Tag: Care Plans, Pathophysiology & Pharmacology

  • [Solved] Aim Statement

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    see attached files for references and instructions – a month ago **files (3)** – ## IHITool_Aim-Statement-Worksheetforunit10.pdf – ## Aimstatementinstructions.docx – ## PaperTemplatewithAIInputIncluded.docx **## IHITool_Aim-Statement-Worksheetforunit10.pdf** IHI TOOL Aim Statement Worksheet Copyri…

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    Assignment Prompt & Instructions

    see attached files for references and instructions

    – a month ago

    **files (3)**

    – ## IHITool_Aim-Statement-Worksheetforunit10.pdf

    – ## Aimstatementinstructions.docx

    – ## PaperTemplatewithAIInputIncluded.docx

    **## IHITool_Aim-Statement-Worksheetforunit10.pdf**

    IHI TOOL

    Aim Statement Worksheet

    Copyright © 2019 Institute for Healthcare Improvement. All rights reserved. Individuals may photocopy these materials for educational, not-for-profit uses,
    provided that the contents are not altered in any way and that proper attribution is given to IHI as the source of the content. These materials may not be reproduced
    for commercial, for-profit use in any form or by any means, or republished under any circumstances, without the written permission of the Institute for Healthcare
    Improvement.

    What? What’s the problem or opportunity? Make sure it relates to a fundamental customer need.

    How much? By how much will you improve? Or “how good” do you want to get?

    By when? What is the date by which you will achieve the level of improvement you’ve set out to accomplish?

    For whom? Who is the customer or population who will benefit from the improvement?

    Where? What are the boundaries of the process or system you’re trying to improve? Where does it begin and end?

    Complete aim statement:

    Ask a colleague to double-check your work and recommend improvements:
    q Is the problem or opportunity clearly stated?
    q Do you know what the team is going to do about the problem?
    q Has the team set a numerical goal to quantify the amount of improvement they’d like achieve?
    q Do you know the calendar date by which the team plans to achieve the goal?
    q Is it clear who will benefit from the improvement?
    q Is the scope of the project clear?
    q Do you know why this improvement effort is important?

    Aim Statement Worksheet

    An aim statement is the answer to the first question in the Model for Improvement, “What are we trying to accomplish?”
    Effective aim statements delineate clear, specific plans for the work ahead.

    Use the prompts below to write an effective aim statement. Then use the checklist to double-check your work.

    IHI TOOL: Aim Statement Worksheet

    Institute for Healthcare Improvement • ihi.org 2

    01. Text1: E.g. Increase the percent of children who receive a Health Needs Assessment
    02. Text2: E.g. 95% of children who should receive a Health Needs Assessment will receive one
    03. Text3: E.g. January 31, 2020
    04. Text4: E.g. Children under the age of 12 who have an initial referral to Child Protective Services
    05. Text5: E.g. In Middlesex County
    06. Text6: E.g. By January 31, 2020, of children under the age of 12 for whom a Health Needs Assessment is recommended, 95% will receive the assessment in Middlesex County.
    07. Check Box15: Off
    08. Check Box16: Off
    09. Check Box17: Off
    10. Check Box18: Off
    11. Check Box19: Off
    12. Check Box20: Off
    13. Check Box21: Off

    **## Aimstatementinstructions.docx**

    Due Sept.26th :The assignment is an
    **academic paper formatted according to APA guidelines, including a title page, headings for each main section, proper in-text citations, and a references page. complete the assignment using the Template provided below. Must be less than 10% AI and similarity detection on Turnitin report!!!!**

    In the last assignment you completed a Gap Analysis, selected a single Gap to examine deeper, examined root causes of that selected Gap, and formulated a Problem Statement.(Mine was Consistency of fall-risk assessment and reassessment in hospital or acute care setting).

    For this assignment you will draft an adapted Aim Statement and identify a Theoretical/Explanatory Framework to guide the design of an improvement project to address the identified problem.

    The assignment template includes the following sections:

    ·
    **Introduction:** Begin with a relevant, cited statistic to draw the reader in, then introduce your topic and explain its importance. Write in third person; do not use first person in this paper. End the introduction with a purpose/thesis statement that identifies at least the two main points/sections your paper will address (e.g., "The purpose of this paper is to explore my practice problem of…"). The entire paper should be written in your authentic graduate-level voice and supported by full-text evidence throughout.

    ·
    **Practice Setting:** Describe the practice setting where you identified the problem (current or prior). Include enough detail to frame the problem's context (e.g., outpatient or inpatient, urban or rural, facility and unit type, population served, staffing).

