identify sources of potential counselor cultural bias within these practices
6) What resources could help you to become more informed regarding cultural diversity? Cite resources you can use to dispel yourpersonal biases
7) How could you apply your learning to your future practice as a counselor?
 PCN509 Week 5 Assignment
 Details:
Create an 8- to 10-slide PPT presentation discussing your cultural background (in addition, you should include a title slide and reference slide in your presentation) When discussing your culture, consider components of yourself such as race, ethnicity, religion, spiritual heritage, gender, sexual orientation, disabilities, socio-economic status, traditions, and family heritage You are not required to include any information you do not feel comfortable sharing
Include the following in your presentation:
1 Communication styles of your culture (verbal and nonverbal)
2 Parts of your culture you are proud of
3 Parts of your culture that you would like to improve
4 Stereotypes toward your culture
5 Stereotypes held within your culture
6 How your culture perceives substance use Are there any traditional uses of substances that are deemed culturally acceptable?
7 How your culture perceives counseling
8 How your cultural background will influence your ability to counsel someone from your culture and someone from another culture
9 Speaker notes that indicate what would be said if giving the presentation live
APA format is required for any information not originated by the student Include at least two scholarly references in your presentation
This assignment uses a rubric Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion
 PCN509 Week 7 Assignment
 Details:
In a Word document, provide short answers to the statements below Refer to the “Cultural Considerations Resource” for help in completing this assignment
Explain cultural considerations that the counselor must account for when working with a client from each of the following groups (100-150 words each):
1 Immigrants (Documented and Undocumented)
2 Refugees
Discuss the cultural issues and trends that specifically apply to each of the following regional population groups of the United States (100-150 words each):
1 The Hmong in California
2 Cuban Americans in Florida
3 Hispanic Americans in the Southwest
4 Your choice of a white ethnic group (eg, German, Irish, Italian)
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center An abstract is not required
You are required to submit this assignment to Turnitin Please refer to the directions in the Student Success Center.
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PBHE 111 Midterm Exam Answers
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NUR504 ( all weeks discussions and assignments ) Entire Course
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 NUR504 ( all weeks discussions and assignments ) Entire Course
 NUR504  Week 1
 Write a summary of 750-1,000 words that includes the following criteria: 1. An introduction that explains the focus of the article. 2. A summary of key points of the article. 3. A list of the steps taken by nursing to develop and implement an EBP. 4. Application of the learned information to a practice setting where the student either identifies an EBP that has been applied to your setting or a practice problem that would benefit from the implementation of an EBP. 5. A clear and concise conclusion. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.
 NUR504  week2
 Choose two scholarly, peer-reviewed articles about research studies. The articles can be found using the GCU Library or any of the sources recommended in the readings. Address the following: 1. One article must be an example of a qualitative research study; the other must be a quantitative example. 2. These articles will be utilized for assignments in Modules 3, 4, 6 and 8. 3. Write a 350-500-word statement which includes: 4. A description of why each research study is categorized as quantitative or qualitative. 5. A justification for your selections. 6. The journal page reference for the research study selected and the reasons why it was selected. 7. A link to the selected articles or an attached copy of each article. APA format is not required, but solid academic writing is expected. You are not required to submit this assignment to Turnitin, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to Turnitin
 NUR504  week3
 This is a CLC Assignment.
  You will be assigned to a CLC group by the instructor. Within your group, follow the instructions provided in the CLC Assignment: Evidence-Based Practice Project (EBP). Finalize the CLC Agreement. CLC Assignment: Evidence-Based Project (EBP) Group work has benefits and liabilities. Everyone assigned to a CLC is expected to equally participate in the work in terms of time and quality of effort. The assignment should be apportioned to make the best use of the strengths of individual team members. Some of you are natural leaders. Your strengths can be your greatest liabilities. No one wants to be bossed around no matter how skilled the boss. Honest communication is critical to effective group work. The best way to avoid conflict is to set very clear expectations. Then, if someone does not do what is expected, he or she can be referred to the original agreement rather than have the confrontation become personal. At the end of the project, students will have an opportunity to evaluate each other. These evaluations will be taken into consideration when grading individuals within the group. The grade will be given for the project as compared to the rubric for evaluation. Depending on your evaluations, individual grades will be equal to or less than the overall grade. Course faculty are able to observe the process in the CLC forum. If your work takes place outside the forum, this information will be absent. Be certain, even if you communicate via e-mail, phone, or face-to-face, to record the communication in the CLC forum. NOTE: The final course of your program will require you to develop and implement an EBP guideline. This is your opportunity to learn the process and perhaps even identify an area of interest. Your choice of a topic for the capstone course should be related to your area of specialty. Each course you take will provide you with the opportunity to investigate theory and empirical literature to identify the relevant evidence you will need to complete this project. The more effort you expend now to learn this process, the easier it will be for you to complete the program efficiently.
  Topic 1:
  Collaborative Learning Community: EBP Agreement
  1) Check into your CLC group. a) Describe your prior experience with evidence-based practice (EBP) includingparticipation in developing EBP guidelines or protocols for changing practice. CLC Agreement 1) Review the CLC Agreement a) Choose one member totransfer the CLC Agreement to the CLC forum, input the CLC’s responses for all sections of the Agreement, and submit the CLC Agreement. b) Each member should provide their contact information on the CLC Agreement and decide what tasks in the Project Management Specifics section they will be responsible for. c) In the CLC Forum, discuss and provide responses for each component of the CLC Agreement. The CLC Group Review Process will be completed at the end of your project. d) Discuss the advantages and disadvantages of working in a team environment. 2) Record all communication in the CLC Forum. 3) Complete the CLC agreement, except for the CLC Group Review Process. 4) Submit the completed CLC Agreement to the instructor at the end of Topic 2.
  Topic 2:
Collaborative Learning Community: EBP Agreement. Brainstorm: Initiate conversation regarding potential topics of interest.
  1) This should be a nursing related problem, that is, a problem related to nursing practice, advance practice, leadership, or education. . 2) Identify several topics of interest and have individual group members do a quick survey of the literature to be sure that there is evidence available. 3) In order to develop a guideline/protocol, you will need credible resources. Read pages 29-34 for guidance in identifying sources of evidence. a) The course readings include all of the information needed to complete this project. Chapters 1 and 2 provided the necessary information regarding EBP and how to find evidence. Chapter 5 provides strategies for locating credible information. The sooner these chapters are read carefully, with the project in mind, the easier it will be. 4) Record all communication in the CLC Forum.
  Topic 3: Collaborative Learning Community: EBP Identification of Clinical Question
  1) Refer to Figure 2.2 in the textbook for the model you will use to complete this project. a. Note that you will not complete the entire process in this model, you will reach the step entitled,Pilot the change in practice. 2) As a group, finalize your choice of topic. a. Review the literature regarding clinical problems presented in the previous topic in order to ensure that there is adequate evidence for your choice. b. State your topic in the form of a problem statement and a foreground question. c. The course readings include all of the information you need to complete this project. d. Record all communication in the CLC Forum. 3) Choose one team member to submit the completed assignment and initial reference list to the instructor by the end of Topic4.
  Topic 4: Collaborative Learning Community: EBP Literature Search/Appraisal of Evidence
  1) UseFigure 2.1, Evidence hierarchy pyramid, inthe textbook as your guide for the levels of evidence in your reference list. 2) Locate case studies, relevant clinical articles written by experts, research articles,, evidence based guidelines and protocolsand theory that may guide the identification of appropriate solutions. This can include the articles reviewed from topic 3. Note, not all theories will have research that allows them to have a level assigned to them. This does not mean they are not good theories. 3) Appraise the evidence using the guidelines provided on pages 37-40 in the textbook. a. Use these guidelines to discard references that are untrustworthy or irrelevant. b. Use Box 2.2 to help with this decision-making process. 4) Use the following to organize the evidence by commonalities and/or contrary findings: a. Chapter 5in the textbook provides information regarding how to synthesize the article findings. b. Use the EBP Project Evaluation tool located in resources to consolidate and present the findings 5) Record all communication in the CLC Forum.
  Topic 5: Collaborative Learning Community: EBP Literature Search/Appraisal of Evidence
  1) Continue with the articles used inTopic 4. 2) Complete the Synthesis Table for the evidence and variables for the guideline. a. Limit the articles to no more than ten; two per student in the CLC group would be reasonable. b. A true proposal would require a comprehensive review of the literature and inclusion of all relevant works. 3) Record all communications in the CLC Forum.