    ·
    **Description of the Problem:** This section should be the most substantively developed in your paper and draw on the broadest range of evidence. Describe the problem using local observations or data from your practice setting (e.g., audits, metrics, incident reports, direct examples), and address its scope and significance, who is affected, and the clinical, safety, financial, or quality consequences if left unaddressed. Clearly state how current practice deviates from guidelines, evidence, or expected outcomes. Include evidence that this problem has also been identified in other practice settings, establishing it as a recognized issue in the literature rather than an isolated local concern. Briefly note the contributing context (e.g., workflow, staffing, or training gaps) without fully analyzing causation, as that deeper analysis belongs in the Framework section. Clearly establish the gap between current practice and best practice or performance benchmarks, since this gap is what your Problem Statement will later distill into a single sentence. Aim to synthesize at least
    **4–6 scholarly sources**(nursing and medical journals are great!) here, supporting every claim about scope, prevalence, or consequence with a citation.

    ·
    **Problem Statement:** Write a succinct, single problem statement. Use the "Constructing a Problem Statement" document linked in the assignment instructions as a guide.

    ·
    **Aim Statement:** Draft an Aim Statement that addresses only the one intervention you have selected — do not present or compare multiple intervention options in this section; that comparative work should already be resolved before you write this statement. Use IHI's Aim Statement worksheet (found in your assignment resources below) to guide your development of a clear, measurable, time-bound statement, but write this section in narrative form. Do not copy and paste the worksheet directly. Include:

    · A timeframe for the improvement project process

    · A description of your single, selected proposed intervention or change strategy

    · A descriptor of the practice setting where the improvement project will occur

    · The specific Aim and desired outcome of implementing that intervention

    ·
    **Framework:** This section requires you to identify and apply frameworks to understand why your problem exists and what factors are driving it. The purpose here is not to describe how to implement or evaluate change, but to analyze the underlying behavioral, motivational, environmental, organizational, and system-level factors contributing to the problem.

    · You will work with two related yet distinct types of frameworks:

    ·
    **Explanatory Framework:** Identifies and organizes the specific variables or factors that cause or sustain the problem (e.g., workflow gaps, knowledge deficits, staffing patterns, communication breakdowns, or resource constraints). An explanatory framework answers the question, "What factors contribute to this problem, and how do they interact?"

    ·
    **Theoretical Framework:** Provides the broader conceptual or disciplinary lens that explains why the problem exists at a more fundamental level, based on behaviors, motivation, or decision-making processes, and can help predict outcomes (e.g., Health Belief Model, Theory of Planned Behavior, Self-Determination Theory). It may also take the form of a conceptual model that illustrates relationships among core concepts in your topic (e.g., Technology Acceptance Model, Roy Adaptation Model). If no clear existing framework or model fits your problem, you may instead provide an in-depth framing of the concept grounded in the literature. Whichever form it takes, the framework must be supported by evidence.

    _Note: Frameworks focused primarily on implementation or evaluation (e.g., PDSA, Lean, Six Sigma, Knowledge-to-Action, RE-AIM) or EBP models (e.g., Iowa Model) are not appropriate for this section because they describe how to implement or evaluate change, not why the problem exists._

    ·
    **Conclusion:** Include a Conclusion section (Level 1 header, centered and bolded), typically one paragraph. Summarize the paper and restate its main points, including a restated or rephrased version of your purpose/thesis statement. Do not introduce new ideas or new cited information here — if you find yourself wanting to add cited information, move it to the appropriate earlier section instead. You may close by clarifying the paper’s intent and importance.

    ·
    **References:** All references must be accessible and cited in the body of the paper, formatted in APA style.

    · All references and supporting evidence must be independently verified, appropriately cited, and drawn from current scholarly literature with accessible full-text sources. Validate your opinions and ideas with proper APA citations throughout.
    **Must download the pdf file of each reference source/ website you get information from and add it to the end of the paper.**

    Assignment Resources

    **Use the following resources to assist with this assignment:**

    ·
    [Problem Statement Instruction Sheet](https://herzing.instructure.com/courses/57058/files/15022292?wrap=1) [Download Problem Statement Instruction Sheet](https://herzing.instructure.com/courses/57058/files/15022292/download?download_frd=1)

    ·
    [IHITool Aim-Statement Worksheet](https://herzing.instructure.com/courses/57058/files/15022513?wrap=1) [Download IHITool Aim-Statement Worksheet](https://herzing.instructure.com/courses/57058/files/15022513/download?download_frd=1) [PDF]

    **Put information into the attached template format!!!**

    Ethical Artificial Intelligence Use

    You are expected to use AI ethically as a tool for idea generation and exploration:

    1. Survey the literature using AI to identify a minimum of three potential explanatory and/or theoretical frameworks, models, or literature-based concepts that could help explain your problem.