  Topic 6: Collaborative Learning Community: EBP Develop Clinical Guideline and Implementation Plan
  1) Initiate work on developing a guideline or protocol based on your search of the literature. 2) Consider how to implement the intervention to test the protocol. 3) Identify potential barriers and describe strategies to gain cooperation from individuals who will be implementing the change. 4) Record all communication in the CLC Forum.
  Topic 7: Collaborative Learning Community: EBP Development Guidelines and Implementation Plan
  1. Complete the protocol and write the plan to pilot the change in practice. 2. The Clinical Guidelines should include the problem statement, EBP question, literature review, along with all the tables used to arrive at the conclusion (can be appendices), the clinical protocol, and the implementation plan.. There is no specific template for this guideline/assignment. 3. The Implementation Plan for the protocol should include a timeline with criteria for evaluating the outcomes. 4. Use APA style headings for each section with subheadings as appropriate. a. References should include all documents used for literature review along with sources used to guide the process. 1. Record all communication in the CLC Forum. 6. Submit the completed assignment to the instructor on the last day of Topic 7 and have one CLC member post the completed assignment all together in Topic 8 discussion forum.
 Address the following: 1. Write one research summary that uses a quantitative research design. 2. Write one research summary that uses a qualitative research design. 3. Each summary should be 250-500 words and should follow the template, Summarize Research Articles. 4. Use APA Level Heading 2 to separate the distinct parts of the study. These article summaries will form the basis of the Critique of Research Studies Parts 1-3 assignments in modules 4, 6, and 8. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. You are not required to submit this assignment to Turnitin, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to Turnitin.
 NUR 504 Summarize Research Articles
  Directions: Use the templates below when summarizing your research articles. Include a cover page, and start a new page for each article summary. Use level 1 and 2 headings when composing the summaries to separate distinct parts. Title of Quantitative Article (Example of text: This article was authored by Watson and James and published in the Journal of Nursing Research in 2008. This article was selected as an example of a quasi-experimental design.The model summary selected for this paper is found on page 90 to 91of the textbook.This is a summary of a quasi-experimental study in which though there is a comparison group; subjects were not randomly assigned to groups. The research article being summarized also is an experiment that used a comparison group without randomization.) Problem Statement Statement of Purpose Research Question(s)/Hypothesis Study Methods Key Findings Citation
  Title of Qualitative Article
  (Example of text:Ramirez (2008) studied adolescent depression and the influence of significant adults on the course of the depression.The model summary utilized is found on page 91of the textbook. It was selected because it is an example of a grounded theory study as is the article selected.) Problem Statement Statement of Purpose Research Question(s) Method Key Findings Citation
 NUR 504 week4
 This is a CLC assignment. Follow the instructions provided in “CLC Assignment: Evidence-Based Project (EBP).” Utilize the Synthesis Table, Table of Evidence and EBA Project Evaluation Tool to complete your CLC assignment. Submit these documents in Topic 5 as the CLC assignment. APA format is not required, but solid academic writing is expected. You are not required to submit this assignment to Turnitin, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to Turnitin. Synthesis Table Example
Synthesis Table Example Name of Article Name of Article Name of Article Name of Article Levels of Evidence Study Design Variable to be studied Variable to be studied Variable to be studied Compare template above to my table below. At a glance you can see the names of the most important articles I choose, the level of evidence of that study, what the design was, and what variables were important to know about in each article. As you study the table, the reader can clearly see more studies in support of BiPAP than IS along with other information that would be of interest to the provider to support standards of care. Table 2 Synthesis of IS and NIPPV Evidence /Types of Surgery
Follow the instructions provided in Critique of Research Studies Instructions. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. You are not required to submit this assignment to Turnitin, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to Turnitin.
  Critique of Research Studies Instructions Directions:
  Complete a critique of the quantitative and qualitative articles that were submitted in Module 3. This assignment will be completed in three parts. Refer to the information below as a guide to the information that should be included in each part. Follow the guidelines for the quantitative and qualitative article critiques in Chapter 5, Box 5.2, pages 112-114 and Box 5.3, pages 115-117 of the textbook. 1) Utilize a central heading to indicate that what follows is the critique of the articles. 2) The side headings of the critique for each article should follow the headings in Box 5.2 and 5.3. 3) Note that within these BASIC guidelines, there are additional references to Detailed Critiquing Guidelines found in various boxes in chapters focused on the various elements of a research study report. Use these to expand the research study and to learn specific terminology appropriate to the critique of research. When turning in the final submission, please put in the the following order: Quantitative Article Critique, Qualitative Article Critique, References (should include the two articles, the text, and any other additional sources). Critique of Research Studies – Part 1: Due Module 4 For Part 1 of the critique, focus only on the following segments for each article:
  Quantitative Qualitative
  • Title • Title • Abstract • Abstract • Introduction • Introduction o Statement of the problem o Statement of the problem o Hypotheses or research questions o Research questions o Literature review o Literature review o Conceptual/theoretical framework o Conceptual underpinnings Critique of Research Studies – Part 2: Due Module 6 For Part 2 of the critique, focus only on the following segments for each article: Quantitative Qualitative • Method • Method o Protection of human rights o Protection of participants’ rights o Research design o Research design and research tradition o Population and sample o Sample and setting o Data collection and measurement o Data collection o Procedures o Procedures o Enhancement of trustworthiness Critique of Research Studies – Part 3: Due Module 8 For Part 3 of the critique, focus only on the following segments for each article: Quantitative Qualitative • Results • Results o Data analysis o Data analysis o Findings o Findings • Discussion o Theoretical integrations o Interpretation of findings • Discussion o Implications/recommendations o Interpretation of the findings • Global Issues o Implications/recommendations o Presentation • Global Issues o Researcher credibility o Presentation o Summary assessment o Researcher credibility o Summary assessment
 NUR504 week5
 This is a CLC assignment.
  Follow the instructions provided in CLC Assignment: Evidence-Based Project (EBP). Utilize the Synthesis Table, Table of Evidence and EBA Project Evaluation Tool to complete your CLC assignment. Submit these documents for this weeks CLC assignment. While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. You are not required to submit this assignment to Turnitin, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to Turnitin. Synthesis Table Example Name of Article Name of Article Name of Article Name of Article Levels of Evidence Study Design Variable to be studied Variable to be studied Variable to be studied Compare template above to my table below. At a glance you can see the names of the most important articles I choose, the level of evidence of that study, what the design was, and what variables were important to know about in each article. As you study the table, the reader can clearly see more studies in support of BiPAP than IS along with other information that would be of interest to the provider to support standards of care. Table 2 Synthesis of IS and NIPPV Evidence /Types of Surgery
 NUR504 week6
 Follow the instructions provided in Critique of Research Studies Instructions. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. You are not required to submit this assignment to Turnitin, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to Turnitin
Critique of Research Studies Instructions Directions: Complete a critique of the quantitative and qualitative articles that were submitted in Topic 3. This assignment will be completed in three parts. Refer to the information below as a guide to the information that should be included in each part. Follow the guidelines for the quantitative and qualitative article critiques in Chapter 5, Box 5.2, pages 112-114 and Box 5.3, pages 115-117 of the textbook or the Research Critique Additional Template Resource. 1) Utilize a central heading to indicate that what follows is the critique of the articles. 2) The side headings of the critique for each article should follow the headings in Box 5.2 and 5.3. 3) Note that within these BASIC guidelines, there are additional references to Detailed Critiquing Guidelines found in various boxes in chapters focused on the various elements of a research study report. Use these to expand the research study and to learn specific terminology appropriate to the critique of research. When turning in the final submission, please put in thefollowing order: Quantitative Article Critique, Qualitative Article Critique, References (should include the two articles, the text, and any other additional sources).
 NUR504 week7
 This is a CLC assignment.
  Follow the instructions provided “CLC Assignment: Evidence-Based Project (EBP).” Utilize the Synthesis Table, Table of Evidence, and EBA Project Evaluation Tool to complete your CLC assignment. Submit these documents at the completion of the CLC assignment. While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment
 NUR-504: Table of Evidence Study 1 Study 2 Study 3 Study 4 Study 5 Author Study title Research Questions Design Setting/Sample Methods: intervention/instruments Analysis Key findings Recommendations How this supports EBP/Capstone EBP Project Evaluation
 NUR504 week8
 Follow the instructions provided in Critique of Research Studies instructions. When turning in the final submission, please put in the following order: Quantitative Article Critique, Qualitative Article Critique, References (should include the two articles, the text, and any other additional sources). Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. You are not required to submit this assignment to Turnitin, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to Turnitin.