    2. Review the AI-generated output and select one primary framework (explanatory, theoretical, or a combined approach if justified) that best aligns with your identified practice problem and your selected intervention.

    3. Synthesize what you learned into your own scholarly discussion, describing the framework you selected and discussing how it aligns with the elements of the problem and informs your project design. Write in your authentic graduate-level voice.

    **## PaperTemplatewithAIInputIncluded.docx**

    **Title of Paper**

    Student Name

    University

    Nursing Practice

    Faculty Name

    Due Date

    1

    8

    **Insert Title of Paper Here**

    Tips for the Introduction: It is effective to open a paper with a statistic (supported with a citation) on the topic to grab the reader's attention. Then introduce the paper's topic and explain why it is important. End the introduction paragraph describing the purpose of the paper. Example: The purpose of this paper is to explore the identified practice problem of… (Include at least 2 main points/sections you will address in the body of your paper.) and describe the framework selected as the best fit to inform project design.
    _One final note: this entire paper should be written in your authentic graduate-level voice and supported with full-text evidence._

    **Practice Setting**

    This section should describe the practice setting where you identified the problem. This could be your current or a prior practice setting, with sufficient detail to frame the problem's context (e.g., outpatient/inpatient, urban/rural, facility, unit type, population, staffing).

    **Description of the Problem**

    This section should be the most substantively developed in your paper, drawing on the broadest range of evidence.
    **Describe the problem using local observations or data from your practice setting**(e.g., audits, metrics, incident reports, direct examples) and address its scope and significance, including who is affected and the clinical, safety, financial, or quality consequences if left unaddressed. Clearly state how current practice deviates from guidelines, evidence, or expected outcomes.
    **Include evidence demonstrating that this problem has been identified in other practice settings, establishing it as a recognized issue in the literature rather than an isolated local concern.** Briefly note the contributing context (workflow, staffing, or training gaps) without fully analyzing causation, as that deeper analysis belongs in the Framework section. Clearly establish the gap between current practice and best practice or performance benchmarks, as this gap is what your Problem Statement will distill into a single sentence later. Aim to synthesize 4-6 scholarly sources here, supporting every claim about scope, prevalence, or consequence with a citation.

    **Problem Statement**

    This section should include a succinct problem statement, using the linked document “Constructing a Problem Statement” provided in the assignment instructions as a guide.

    **Aim Statement**

    This section should include your Aim statement relevant to the identified problem. Use IHI’s Aim Statement worksheet to guide your development of the elements of an adapted statement so that it is clear, measurable, and time-bound. Include a proposed intervention or change strategy. This section should be in narrative form, not a copy-and-paste of the worksheet.

    **Framework Options Sourced from AI Engagement**

    Use an ethical approach with AI to guide your construction of this section. You may use ChatGPT or any other AI platform you may be familiar with are already using. Numerous AI platforms offer free engagement which will be sufficient to complete this element of the assignment.

    Below is the prompt you will utilize to generate your discussion for this section of the assignment:

    I am a graduate nursing student in a Scholarship for Nursing Practice course completing an assignment that requires search, synthesis and selection of a suitable theory or conceptual model for providing a framework that informs the elements/actions of a graduate level scholarship improvement project where the identified practice problem is ***** [here you will input your identified practice problem,
    **succinctly**]. I need help generating a list of three such frameworks for my review that I can later narrow to one. Do not include any frameworks in the output that inform only the implementation process, include only frameworks that inform the design of the improvement actions and activities.

    **Note:** The purpose of generating three framework options is to help you critically evaluate potential conceptual foundations for your project.

    **Here you will copy-and-paste your AI query prompt and the AI query output for faculty review.**

    In the final paragraph in this section, you will
    **identify the framework you have selected** from the AI outputs. After you have identified your selected framework,
    **provide a rationale as to why you believe this is the best framework to inform your project design**. Hint, if it is the best framework, is the intervention you included in your Aim Statement encompassed in the AI output relative to this framework? If yes, congratulate yourself for discerning that in advance of the AI output generation. If no, perhaps you need to revisit the literature about potential, evidence-informed solutions that you can apply to address the problem.

    **Framework**

    This section should include a completed description – overview – of the key concepts encompassed in the framework you selected from the AI outputs. Next you will construct a discussion of how the selected framework aligns with the elements of the problem and how it informs your project design. The framework could be a relevant theory that explains why a problem exists, based on behaviors, motivation, or decision-making processes, and that predicts outcomes (e.g., Health Belief Model, Theory of Planned Behavior, Self-Determination Theory). Alternatively, it could be a conceptual (explanatory) model that illustrates relationships among the core concepts of your problem. The framework should be supported by evidence. NOTE: The AI output you generated may not provide reference to the original work for your selected framework. You are responsible to search for the originating work on the theory and cite that work – do not cite a secondary source for the theory. Do not use an implementation framework like the Iowa, KTA, PDSA, or any other QI framework.