Critique of Research Studies Instructions Directions: Complete a critique of the quantitative and qualitative articles that were submitted in Topic 3. This assignment will be completed in three parts. Refer to the information below as a guide to the information that should be included in each part. Follow the guidelines for the quantitative and qualitative article critiques in Chapter 5, Box 5.2, pages 112-114 and Box 5.3, pages 115-117 of the textbook or the Research Critique Additional Template Resource. 1) Utilize a central heading to indicate that what follows is the critique of the articles. 2) The side headings of the critique for each article should follow the headings in Box 5.2 and 5.3. 3) Note that within these BASIC guidelines, there are additional references to Detailed Critiquing Guidelines found in various boxes in chapters focused on the various elements of a research study report. Use these to expand the research study and to learn specific terminology appropriate to the critique of research. When turning in the final submission, please put in thefollowing order: Quantitative Article Critique, Qualitative Article Critique, References (should include the two articles, the text, and any other additional sources). Critique of Research Studies – Part 1: Due Topic 4 For Part 1 of the critique, focus only on the following segments for each article: Quantitative Qualitative • Title • Title • Abstract • Abstract • Introduction • Introduction o Statement of the problem o Statement of the problem o Hypotheses or research questions o Research questions o Literature review o Literature review o Conceptual/theoretical framework o Conceptual underpinnings Critique of Research Studies – Part 2: Due Topic 6 For Part 2 of the critique, focus only on the following segments for each article: Quantitative Qualitative • Method • Method o Protection of human rights o Protection of participants’ rights o Research design o Research design and research tradition o Population and sample o Sample and setting o Data collection and measurement o Data collection o Procedures o Procedures o Enhancement of trustworthiness Critique of Research Studies – Part 3: Due Topic 8 For Part 3 of the critique, focus only on the following segments for each article: Quantitative Qualitative • Results • Results o Data analysis o Data analysis o Findings o Reliability and Validity o Findings • Discussion o Theoretical integrations o Interpretation of findings • Discussion o Implications/recommendations o Interpretation of the findings • Global Issues o Implications/recommendations o Presentation • Global Issues o Researcher credibility o Presentation o Summary assessment o Researcher credibility o Summary assessment
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NUR 699 Evidence – Based Practice Project Entire Course
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 NUR 699 Evidence – Based Practice Project Entire Course
 GCU NUR699 Wk 1 Dq 1 & Dq 2 latest
 Dq 2
What is the difference between research- and evidence-based practice projects? Provide an example of each one and the reason for the difference. Why should nurses be interested in learning about EBP?
 Dq 2
 How would a nurse practitioner and a nurse manager differ with regard to how they use and incorporate EBP in their areas of practice?
 GCU NUR699 Wk 2 Dq 1 & Dq 2 latest
 dq 1
 Review the “General Appraisal Overview for All Studies,” available in Appendix B in the textbook. You should save this tool and use it throughout the development of the PICOT question, problem description, and literature review.
Begin the development of your PICOT question, using the following resources:
“Appendix A: Template for Asking Clinical Questions,” available in the textbook appendix
Text readings
Formulate your PICOT question and post it to the main forum. Respond to at least four other statements, providing feedback. Review the statements to see if the clinical issue is clearly defined and that all aspects are identified. Also refer to the “PICOT: Components of an Answerable, Searchable Question” table, located in chapter 2 of the text. If one PICOT statement has at least three feedback posts, move to another statement.
You will be using the feedback to make revisions to your PICOT question before using it in your “Section B: Problem Description” assignment.
 dq 2
What strategies will you use in your new practice as an advance practice nurse to review and critique literature pertinent to your practice?
 GCU NUR699 Wk 3 Dq 1 & Dq 2 latest
 dq 1
 What levels of evidence are present in relation to research and practice, and why it is important regardless of the method you use?
 dq 2
 What factors must be assessed when critically appraising quantitative studies (e.g., validity, reliability, and applicability)? Which is the most important? Why?
 GCU NUR699 Wk 4 Dq 1 & Dq 2 latest
 dq 1
 What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless providing new information.
 dq 2
 Conducting research projects while ensuring the protection of human subjects is necessary. What are some methods to protect personal rights of someone in one of the groups that is labeled as vulnerable? Justify your rationale.
 GCU NUR699 Wk 5 Dq 1 & Dq 2 latest
 dq 1
 Why is it important to incorporate a theory or model related to change when implementing practice changes? Does the benefit of incorporating a change model outweigh the time and effort it took to include it?
 dq 2
 Identify barriers to the implementation of evidence-based practice. What are two ways to address this problem?
 GCU NUR699 Wk 6 Dq 1 & Dq 2 latest
 dq 1
 When reviewing the literature and different types of evidence, there are often gaps in the findings. Are such gaps a help or a hindrance when wanting to create a change?
 dq 2
 What is the difference between statistically significant evidence and clinically significant evidence? How would each of these findings be used to advance an evidenced-based project?
 GCU NUR699 Wk 7 Dq 1 latest
 Research and EBP projects can be communicated in many ways. Which method do you think is most effective to get to the staff nurse level? To the advance practice nurses? How will you ensure that all appropriate audiences receive your information?
 GCU NUR699 Wk 8 Dq 1 & Dq 2
 dq 1
 Post your “Evidence-Based Practice Proposal Project Presentation.” Review all of the presentations but provide critical commentary only to five others posted. Address the strengths of the proposal as well as recommendations for improvement. If a post already has five feedback posts then move on to another one. You will be responsible for responding to each peer’s feedback that is posted to your original presentation post.
 dq 2
 There is power in having data to support change. The EBP process is one way of advancing improvements in healthcare. Identify three strategies that you will now incorporate into your practice based on this course. Explain your rationale.
 GCU NUR699 Week 2 Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment
  Details:
Before making a case for an evidence-based project, it is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation.
1.     1. Complete the “Organizational Culture and Readiness for System-Wide Integration of Evidence-Based Practice Survey,” located in the textbook appendix.
2.     2. Develop an analysis of 250 words from the results, addressing your organization’s readiness level, possible project barriers and facilitators, as well as how to integrate clinical inquiry.
3.     3. Make sure to include the rationale for the survey categories scores that were significantly high and low, incorporating details and/or examples. Also explain how to integrate clinical inquiry into the organization, providing strategies that strengthen the organizations weaker areas.
4.     4. Submit a summary of your results. The actual survey results do not need to be included.
Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor, revise “Section A: Organizational Culture and Readiness Assessment” for your final paper submission. This will be a continuous process throughout the course for each section.
  GCU NUR699 Week 2 Evidence-Based Practice Proposal – Section B: Problem Description
 Details:
Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following:
Describe the background of the problem. Tell the story of the issue and why it deserves attention.
Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc.
Use the feedback from the Topic 2 main forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization.
State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes.
5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources.
Develop an initial reference list to assure that there is adequate literature to support your evidence-based practice project. Follow the “Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Use “NUR-699 Search Method Example” to assist you.
7) The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem.
Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence-based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted.
Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor, refine “Section B: Problem Description” for your final submission. This will be a continuous process throughout the course for each section.
Search Method Example
Search Method
A comprehensive electronic search was completed using the following databases:
Cochrane Central Register of Controlled Trials
Cochrane Database of Systematic Reviews
National Guideline Clearinghouse
CINAHL
Ovid
Medline
The search included English-only published articles between 1990 and 2005.
Key words used in the search were:
Pediatric asthma education
Self-management
Self-monitoring
Grade school children
Systematic reviews
Randomized controlled trials
Search results revealed 75 publications. The abstracts were screened and 10 studies were relevant to pediatric asthma education involving self-management, self-monitoring behaviors, self-efficacy, and educational programs with various interventions. These studies included three systematic reviews, five randomized control trials (RCT), one cohort descriptive study, and one qualitative study. Refer to Appendix A for a complete reference list.
  GCU NUR699 Week 3 Evidence-Based Practice Proposal – Section C: Literature Support
 Details:
 To begin, work through the reference list that was created in the “Section B: Problem Description” assignment in Topic 2. Appraise each resource using the “Rapid Critical Appraisal Checklists,” available in the textbook appendix. The specific checklist you use will be determined by the type of evidence within the resource.
Develop a research table to organize and summarize the research studies. Using a summary table allows you to be more concise in your narrative description. Only research studies used to support your intervention are summarized in this table. Refer to the “Evaluation Table Template,” available in the textbook appendix. Use the “Evaluation Table Template” as an adaptable template.