    Conclusion

    Tips: Notice that the Conclusion is a Level 1 Header, centered and bolded. A conclusion section should be included in all scholarly papers to summarize the paper. It is normally one paragraph, succinct, and restates the main points of your paper. You should also restate or rephrase your purpose/thesis statement. In conclusion, do not add new ideas or new information with citations; instead, summarize the paper and reflect on key elements. If you need to add cited information, move it to a previous section of your paper. You can end the conclusion by clarifying the intent and importance of the paper. For additional APA font choices for scholarly papers, see
    [https://apastyle.apa.org/style-grammar-guidelines/paper-format/font](https://apastyle.apa.org/style-grammar-guidelines/paper-format/font).

    **References**

    Field, B., Booth, A., Ilott, I., & Gerrish, K. (2014). Using the knowledge to action framework in practice: A citation analysis and systematic review.
    _Implementation Science_,
    _9_(1), 1.
    [https://doi.org/10.1186/s13012-014-0172-2](https://doi.org/10.1186/s13012-014-0172-2) (Journal Example for a template)

    Knowles, M., Holton, E.F., & Swanson, R.A. (2005).
    _The adult learner: The definitive class in adult education and human resource development_ (6th ed.). Elsevier. (Book Example)

    National League for Nursing (2021).
    _Coaching for excellence in nursing: A guide for educators._ NLN.
    [https://ondemand.nln.org/product?catalog=Coaching-for-Excellence-in-Nursing](https://ondemand.nln.org/product?catalog=Coaching-for-Excellence-in-Nursing) (Web article Example; Use all 3 examples as templates)

    \*\* Remember that ALL references should be accessible and cited in the body of the paper. The in-text citations for the above examples are as follows:

    (Field et al., 2014)

    (Knowles et al., 2005)

    (National League for Nursing [NLN], 2021)- First citation.

    (NLN, 2021)- Subsequent citation.

    **## PaperTemplatewithAIInputIncluded.docx**

    **Title of Paper**

    Student Name

    University

    Nursing Practice

    Faculty Name

    Due Date

    1

    8

    **Insert Title of Paper Here**

    Tips for the Introduction: It is effective to open a paper with a statistic (supported with a citation) on the topic to grab the reader's attention. Then introduce the paper's topic and explain why it is important. End the introduction paragraph describing the purpose of the paper. Example: The purpose of this paper is to explore the identified practice problem of… (Include at least 2 main points/sections you will address in the body of your paper.) and describe the framework selected as the best fit to inform project design.
    _One final note: this entire paper should be written in your authentic graduate-level voice and supported with full-text evidence._

    **Practice Setting**

    This section should describe the practice setting where you identified the problem. This could be your current or a prior practice setting, with sufficient detail to frame the problem's context (e.g., outpatient/inpatient, urban/rural, facility, unit type, population, staffing).

    **Description of the Problem**

    This section should be the most substantively developed in your paper, drawing on the broadest range of evidence.
    **Describe the problem using local observations or data from your practice setting**(e.g., audits, metrics, incident reports, direct examples) and address its scope and significance, including who is affected and the clinical, safety, financial, or quality consequences if left unaddressed. Clearly state how current practice deviates from guidelines, evidence, or expected outcomes.
    **Include evidence demonstrating that this problem has been identified in other practice settings, establishing it as a recognized issue in the literature rather than an isolated local concern.** Briefly note the contributing context (workflow, staffing, or training gaps) without fully analyzing causation, as that deeper analysis belongs in the Framework section. Clearly establish the gap between current practice and best practice or performance benchmarks, as this gap is what your Problem Statement will distill into a single sentence later. Aim to synthesize 4-6 scholarly sources here, supporting every claim about scope, prevalence, or consequence with a citation.

    **Problem Statement**

    This section should include a succinct problem statement, using the linked document “Constructing a Problem Statement” provided in the assignment instructions as a guide.

    **Aim Statement**

    This section should include your Aim statement relevant to the identified problem. Use IHI’s Aim Statement worksheet to guide your development of the elements of an adapted statement so that it is clear, measurable, and time-bound. Include a proposed intervention or change strategy. This section should be in narrative form, not a copy-and-paste of the worksheet.

    **Framework Options Sourced from AI Engagement**

    Use an ethical approach with AI to guide your construction of this section. You may use ChatGPT or any other AI platform you may be familiar with are already using. Numerous AI platforms offer free engagement which will be sufficient to complete this element of the assignment.

    Below is the prompt you will utilize to generate your discussion for this section of the assignment:

    I am a graduate nursing student in a Scholarship for Nursing Practice course completing an assignment that requires search, synthesis and selection of a suitable theory or conceptual model for providing a framework that informs the elements/actions of a graduate level scholarship improvement project where the identified practice problem is ***** [here you will input your identified practice problem,
    **succinctly**]. I need help generating a list of three such frameworks for my review that I can later narrow to one. Do not include any frameworks in the output that inform only the implementation process, include only frameworks that inform the design of the improvement actions and activities.

    **Note:** The purpose of generating three framework options is to help you critically evaluate potential conceptual foundations for your project.

    **Here you will copy-and-paste your AI query prompt and the AI query output for faculty review.**

    In the final paragraph in this section, you will
    **identify the framework you have selected** from the AI outputs. After you have identified your selected framework,
    **provide a rationale as to why you believe this is the best framework to inform your project design**. Hint, if it is the best framework, is the intervention you included in your Aim Statement encompassed in the AI output relative to this framework? If yes, congratulate yourself for discerning that in advance of the AI output generation. If no, perhaps you need to revisit the literature about potential, evidence-informed solutions that you can apply to address the problem.

    **Framework**

    This section should include a completed description – overview – of the key concepts encompassed in the framework you selected from the AI outputs. Next you will construct a discussion of how the selected framework aligns with the elements of the problem and how it informs your project design. The framework could be a relevant theory that explains why a problem exists, based on behaviors, motivation, or decision-making processes, and that predicts outcomes (e.g., Health Belief Model, Theory of Planned Behavior, Self-Determination Theory). Alternatively, it could be a conceptual (explanatory) model that illustrates relationships among the core concepts of your problem. The framework should be supported by evidence. NOTE: The AI output you generated may not provide reference to the original work for your selected framework. You are responsible to search for the originating work on the theory and cite that work – do not cite a secondary source for the theory. Do not use an implementation framework like the Iowa, KTA, PDSA, or any other QI framework.

    Conclusion

    Tips: Notice that the Conclusion is a Level 1 Header, centered and bolded. A conclusion section should be included in all scholarly papers to summarize the paper. It is normally one paragraph, succinct, and restates the main points of your paper. You should also restate or rephrase your purpose/thesis statement. In conclusion, do not add new ideas or new information with citations; instead, summarize the paper and reflect on key elements. If you need to add cited information, move it to a previous section of your paper. You can end the conclusion by clarifying the intent and importance of the paper. For additional APA font choices for scholarly papers, see
    [https://apastyle.apa.org/style-grammar-guidelines/paper-format/font](https://apastyle.apa.org/style-grammar-guidelines/paper-format/font).

    **References**

    Field, B., Booth, A., Ilott, I., & Gerrish, K. (2014). Using the knowledge to action framework in practice: A citation analysis and systematic review.
    _Implementation Science_,
    _9_(1), 1.
    [https://doi.org/10.1186/s13012-014-0172-2](https://doi.org/10.1186/s13012-014-0172-2) (Journal Example for a template)

    Knowles, M., Holton, E.F., & Swanson, R.A. (2005).
    _The adult learner: The definitive class in adult education and human resource development_ (6th ed.). Elsevier. (Book Example)

    National League for Nursing (2021).
    _Coaching for excellence in nursing: A guide for educators._ NLN.
    [https://ondemand.nln.org/product?catalog=Coaching-for-Excellence-in-Nursing](https://ondemand.nln.org/product?catalog=Coaching-for-Excellence-in-Nursing) (Web article Example; Use all 3 examples as templates)

    \*\* Remember that ALL references should be accessible and cited in the body of the paper. The in-text citations for the above examples are as follows:

    (Field et al., 2014)

    (Knowles et al., 2005)

    (National League for Nursing [NLN], 2021)- First citation.

    (NLN, 2021)- Subsequent citation.

    **## IHITool_Aim-Statement-Worksheetforunit10.pdf**

    IHI TOOL

    Aim Statement Worksheet

    Copyright © 2019 Institute for Healthcare Improvement. All rights reserved. Individuals may photocopy these materials for educational, not-for-profit uses,
    provided that the contents are not altered in any way and that proper attribution is given to IHI as the source of the content. These materials may not be reproduced
    for commercial, for-profit use in any form or by any means, or republished under any circumstances, without the written permission of the Institute for Healthcare
    Improvement.

    What? What’s the problem or opportunity? Make sure it relates to a fundamental customer need.

    How much? By how much will you improve? Or “how good” do you want to get?

    By when? What is the date by which you will achieve the level of improvement you’ve set out to accomplish?

    For whom? Who is the customer or population who will benefit from the improvement?

    Where? What are the boundaries of the process or system you’re trying to improve? Where does it begin and end?