Write a narrative of 750-1,000 words (not including the title page and references) that presents the research support for the projects problem and proposed solution. Make sure to do the following:
Include a description of the search method (e.g., databases, keywords, criteria for inclusion and exclusion, and number of studies that fit your criteria).
Summarize all of the research studies used as evidence. The essential components of each study need to be described so that readers can evaluate its scientific merit, including study strengths and limitations.
Incorporate a description of the validity of the internal and external research.
It is essential to make sure that the research support for the proposed solution is sufficient, compelling, relevant, and from peer-reviewed professional journal articles.
Although you will not be submitting the checklist information or the evaluation table you design in Topic 3 with the narrative, the checklist information and evaluation table should be placed in the appendices for the final paper.
Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor, refine “Section C: Literature Support” for your final submission. This will be a continuous process throughout the course for each section.
GCU NUR699 Week 4 Evidence-Based Practice Proposal – Section D: Solution Description
 Details:
 Write a paper of 500-750 words (not including the title page and reference page) paper for your proposed evidence-based practice project solution. Address the following criteria:
1.     1. Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, too costly, or there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your PICOT before continuing.
2.     2. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.
3.     3. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the PICOT.
4.     4. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations which may need to be addressed.
5.     5. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, and/or professional expertise.
Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor, refine “Section D: Solution Description” for your final submission. This will be a continuous process throughout the course for each section.
  GCU NUR699 Week 5 Evidence-Based Practice Proposal – Section E: Change Model
 Details:
In 500-750 words (not including the title page and reference page), apply a change model to the implementation plan. Include the following:
1.     1. Roger’s diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models presented such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based intervention in clinical practice.
2.     2. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.
3.     3. In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 5 with the narrative, the conceptual model should be placed in the appendices for the final paper.
Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor, refine “Section E: Change Model” for your final submission. This will be a continuous process throughout the course for each section.
  GCU NUR699 Week 5 Evidence-Based Practice Proposal – Section F: Implementation Plan
 Details:
In 500-750 words (not including the title page and reference page), provide a description of the methods to be used to implement the proposed solution. Include the following:
1.     1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval form(s) in Topic 5 with the narrative, the consent or approval form(s) should be placed in the appendices for the final paper.
2.     2. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, the timeline should be placed in the appendices for the final paper.
3.     3. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, the resource list should be placed in the appendices for the final paper.
4.     4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, the instruments should be placed in the appendices for the final paper.
5.     5. Explain the process for delivering the (intervention) solution and indicate if any training will be needed.
6.     6. Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, the data collection tools should be placed in the appendices for the final paper.
7.     7. Describe the strategies to deal with the management of any barriers, facilitators, and challenges.
8.     8. Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, the budget plan should be placed in the appendices for the final paper.
9.     9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.
Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor, refine “Section F: Implementation Plan” for your final submission. This will be a continuous process throughout the course for each section.
  GCU NUR699 Week 6 Evidence-Based Practice Proposal: Section G: Evaluation of Process
 Details:
In 500-750 words (not including the title page and reference page), develop an evaluation plan to be included in your final evidence-based practice project. Provide the following criteria in the evaluation, making sure it is comprehensive and concise:
1.     1. Describe the rationale for the methods used in collecting the outcome data.
2.     2. Describe the ways in which the outcome measures evaluate the extent to which the project objectives are achieved.
3.     3. Describe how the outcomes will be measured and evaluated based on the evidence. Address validity, reliability, and applicability.
4.     4. Describe strategies to take if outcomes do not provide positive results.
5.     5. Describe implications for practice and future research.
Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor, refine “Section G: Evaluation” for your final submission. This will be a continuous process throughout the course for each section.
  GCU NUR699 Week 7 Evidence-Based Practice Presentation
 Details:
Develop a presentation no longer than 10-12 minutes with comprehensive speaker’s notes that covers all of the major areas of your proposal.
Refer to the “Example of a Slide Show for a 20-Minute Paper Presentation,” located within the textbook appendix.
You will need to post your Evidence-Based Practice Presentation to the main forum in Topic 8 as directed by the instructor for class discussion and peer feedback.
While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to Turnitin.
  GCU NUR699 Week 7 Benchmark – Evidence-Based Practice Proposal Final Paper
  Details:
Throughout this course you will be developing a formal, evidence-based practice proposal.
The proposal is the plan for an evidence-based practice project designed to address a problem, issue, or concern in the professional work setting. Although several types of evidence can be used to support a proposed solution, a sufficient and compelling base of support from valid research studies is required as the major component of that evidence. Proposals are submitted in a format suitable for obtaining formal approval in the work setting. Proposals will vary in length depending upon the problem or issue addressed; they can be between 3,500 and 5,000 words. The cover sheet, abstract, references page, and appendices are not included in the word limit.
Section headings and letters for each section component are required. Responses are addressed in narrative form in relation to that number. Evaluation of the proposal in all sections is based upon the extent to which the depth of content reflects graduate-level critical-thinking skills.
This project contains seven formal sections:
1.     1. Section A: Organizational Culture and Readiness Assessment
2.     2. Section B: Problem Description
3.     3. Section C: Literature Support
4.     4. Section D: Solution Description
5.     5. Section E: Change Model
6.     6. Section F: Implementation Plan
7.     7. Section G: Evaluation of Process
Each section (A-G) will be submitted as separate assignments so your instructor can provide feedback (refer to applicable modules for further descriptions of each section).
The final paper will consist of the completed project (with revisions to all sections), title page, abstract, reference list, and appendices. Appendices will include a conceptual model for the project, handouts, data and evaluation collection tools, a budget, a timeline, resource lists, and approval forms.
Use the “NUR-699 EBP Implementation Plan Guide” and “NUR-699 Evidence-Based Practice Project Student Example” to assist you. Also refer to “NUR-699 Evidence-Based Practice Project Proposal Format.”
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
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NTC 326 ( Administering Windows Server ) Entire Course
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 NTC 326 ( Administering Windows Server ) Entire Course
 Configuring Domain Controllers
·         Maintain Active Directory® and configuring account policies.
·         Configure server authentication.
·         Configure domain controllers.
 Configuring Group Policies
·         Configuring group policy processing and settings.
·         Managing group policy objects.
·         Configuring group policy preferences.
 Patching and Monitoring
·         Monitor servers and configuring advanced audit policies.
·         Deploy and manage server images.
·         Implement patch management.
 Configuring File Services, DNS
·         Configure file server resource manager (FSRM), file services, and disk encryption.
·         Configure DNS zones and records.
·         Configure distributed file systems (DFS).
 Configuring Virtual Private Network and Network Policies
·         Configure VPN and routing and direct access.
·         Configure network policy servers and network policy server policies.
·         Configure network access protection.
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NTC 320 ( Network Design Associate ) Entire Course
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 NTC 320 ( Network Design Associate ) Entire Course
 Designing Network Services
·         Identify the design considerations for voice and video architectures.
·         Design a wireless network.
·         Examine the security lifecycle
 Design Methodology and Network Structure
·         Identify network requirements that support the enterprise.
·         Examine tools and methods useful for network design.
·         Identify the components of network hierarchy and architecture.
 Designing Basic Campus and Enterprise Campus Networks
·         Examine enterprise campus network and enterprise data enter design requirements
·         Design a basic enterprise center
 Designing Remote Network Modules
·         Identify design considerations for a remote data center.
·         Examine branch, small office and teleworker design characteristics.
·         Design a branch office WAN solution that supports remote workers and exhibits redundancy.
 Designing IP Addressing and Routing Protocols
·         Identify differences between IPv4 and IPv6 addressing.
·         Design a routing protocol deployment.
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NSCI 281 Final Exam Solution 100% Correct Answers
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 NSCI 281 Final Exam Solution 100% Correct Answers
 This is a 40-question final examination. Each question is worth 0.25 point.
 1.     Plasma  is ____ while formed elements are ____. a.      a blood gas; blood clots
b.    the liquid  portion of blood; the cells
c.     lacking  in protein; regulators of blood osmolality
d.    the cellular  portion of blood; acellular components
e.     mostly  protein; the matrix
 2.     Which  of the following cell types is an immature red blood cell?  a.     erythrocyteb.    reticulocyte
c.      thrombocyte
d.    monocyte
e.      leukocyte
 3.     In the  platelet release reaction,  
a.     factor  XII is activated
b.    ADP and  thromboxanes stimulate other platelets to become activated
c.      activated platelets are connected by fibrinogen
d.    prostaglandin  production is inhibited
e.      platelets convert to fibrin
 4.     On  the diagram of RBC production, what does “A” represent?  a.     increased blood oxygenb.     decreased blood oxygen
c.      erythropoietin
d.    kidney
e.     red  bone marrow
      5.     The  heart a.    is a  four-chambered muscular pump
b.    is posterior  to the trachea
c.     is  lined with an epithelial layer called epicardium
d.    lies mostly  to the right of the midline of the sternum
e.     has a  superior apex and an inferior base
 6.     Blood  in the superior vena cava will enter the _____. a.     Aorta
b.    right atrium
c.      pulmonary trunk
d.    pulmonary  arteries
e.      pulmonary veins
 7.     Which  of the following is mismatched?  a.     opening of sodium fast channels –  depolarizationb.    closing of calcium slow channels – plateau  phase
c.     opening  of potassium channels – rapid repolarization
d.    closure of  sodium channels – early repolarization
e.     opening  of calcium slow channels – plateau phase
 8.     Turbulence  of blood flow through the aortic valve would give rise to  a.     the first heart soundb.    the  second heart sound
c.    a heart  murmur
d.    an extra  heart beat
e.      end-systolic volume
 9.     Identify  structure “A” on the heart diagram. 
a.     left  atrium
b.    aortic  semilunar valve
c.      bicuspid (mitral) valve
d.    right atrium
e.      pulmonary semilunar valve
 10.  Systemic blood  vessels transport blood  a.     from the left ventricle through the body to the  left atriumb.    from the left ventricle through the body to  the right atrium
c.     from  the right ventricle through the body to the left atrium
d.    from the  right ventricle through the body to the right atrium
e.     from  the left ventricle to the lungs
  11.  Veins   a.     carry blood away from the  heartb.    carry blood under very high pressure
c.    may contain  valves and are lined with endothelium
d.    are described  as strong, rigid vessels that always carry oxygenated blood
e.     have  thick, many layered walls
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NRS427 Week 4 CLC – Community Assessment and Analysis Presentation
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 NRS427 Week 4 CLC – Community Assessment and Analysis Presentation
 Details:
 This is a Collaborative Learning Community assignment.
The instructor will assign you to a CLC group.
The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.
This assignment consists of both an interview and a PowerPoint (PPT) presentation.
 Assessment/Interview
 Select a community of interest. It is important that the community selected be one in which a CLC group member currently resides. Students residing in the chosen community should be assigned to perform the physical assessment of the community.
1.     1. Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”
2.     2. Interview a community health and public health provider regarding that person’s role and experiences within the community.
 Interview Guidelines
 Interviews can take place in-person, by phone, or by Skype. Complete the “Provider Interview Acknowledgement Form” and submit with the group presentation.
Develop one set of interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.
Compile key findings from the interview, including the interview questions used, and submit with the group presentation.
  PowerPoint Presentation
 Within your group, create a PowerPoint presentation of 15-20 slides (slide count does not include title and reference slide) describing the chosen community interest.
Include the following in your presentation:
1.     1. Description of community and community boundaries: the people and the geographic, geopolitical, financial, ethnic, and phenomenological features of the community as well as types of social interactions, common goals and interests, barriers, and challenges.
2.     2. Summary of community assessment.
3.     3. Summary of interview with community health/public health provider.
4.     4. A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.
In addition to submitting this assignment in the LoudCloud dropbox, email a copy of your submission to [email protected].
APA format is required for essays only. Solid academic writing is always expected. For all assignment delivery options, documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to Turnitin.
When submitting this assignment, include the interview questions, the interview findings, completed “Provider Interview Acknowledgement Form,” and the community assessment PPT presentation.
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NRS410 full course all assignments & all discussions
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 NRS410 full course all assignments & all discussions
 NRS-410V Pathophysiology and Nursing
 NRS410 WEEK 1 DISCUSSION Max Points: 20.0
The case scenario provided will be used to answer the discussion questions that follow.
Case Scenario
Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.
Subjective Data
·         Complains of pain and heaviness in her leg.
·         States she cannot bear weight on her leg and has been in bed for 3 days.
·         Lives alone and has not had anyone to help her with meals.
Objective Data
·         Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage
·         Left leg red from knee to ankle
·         Calf measurement on left 3 in > than right
·         Temperature: 38.9 degrees C
·         Height: 160 cm; Weight: 83.7 kg
Laboratory Results
·         WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
·         Wound culture: Staphylococcus aureus
Critical Thinking Questions
1.     1. What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.
2.     2. Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
3.     3. What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.
4.     4. What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.
  NRS410 WEEK 2 DISCUSSION
 The American Cancer Society (ACS) is a nationwide, community-based, voluntary health organization dedicated to eliminating cancer as a major health problem. Together with its supporters, ACS is committed to helping people stay well and get well by finding cures and by fighting back.Critical Thinking Questions:
1.     1. Imagine that a family friend or colleague has just been diagnosed with cancer. Explain how the American Cancer Society might provide education and support. What ACS services would you recommend and why?
2.     2. According to statistics published by the American Cancer Society, there will be an estimated 1.5 million new cancer cases diagnosed each year over the next decade. What factors contribute to the yearly incidence and mortality rates of various cancers in Americans? What changes in policy and practice are most likely to affect these figures over time
3.     3. Select a research program from among those funded by the American Cancer Society. Describe the program and discuss what impact the research will have on the prevention or treatment of cancer.
  GC NRS410 WEEK 3 DISCUSSION
 Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.
Case Scenario
Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.
Subjective Data
1.     1. Is very anxious and asks whether she is going to die.
2.     2. Denies pain but says she feels like she cannot get enough air.
3.     3. Says her heart feels like it is “running away.”
4.     4. Reports that she is so exhausted she cannot eat or drink by herself.
Objective Data
1.     1. Height 175 cm; Weight 95.5 kg
2.     2. Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
3.     3. Cardiovascular: Distant S1, S2, S3, S4 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation
4.     4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%
5.     5. Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin
Critical Thinking Questions
What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?
1.     1. IV furosemide (Lasix)
2.     2. Enalapril (Vasotec)
3.     3. Metoprolol (Lopressor)
4.     4. IV morphine sulphate (Morphine)
Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.
  NRS410 WEEK 4 DISCUSSION Max Points: 20.0
Use the image in “Discussion Question Resource: Chest X-Ray” to answer the following Critical Thinking Questions.
Examine the x-ray of a patient diagnosed with pneumonia due to infection with Mucor. Refer to the “Module 4 DQ Chest Xray” resource in order to complete the following questions.
Critical Thinking Questions
1.     1. Explain what Mucor is and how a patient is likely to become infected with Mucor. Describe the pathophysiologic progression of the infection into pneumonia and at least two medical/nursing interventions that would be helpful in treating the patient.
2.     2. Examine the laboratory blood test results and arterial blood gases provided in “Discussion Question Resource: Laboratory Blood Test Results.” What laboratory values are considered abnormal? Explain each abnormality and discuss the probable causes from a pathophysiologic perspective.
3.     3. What medications and medical treatments are likely to be prescribed by the attending physician on this case? List at least three medications and three treatments. Provide rationale for each of the medications and treatments you suggest.
  NRS410 WEEK 5 DISCUSSION
Max Points: 20.0
The case scenario provided will be used to answer the discussion questions that follow.
Case Scenario
Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2–3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has high blood pressure, which he tries to control with sodium restriction and sleep apnea. He current works at a catalog telephone center.
Objective Data
·         Height: 68 inches; Weight 134.5 kg
·         BP: 172/96, HR 88, RR 26
·         Fasting Blood Glucose: 146/mg/dL
·         Total Cholesterol: 250mg/dL
·         Triglycerides: 312 mg/dL
·         HDL: 30 mg/dL
Critical Thinking Questions
1.     What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not?
2.     Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered: (a) Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime; (b) Ranitidine (Zantac) 300 mg PO at bedtime; and (c) Sucralfate / Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime.
The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.
1.     Assess each of Mr. C.’s functional health patterns using the information given (Hint: Functional health patterns include health-perception – health management, nutritional – metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception – self-concept, role-relationship, sexuality – reproductive, coping – stress tolerance).
2.     What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each.
  GC NRS410 WEEK 2 ASSIGNMENT
 Details:
Write a paper (1,250-1,750 words) describing the approach to care of cancer. In addition, include the following in your paper:
1.     1. Describe the diagnosis and staging of cancer.
2.     2. Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.
3.     3. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.