    Complete aim statement:

    Ask a colleague to double-check your work and recommend improvements:
    q Is the problem or opportunity clearly stated?
    q Do you know what the team is going to do about the problem?
    q Has the team set a numerical goal to quantify the amount of improvement they’d like achieve?
    q Do you know the calendar date by which the team plans to achieve the goal?
    q Is it clear who will benefit from the improvement?
    q Is the scope of the project clear?
    q Do you know why this improvement effort is important?

    Aim Statement Worksheet

    An aim statement is the answer to the first question in the Model for Improvement, “What are we trying to accomplish?”
    Effective aim statements delineate clear, specific plans for the work ahead.

    Use the prompts below to write an effective aim statement. Then use the checklist to double-check your work.

    IHI TOOL: Aim Statement Worksheet

    Institute for Healthcare Improvement • ihi.org 2

    01. Text1: E.g. Increase the percent of children who receive a Health Needs Assessment
    02. Text2: E.g. 95% of children who should receive a Health Needs Assessment will receive one
    03. Text3: E.g. January 31, 2020
    04. Text4: E.g. Children under the age of 12 who have an initial referral to Child Protective Services
    05. Text5: E.g. In Middlesex County
    06. Text6: E.g. By January 31, 2020, of children under the age of 12 for whom a Health Needs Assessment is recommended, 95% will receive the assessment in Middlesex County.
    07. Check Box15: Off
    08. Check Box16: Off
    09. Check Box17: Off
    10. Check Box18: Off
    11. Check Box19: Off
    12. Check Box20: Off
    13. Check Box21: Off

    **## Aimstatementinstructions.docx**

    Due Sept.26th :The assignment is an
    **academic paper formatted according to APA guidelines, including a title page, headings for each main section, proper in-text citations, and a references page. complete the assignment using the Template provided below. Must be less than 10% AI and similarity detection on Turnitin report!!!!**

    In the last assignment you completed a Gap Analysis, selected a single Gap to examine deeper, examined root causes of that selected Gap, and formulated a Problem Statement.(Mine was Consistency of fall-risk assessment and reassessment in hospital or acute care setting).

    For this assignment you will draft an adapted Aim Statement and identify a Theoretical/Explanatory Framework to guide the design of an improvement project to address the identified problem.

    The assignment template includes the following sections:

    ·
    **Introduction:** Begin with a relevant, cited statistic to draw the reader in, then introduce your topic and explain its importance. Write in third person; do not use first person in this paper. End the introduction with a purpose/thesis statement that identifies at least the two main points/sections your paper will address (e.g., "The purpose of this paper is to explore my practice problem of…"). The entire paper should be written in your authentic graduate-level voice and supported by full-text evidence throughout.

    ·
    **Practice Setting:** Describe the practice setting where you identified the problem (current or prior). Include enough detail to frame the problem's context (e.g., outpatient or inpatient, urban or rural, facility and unit type, population served, staffing).

    ·
    **Description of the Problem:** This section should be the most substantively developed in your paper and draw on the broadest range of evidence. Describe the problem using local observations or data from your practice setting (e.g., audits, metrics, incident reports, direct examples), and address its scope and significance, who is affected, and the clinical, safety, financial, or quality consequences if left unaddressed. Clearly state how current practice deviates from guidelines, evidence, or expected outcomes. Include evidence that this problem has also been identified in other practice settings, establishing it as a recognized issue in the literature rather than an isolated local concern. Briefly note the contributing context (e.g., workflow, staffing, or training gaps) without fully analyzing causation, as that deeper analysis belongs in the Framework section. Clearly establish the gap between current practice and best practice or performance benchmarks, since this gap is what your Problem Statement will later distill into a single sentence. Aim to synthesize at least
    **4–6 scholarly sources**(nursing and medical journals are great!) here, supporting every claim about scope, prevalence, or consequence with a citation.

    ·
    **Problem Statement:** Write a succinct, single problem statement. Use the "Constructing a Problem Statement" document linked in the assignment instructions as a guide.

    ·
    **Aim Statement:** Draft an Aim Statement that addresses only the one intervention you have selected — do not present or compare multiple intervention options in this section; that comparative work should already be resolved before you write this statement. Use IHI's Aim Statement worksheet (found in your assignment resources below) to guide your development of a clear, measurable, time-bound statement, but write this section in narrative form. Do not copy and paste the worksheet directly. Include:

    · A timeframe for the improvement project process

    · A description of your single, selected proposed intervention or change strategy

    · A descriptor of the practice setting where the improvement project will occur

    · The specific Aim and desired outcome of implementing that intervention

    ·
    **Framework:** This section requires you to identify and apply frameworks to understand why your problem exists and what factors are driving it. The purpose here is not to describe how to implement or evaluate change, but to analyze the underlying behavioral, motivational, environmental, organizational, and system-level factors contributing to the problem.