  NRS410 WEEK 3 CASE STUDY 1
 Details:
In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are required to submit this assignment to Turnitin.
Case Study 1
Case Study 1
Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”
Laboratory values are as follows:
Hemoglobin = 8 g/dl
Hematocrit = 32%
Erythrocyte count = 3.1 x 10/mm
RBC smear showed microcytic and hypochromic cells
Reticulocyte count = 1.5%
Other laboratory values were within normal limits.
Question
Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale.
  NRS410 WEEK 3 CASE STUDY 2
 Details:
In a short essay (500-750 words), answer the Question at the end of Case Study 2. Cite references to support your positions.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are required to submit this assignment to Turnitin.
Case Study 2
Case Study 2
Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.
Question
Considering Mr. P’s condition and circumstance, write an essay of 500-750 words that includes the following:
·         Describe your approach to care.
·         Recommend a treatment plan.
·         Describe a method for providing both the patient and family with education and explain your rationale.
·         Provide a teaching plan (avoid using terminology that the patient and family may not understand).
  NRS410 WEEK 4 assignment
 Details:
This is a CLC assignment.
As a group, observe the simulated “Home Visit With Sallie Mae Fisher” video (.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php” title=”http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php”>http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).
Refer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment.
Using “Home Visit With Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment:
Essay Portion
After viewing the home visit, write an essay of 500-750-words in which you do the following:
1.     1. Identify, prioritize, and describe at least four problems.
2.     2. Provide substantiating evidence (assessment data) for each problem identified.
3.     3. Identify and describe at least four medical and/or nursing interventions.
4.     4. Discuss your rationale for the interventions identified.
Prepare this step of the assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
Scripted Dialogue Portion
Utilizing the information learned from the home visit, health histories, and discharge orders, write a scripted dialogue in which you provide Sallie Mae with education that describes her problems and the interventions identified to improve her condition. Consider Sallie Mae’s physiological, psychosocial, educational, and spiritual needs when developing your dialogue.
Your dialogue should resemble a script. The following is an example of a few sentences from a scripted dialogue:
Nurse: “Good morning, Salle Mae, my name is ______ and I will be your nurse today. I understand you are experiencing problems with ________.”
APA format is not required for this part of the assignment, but solid academic writing is expected.
Refer to “Home Visit With Sallie Mae Fisher Grading Criteria.”
Entire Assignment
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.
Sallie Mae Fisher’s Health History
and Discharge Orders
Sallie Mae Fisher Health History
Ms. Fisher is an 82-year-old female with a history of chronic congestive heart failure (CHF), atrial fibrillation, and hypertension. During the last 6 months, she has been hospitalized four times for exacerbation of her CHF. She was discharged home last Saturday from the hospital after a 3-day stay to treat increased dyspnea, an 8-pound weight gain, and chest pain.
Ms. Fisher is recently widowed and lives alone. She has a daughter, Thelma Jean, who lives in town but works full time and has family issues of her own. Therefore, family support is limited.
Hospital Discharge Instructions
·         Mountain Top Home Health to evaluate cardio-pulmonary status, medication management, and home safety.
·         Medical Equipment Company to deliver oxygen concentrator and instruct patient in use. O2 at 2 liters per nasal prongs PRN.
·         Prescriptions given at discharge:
o Digoxin 0.25 mg once a day
o Lasix 80 mg twice a day
o Calan 240 mg once a day
·         Order written to continue other home meds.
Sallie Mae’s Home Medication List
·         Zocar 50 mg once a day
·         Minipres 1 mg once a day
·         Vasotec 10 mg twice a day
·         Prilosec 20 mg once a day
·         Furosemide 40 mg once a day
·         Effexor 37.5 mg at bedtime
·         Lanoxin 0.125 mg every other day
·         Multivitamin once a day
·         Potassium 40 mEq once a day
·         Ibuprofen 400 mg q 4 hours as needed for pain
·         Darvocet N 100 mg q 4 hours as needed for pain
·         Nitroglycerin ointment, apply 1 inch every day
  GC NRS410 WEEK 5 assignment
 Details:
Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.
In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.
Details:
Based on the summary of research findings identified from the Evidence-Based Project—Paper on Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or children, complete the following components of this assignment:
Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB) that includes the following:
1.     1. A brief summary of the research conducted in the Evidence-Based Project – Paper on Diabetes.
2.     2. A descriptive and reflective discussion of how the new tool or intervention may be integrated into practice that is supported by sound research.
While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
You are not required to submit this assignment to Turnitin, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to Turnitin.
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NRS427 Week 2 Benchmark Assignment Epidemiology Paper
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 NRS427 Week 2 Benchmark Assignment Epidemiology Paper  
 Details:
 This is a benchmark assignment.
In a written paper of 1,200-1,500 words, apply the concepts of epidemiology and nursing research to a communicable disease.
 Communicable Disease Selection
 Choose one communicable disease from the following list:
1.     1. Chickenpox
2.     2. Tuberculosis
3.     3. Influenza
4.     4. Mononucleosis
5.     5. Hepatitis B
6.     6. HIV
 Epidemiology Paper Requirements
 Include the following in your assignment:
1.     1. Description of the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence).
2.     2. Describe the determinants of health and explain how those factors contribute to the development of this disease.
3.     3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle).
4.     4. Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up).
5.     5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.
A minimum of three references is required.
Refer to “Communicable Disease Chain” and “Chain of Infection” for assistance completing this assignment.
Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.
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NRS 490 all weeks discussions and assignments Entire Course
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 NRS 490 all weeks discussions and assignments Entire Course
 NRS 490 Entire Course
 NRS 490  Week 1 Discussion 1
 Which scholarly databases (name two) in the GCU Library will you choose in order to find the best research articles to support your EBP proposal? Discuss why these two (at least) databases are better than Google Scholar or a general Internet search?
 NRS 490 Week 1 Discussion 2
 The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. We are currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal. In your responses to course colleagues, suggest ways in which identified barriers may be addressed.
 NRS 490 Week 2 Discussion 1
 During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for nursing.
 NRS 490 Week 2 Discussion 2
 What is the main issue for your organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue.
 NRS 490 Week 3 Discussion 1
 Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness to each of these six articles on why they may or may not provide sufficient evidence for your practice change.
 NRS 490 Week 3 Discussion 2
 Name two difference methods for evaluating evidence. Compare and contrast these two methods.
 NRS 490 Week 4 Discussion 1
 With your mentor, discuss why understanding the health care system at the local level plays an important part in the logistics of an EBP implementation. Discuss one of your learnings from this conversation that you will take into consideration for your own change project.
 NRS 490 Week 4 Discussion 2
 Identify two change theories, and in your selection process include asking your mentor which one(s) he or she uses or has used. Compare and contrast each one and then note which theory makes the most sense for implementing your specific EBP project?
 NRS 490  Week 5 Discussion 1
 Stakeholder support is necessary for a successful change proposal project implementation. Name one internal (facility, unit or health care setting where the change process is situated) and one external stakeholder (individual or group outside the health care setting) and (1) why their support is necessary to the success of your project, and (2) how you will go about securing that support.
 NRS 490  Week 5 Discussion 2
 Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that you might or will need to work with that will improve the implementation process and the outcomes of your EBP project.
 NRS 490  Week 6 Discussion 1
 After discussion with your mentor, name one financial, one quality, and one clinical aspect that needs to be taken into account for developing the evidence-based practice project. For each aspect, explain how your proposal will directly and indirectly impact each of the aspects.
 NRS 490  Week 6 Discussion 2
 Access and review the “Capstone Project Topic Selection, Rationale, and Approval” assignment from Topic 1. Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, take your discussion a step further and briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need. How has this changed since you first envisioned it, and what led to your current perspective and direction?
 NRS 490  Week 7 Discussion 1
 Determine one internal and one external method for dissemination of your EBP project. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your results to both of these groups. How might your tactics change for each type of group?
 NRS 490  Week 7 Discussion 2
 While EBP is not research, it is important to be able to determine the effectiveness of your change. Discuss one way you will be able to evaluate whether your project made a difference in practice.
 NRS 490  Week 8 Discussion 1
 Based on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? What basic statistical analysis might be run to determine statistical significance?
 NRS 490  Week 8 Discussion 2
 Not all EBP projects result in statistically significant results. Explain what clinical significance is, the difference between clinical and statistical significance, and how you might use clinical significance to support positive outcomes in your project.
 NRS 490  Week 9 Discussion 1
 Discuss one personal strength and one weakness you have regarding professional presentations. Name one method for improvement for each of these, and discuss why it is important for you to work on these skills.
 NRS 490  Week 9 Discussion 2
 Sustaining change can be difficult, as there are many variables that can affect the process and implementation. One critical component of EBP is to ensure that practice change is hardwired so that it will thus continue to impact outcomes over time. Name two potential barriers that may impact your EBP change proposal from continuing to obtain the same desired results six months to a year from now, and your strategies for overcoming these barriers.
 NRS 490  Week 10 Discussion 1
 Dissemination of EBP and research, such as presenting results at a conference or writing an article for a journal, is an important part of professional practice. Name one professional journal and one nursing or health care conference where you might present our project as a presentation or article and discuss why each of your choices is the best option for you to disseminate your new knowledge.
 NRS 490  Week 10 Discussion 2
 Discuss why EBP is an essential component of the practice of a BSN-prepared RN. Then name two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What problems or impediments do you foresee in being able to follow your EBP action plan? What steps can you take to minimize these?
 NRS 490  Week 2 Assignment
 In collaboration with your approved course mentor, you will choose a specific evidence-based practice proposal topic for the Capstone Project. Consider the clinical environment in which you are currently working or have recently worked. The Capstone Project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. A combination of 100 “supervised clinical hours” in community health and leadership areas will be obtained through the application of the objectives listed in the “Guidelines for Undergraduate Field Experiences” manual and as captured in the ISP.
Practicum immersion experiences are required in a community health setting. Community health and leadership practice immersion can occur in the same site and in conjunction with the evidence-based project in the NRS-490V course. Definitions of community-based settings should encourage community integration and involvement; expand accessibility of services and supports; promote personal preference, strengths, dignity; and empower people to participate in the economic mainstream. Examples of the integration of community health, leadership, and an EBP can be found at Healthy People 2020.
The goals of the practice immersion experience is to apply the learning from your research, community health, and leadership courses:
After studying this course, you should be able to:
Demonstrate and apply knowledge of factors to consider when planning to work with a chosen community. Demonstrate and apply knowledge of approaches that will facilitate engagement of the community. Demonstrate and apply knowledge and skills required to work constructively with communities. Demonstrate and apply knowledge related to engagement of organizational leadership and change agents. Demonstrate and apply knowledge related to disseminating project findings/data with organizational leadership and change agents. Demonstrate and apply knowledge related to completing an evidence-based project to impact population health outcomes. Demonstrate and apply Healthy People 2010/2020 principles related to completing an evidence-based project to impact population health outcomes. According to Healthy People.gov, educational and community-based programs and strategies are designed to reach people outside of traditional health care settings. These settings may include:
Schools
Worksites
Health care facilities
Communities
Each setting provides opportunities to reach people using existing social structures. This maximizes impact and reduces the time and resources necessary for program development.
In a composition of no more than 750 words, describe the nature of your proposed project topic. Include the following in your discussion:
The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed. A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need. Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes. Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing. Preview and utilize the “Project Topic Checklist” resource located in the topic materials to assist in developing your proposed Capstone Project topic. This resource will assist you in organizing your work and will provide additional information regarding the assignment. Note: You are required to retrieve and assess a minimum of 15 peer-reviewed articles. Plan your time to complete this assignment accordingly.
Attach the completed “Project Topic Checklist” to your assignment submission.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
You are not required to submit this assignment to Turnitin.
Portfolio Practice Hours
Students will track their practice hours throughout the course via the Practice Hours Completion Statement provided in this assignment.
Complete the following statement in a Word document and submit it to the instructor via the individual forum in LoudCloud.
Practice Hours Completion Statement NRS-490
I, (INSERT NAME), verify that I have completed (NUMBER OF) practice hours in association with the goals and objectives for this course. I also verify that all required course approvals are in place from my faculty and practice mentor.
 NRS 490  Week 3 Assignment
 Review the PICO(T) resources listed in the topic readings.
Formulate a PICOT statement using the PICOT format used in the assigned readings. The PICOT statement will provide a framework for your Capstone Project.
In a paper of 500-750 words, clearly identify the clinical problem (from your Topic 1 approved Change Proposal) and how it can result in a positive patient outcome.
Make sure to address the following on the PICOT statement:
Evidence-Based Solution Nursing Intervention Patient Care Health Care Agency Nursing Practice Recall that a PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription or equipment change. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.
While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Portfolio Practice Hours
Students will track their practice hours throughout the course via the Practice Hours Completion Statement provided in this assignment.
Complete the following statement in a Word document and submit it to the instructor via the individual forum in LoudCloud.
Practice Hours Completion Statement NRS-490
I, (INSERT NAME), verify that I have completed (NUMBER OF) practice hours in association with the goals and objectives for this course. I also verify that all required course approvals are in place from my faculty and practice mentor.
 NRS 490  Week 4 Assignment
 In nursing practice, accurate identification and usage of research is essential to achieving successful outcomes. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly fashion helps to support the student’s ability and confidence to further develop and synthesize the progressively more complex assignments that constitute the components of the course change proposal Capstone Project.
For this assignment, the student will provide a synopsis of 15 peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the 15 articles. The articles should be current within the last 5 years and closely relate to the PICOT statement you developed earlier in this topic. Appropriate resources to include involve quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed Capstone Project.
While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to Turnitin.
Portfolio Practice Hours
Students will track their practice hours throughout the course via the Practice Hours Completion Statement provided in this assignment.
Complete the following statement in a Word document and submit it to the instructor via the individual forum in LoudCloud.
 NRS 490  Week 6 Assignment
 An implementation plan prepares students to apply the research they have identified and vetted to the problem or issue they have identified for their Capstone Change Proposal Project. A literature review enables students to map out and move into the active planning and development stages of the Project.
In this assignment students will develop a 750-1,000-word literature review in which to synthesize what is known and unknown about the Project issue selected. Students will use the information from the PICOT Statement and Evaluation Table assignments prior in the course to develop a planned approach to implementing the evidence-based practice solution. The underlying purpose of this assignment is to analyze how the current research supports the PICOT, and to identify what is known and what is not known in the evidence, providing a logical, constructive argument.
Include the following sections:
1.     Title page
2.     Introduction section
3.     A comparison of research questions
4.     A comparison of sample populations
5.     A comparison of the limitations of the study
6.     A conclusion section, incorporating recommendations for further research
While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Portfolio Practice Hours
Students will track their practice hours throughout the course via the Practice Hours Completion Statement provided in this assignment.
Complete the following statement in a Word document and submit it to the instructor via the individual forum in LoudCloud.
Practice Hours Completion Statement NRS-490
I, (INSERT NAME), verify that I have completed (NUMBER OF) practice hours in association with the goals and objectives for this course. I also verify that all required course approvals are in place from my faculty and practice mentor.
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NRS 437V Ethical Decision Making in Health Care Entire Course
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 NRS 437V Ethical Decision Making in Health Care Entire Course
 NRS 437V Week 1 DQ 1
 Many situations can raise ethical concerns, particularly in the face of disagreement and conflict between parties. However, not all situations of an ethical nature result in values conflict or constitute an ethical dilemma. Explain the characteristics of an ethical dilemma. How do they differ from other situations resulting in disagreement between conflicting preferences, needs, or expectations?
 NRS 437V Week 1 DQ 2
 Consider the age-old tale of the father who stole a loaf of bread to feed his hungry family. Stealing is deemed wrong by our society and is punishable by law. Failing to provide for one’s family is neglectful and fundamentally wrong. What would be the dilemma and the implications of such a crime on the individual, the family, the community, and society?
 NRS 437V Week 1 Assignment My Nursing Ethics
 After reading the Topic 1 materials, complete the questionnaire titled, “My Nursing Ethic.”
Complete the questions below:
PASSION: Why am I here?
MOTIVATION: What moves me to act?
INSPIRATION: What keeps me in motion?
LOYALTY: Whom do I serve?
Using the reading and the questionnaire, write a paper of 750-1,000 words in which you describe your professional moral compass. As you write your paper, include the following:
What personal, cultural, and spiritual values contribute to your worldview and philosophy of nursing? How do these values shape or influence your nursing practice?
Define values, morals, and ethics in the context of your obligation to nursing practice. Explain how your personal values, philosophy, and worldview may conflict with your obligation to practice, creating an ethical dilemma.
Reflect and share your own personal thoughts regarding the morals and ethical dilemmas you may face in the health care field. How do your personal views affect your behavior and your decision making?
Do not be concerned with the use of ethical terminology for this paper.
Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center
 NRS 437V Week 2 DQ 1
 How do personal values, morals, and ethics influence decision making? (Consider your upbringing, your family structure, your socioeconomic status, your community, and your own personal experiences). How do these factors influence your decisions? How might they conflict with the needs, preferences, and biases of your patients and their families? Which ethical theoretical framework best describes your personal worldview? Support your response with examples.
 NRS 437V Week 2 DQ 2
 Read the assigned article, “Dealing With Futile Treatment: A Medical Student’s Perspective.” How does the author describe futile treatment? What ethical dilemmas are faced by health care providers who must address human suffering? How can ethical principles be used to identify the most appropriate decision when conflict arises?
 What ethical dilemmas are faced by health care providers who must address human suffering?
How can ethical principles be used to identify the most appropriate decision when conflict arises?
 NRS 437V Week 3 DQ 1
 Uustal (1993) proposed a decision-making model that provides concrete steps in which to arrive at a morally acceptable solution when faced with an ethical dilemma. What type of an ethical dilemma have you encountered in the clinical setting? How can the decision-making model identified by Uustal be applied to this situation? Be specific when describing each of the nine steps.
 NRS 437V Week 3 DQ 2
 How do a nurse’s fundamental duties, as described by the Hippocratic Oath and Nightingale Pledge, influence a nurse’s practice and decision making?
 NRS 437V Week 3 Assignment Applying Ethical Frameworks in Practice
 Details:
Using the steps outlined in the decision-making models in your readings, select one ethical decision-making model and use the model to analyze the case provided.
Case Scenario:
A 6-year-old develops a high fever accompanied by violent vomiting and convulsions while at school. The child is rushed to a nearby hospital. The attending physician makes a diagnosis of meningitis and requests permission to initiate treatment from the parents. The child’s parents are divorced. The mother, who is not the biological parent of the child, has primary custody. She is a Christian Scientist who insists that no medical treatment be offered for religious reasons. The biological father, who resides in another state, is also contacted. He insists that treatment be given and seeks independent consultation from another physician.
Assignment:
In a formal, written paper of 800-1,200 words, answer the following questions:
1.     What is the ethical dilemma here?
2.     Describe the decision-making model you selected from your readings.
3.     How would you resolve this dilemma using the model?
4.     Include, at the end of your paper, a 200-word dialog in which you explain your decision to the family. (Remember to use language that the family would understand).
A minimum of three references must be used.
Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.
 NRS 437V Week 4 DQ 1
 Does the principle of autonomy guarantee a person the right to do something that is harmful to oneself? To others? Explain your response with ethical rationale.
 NRS 437V Week 4 DQ 2
 What is the difference between beneficence and nonmaleficence? Give examples of each from your clinical practice.
 NRS 437V Week 4 assingment Analysis of an Ethical Dilemma (Part One)
 Details:
Refer to the “Collaborative Learning Community: Analysis of an Ethical Dilemma” resource for the dilemmas and resources that will be used for this multi-part Analysis of an Ethical Dilemma assignment. Part ONE is an individual assignment that will also be used in Part TWO, the culminating paper.
For this individual assignment, interview a hospital administrator, a spiritual leader, a health care colleague, or a neighbor/friend.
In your interview, ask about the individual’s philosophy and worldview in relation to the ethical dilemma of your choosing, which was:
[[      Dilemma 3: Voluntary/Assisted Euthanasia
Confronting Death: Who Chooses? Who Controls? A Dialogue between Dax Cowart and Robert Burt http://digitalcommons.law.yale.edu/fss_papers/706/
The Terry Schiavo Documentary http://www.youtube.com/watch?v=cki55BM42kw ]]
Individually, you will need to interview all 4 (four) different individuals and perspectives to complete Part Three of the Analysis of an Ethical Dilemma assignment.
Make sure all roles are covered.
Craft a 250-500-word summary of the individual’s response, including the individual’s identified philosophy and worldview.
APA format is not required, but solid academic writing is expected
 NRS 437V Week 5 DQ 1
 What is the ethical dilemma?
What is your value and ethical position related to the case? Include discussion of theory and principles on which your position is based.
What are some other alternatives for resolving the problem?
What are the possible consequences for those acceptable alternatives?
How would you prioritize the acceptable alternatives?
What is your plan of action?
 NRS 437V Week 5 DQ 1
 Health care providers are obligated to provide for those entrusted in their care. To what extent do they meet this obligation? How might their obligation to others conflict with their obligation to themselves?
 NRS 437V Week 5 Assignment Analysis of an Ethical Dilemma (Part Two)
 Details:
This is a CLC assignment.
Refer to the “Collaborative Learning Community: Analysis of an Ethical Dilemma” resource for the dilemmas and resources that will be used for this multi-part assignment.
After completing the individual interviews (Part ONE), share your interview results. Consider the responses of the four types of individuals interviewed. Assess their similarities and differences.
Compose a written recommendation of 750-1,000 words. Incorporate the research YOU HAVE done as well as your interview results for the four types of individuals to come to a resolution to the ethical dilemma. Be sure to clearly articulate your position and the rationale for your position.
Prepare this assignment according to the APA 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 Turnitin.
 NRS 437V Week 5 Assignment Analysis of an Ethical Dilemma (Part Three)
 This is a CLC assignment.
Refer to the “Collaborative Learning Community: Analysis of an Ethical Dilemma” resource for the dilemmas and resources that will be used for this multi-part assignment.
After completing the individual interviews (Part Two), share your interview results. As a group, consider the responses of the four types of individuals interviewed. Assess their similarities and differences.
Compose a written recommendation of 750-1,000 words. Incorporate the research your group has done as well as your interview results for the four types of individuals to come to a resolution to the ethical dilemma. Be sure to clearly articulate your group’s position and the rationale for your position.
Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.
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NRS 433V Week 4 Benchmark Research Critique (Part 2)
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 NRS 433V Week 4 Benchmark Research Critique (Part 2)
 Prepare a critical analysis of a quantitative study focusing on protection of human participants, data collection, data management and analysis, problem statement, and interpretation of findings. The quantitative research article can be from your previous literature review or a new peer-reviewed article.
Each study analysis will be 1,000-1,250 words and submitted in one document. As with the assignments in Topics 1-3, this should connect to your identified practice problem of interest.
Refer to the resource entitled “Research Critique Part 2.” Questions under each heading should be addressed as a narrative, in the structure of a formal paper. You are also required to include an Introduction and Conclusion.
Prepare this assignment according to the APA 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 Turnitin.
Submit the assignment along with an electronic version of the article used for the analysis. If an electronic version is not available, submit a clean unmarked copy of the article.
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NRS 433V Week 3 Assignment Critical Analysis of Qualitative Study
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 NRS 433V Week 3 Assignment Critical Analysis of Qualitative Study
 Prepare a critical analysis of a qualitative study focusing on the problem statement, study purpose, research question, literature review, and theoretical framework. This can be one of the selected articles from your previous literature review or a new peer-reviewed article.
The completed analysis should be 1,000-1,250 words and should connect to your identified practice problem of interest.
Refer to “Research Critique Part 1.” Questions under each heading should be addressed as a narrative, in the structure of a formal paper.
Prepare this assignment according to the APA 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 Turnitin.
To write a critical appraisal that demonstrates comprehension of the research study conducted, respond to each of the questions listed under the headings below.
Do not answer the questions with a yes or no; rather, provide a rationale or include examples or content from the study to address the questions.
CRITICAL APPRAISAL GUIDELINES: QUALITATIVE STUDY
Problem Statement
·         Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem.
·         How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.
Purpose and Research Questions
·         Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.
·         List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.
·         Were the purpose and research questions related to the problem?
·         Were qualitative methods appropriate to answer the research questions?
Literature Review
·         Did the author cite quantitative and qualitative studies relevant to the focus of the study? What other types of literature did the author include?
·         Are the references current? For qualitative studies, the author may have included studies older than the 5-year limit typically used for quantitative studies. Findings of older qualitative studies may be relevant to a qualitative study.
·         Did the author evaluate or indicate the weaknesses of the available studies?
·         Did the literature review include adequate information to build a logical argument?
Conceptual / Theoretical Framework
·         Did the author identify a specific perspective from which the study was developed? If so, what was it?
·         When a researcher uses the grounded theory method of qualitative inquiry, the researcher may develop a framework or diagram as part of the findings of the study. Was a framework developed from the study findings?
Reference
Burns, N., & Grove, S. (2011). Understanding Nursing Research (5th ed.). Elsevier. ISBN-13: 9781437707502
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