    · You will work with two related yet distinct types of frameworks:

    ·
    **Explanatory Framework:** Identifies and organizes the specific variables or factors that cause or sustain the problem (e.g., workflow gaps, knowledge deficits, staffing patterns, communication breakdowns, or resource constraints). An explanatory framework answers the question, "What factors contribute to this problem, and how do they interact?"

    ·
    **Theoretical Framework:** Provides the broader conceptual or disciplinary lens that explains why the problem exists at a more fundamental level, based on behaviors, motivation, or decision-making processes, and can help predict outcomes (e.g., Health Belief Model, Theory of Planned Behavior, Self-Determination Theory). It may also take the form of a conceptual model that illustrates relationships among core concepts in your topic (e.g., Technology Acceptance Model, Roy Adaptation Model). If no clear existing framework or model fits your problem, you may instead provide an in-depth framing of the concept grounded in the literature. Whichever form it takes, the framework must be supported by evidence.

    _Note: Frameworks focused primarily on implementation or evaluation (e.g., PDSA, Lean, Six Sigma, Knowledge-to-Action, RE-AIM) or EBP models (e.g., Iowa Model) are not appropriate for this section because they describe how to implement or evaluate change, not why the problem exists._

    ·
    **Conclusion:** Include a Conclusion section (Level 1 header, centered and bolded), typically one paragraph. Summarize the paper and restate its main points, including a restated or rephrased version of your purpose/thesis statement. Do not introduce new ideas or new cited information here — if you find yourself wanting to add cited information, move it to the appropriate earlier section instead. You may close by clarifying the paper’s intent and importance.

    ·
    **References:** All references must be accessible and cited in the body of the paper, formatted in APA style.

    · All references and supporting evidence must be independently verified, appropriately cited, and drawn from current scholarly literature with accessible full-text sources. Validate your opinions and ideas with proper APA citations throughout.
    **Must download the pdf file of each reference source/ website you get information from and add it to the end of the paper.**

    Assignment Resources

    **Use the following resources to assist with this assignment:**

    ·
    [Problem Statement Instruction Sheet](https://herzing.instructure.com/courses/57058/files/15022292?wrap=1) [Download Problem Statement Instruction Sheet](https://herzing.instructure.com/courses/57058/files/15022292/download?download_frd=1)

    ·
    [IHITool Aim-Statement Worksheet](https://herzing.instructure.com/courses/57058/files/15022513?wrap=1) [Download IHITool Aim-Statement Worksheet](https://herzing.instructure.com/courses/57058/files/15022513/download?download_frd=1) [PDF]

    **Put information into the attached template format!!!**

    Ethical Artificial Intelligence Use

    You are expected to use AI ethically as a tool for idea generation and exploration:

    1. Survey the literature using AI to identify a minimum of three potential explanatory and/or theoretical frameworks, models, or literature-based concepts that could help explain your problem.

    2. Review the AI-generated output and select one primary framework (explanatory, theoretical, or a combined approach if justified) that best aligns with your identified practice problem and your selected intervention.

    3. Synthesize what you learned into your own scholarly discussion, describing the framework you selected and discussing how it aligns with the elements of the problem and informs your project design. Write in your authentic graduate-level voice.

    **## PaperTemplatewithAIInputIncluded.docx**

    **Title of Paper**

    Student Name

    University

    Nursing Practice

    Faculty Name

    Due Date

    1

    8

    **Insert Title of Paper Here**

    Tips for the Introduction: It is effective to open a paper with a statistic (supported with a citation) on the topic to grab the reader's attention. Then introduce the paper's topic and explain why it is important. End the introduction paragraph describing the purpose of the paper. Example: The purpose of this paper is to explore the identified practice problem of… (Include at least 2 main points/sections you will address in the body of your paper.) and describe the framework selected as the best fit to inform project design.
    _One final note: this entire paper should be written in your authentic graduate-level voice and supported with full-text evidence._

    **Practice Setting**

    This section should describe the practice setting where you identified the problem. This could be your current or a prior practice setting, with sufficient detail to frame the problem's context (e.g., outpatient/inpatient, urban/rural, facility, unit type, population, staffing).

    **Description of the Problem**

    This section should be the most substantively developed in your paper, drawing on the broadest range of evidence.
    **Describe the problem using local observations or data from your practice setting**(e.g., audits, metrics, incident reports, direct examples) and address its scope and significance, including who is affected and the clinical, safety, financial, or quality consequences if left unaddressed. Clearly state how current practice deviates from guidelines, evidence, or expected outcomes.
    **Include evidence demonstrating that this problem has been identified in other practice settings, establishing it as a recognized issue in the literature rather than an isolated local concern.** Briefly note the contributing context (workflow, staffing, or training gaps) without fully analyzing causation, as that deeper analysis belongs in the Framework section. Clearly establish the gap between current practice and best practice or performance benchmarks, as this gap is what your Problem Statement will distill into a single sentence later. Aim to synthesize 4-6 scholarly sources here, supporting every claim about scope, prevalence, or consequence with a citation.

    **Problem Statement**

    This section should include a succinct problem statement, using the linked document “Constructing a Problem Statement” provided in the assignment instructions as a guide.

    **Aim Statement**

    This section should include your Aim statement relevant to the identified problem. Use IHI’s Aim Statement worksheet to guide your development of the elements of an adapted statement so that it is clear, measurable, and time-bound. Include a proposed intervention or change strategy. This section should be in narrative form, not a copy-and-paste of the worksheet.

    **Framework Options Sourced from AI Engagement**

    Use an ethical approach with AI to guide your construction of this section. You may use ChatGPT or any other AI platform you may be familiar with are already using. Numerous AI platforms offer free engagement which will be sufficient to complete this element of the assignment.

    Below is the prompt you will utilize to generate your discussion for this section of the assignment:

    I am a graduate nursing student in a Scholarship for Nursing Practice course completing an assignment that requires search, synthesis and selection of a suitable theory or conceptual model for providing a framework that informs the elements/actions of a graduate level scholarship improvement project where the identified practice problem is ***** [here you will input your identified practice problem,
    **succinctly**]. I need help generating a list of three such frameworks for my review that I can later narrow to one. Do not include any frameworks in the output that inform only the implementation process, include only frameworks that inform the design of the improvement actions and activities.

    **Note:** The purpose of generating three framework options is to help you critically evaluate potential conceptual foundations for your project.

    **Here you will copy-and-paste your AI query prompt and the AI query output for faculty review.**

    In the final paragraph in this section, you will
    **identify the framework you have selected** from the AI outputs. After you have identified your selected framework,
    **provide a rationale as to why you believe this is the best framework to inform your project design**. Hint, if it is the best framework, is the intervention you included in your Aim Statement encompassed in the AI output relative to this framework? If yes, congratulate yourself for discerning that in advance of the AI output generation. If no, perhaps you need to revisit the literature about potential, evidence-informed solutions that you can apply to address the problem.

    **Framework**

    This section should include a completed description – overview – of the key concepts encompassed in the framework you selected from the AI outputs. Next you will construct a discussion of how the selected framework aligns with the elements of the problem and how it informs your project design. The framework could be a relevant theory that explains why a problem exists, based on behaviors, motivation, or decision-making processes, and that predicts outcomes (e.g., Health Belief Model, Theory of Planned Behavior, Self-Determination Theory). Alternatively, it could be a conceptual (explanatory) model that illustrates relationships among the core concepts of your problem. The framework should be supported by evidence. NOTE: The AI output you generated may not provide reference to the original work for your selected framework. You are responsible to search for the originating work on the theory and cite that work – do not cite a secondary source for the theory. Do not use an implementation framework like the Iowa, KTA, PDSA, or any other QI framework.

    Conclusion

    Tips: Notice that the Conclusion is a Level 1 Header, centered and bolded. A conclusion section should be included in all scholarly papers to summarize the paper. It is normally one paragraph, succinct, and restates the main points of your paper. You should also restate or rephrase your purpose/thesis statement. In conclusion, do not add new ideas or new information with citations; instead, summarize the paper and reflect on key elements. If you need to add cited information, move it to a previous section of your paper. You can end the conclusion by clarifying the intent and importance of the paper. For additional APA font choices for scholarly papers, see
    [https://apastyle.apa.org/style-grammar-guidelines/paper-format/font](https://apastyle.apa.org/style-grammar-guidelines/paper-format/font).

    **References**

    Field, B., Booth, A., Ilott, I., & Gerrish, K. (2014). Using the knowledge to action framework in practice: A citation analysis and systematic review.
    _Implementation Science_,
    _9_(1), 1.
    [https://doi.org/10.1186/s13012-014-0172-2](https://doi.org/10.1186/s13012-014-0172-2) (Journal Example for a template)

    Knowles, M., Holton, E.F., & Swanson, R.A. (2005).
    _The adult learner: The definitive class in adult education and human resource development_ (6th ed.). Elsevier. (Book Example)

    National League for Nursing (2021).
    _Coaching for excellence in nursing: A guide for educators._ NLN.
    [https://ondemand.nln.org/product?catalog=Coaching-for-Excellence-in-Nursing](https://ondemand.nln.org/product?catalog=Coaching-for-Excellence-in-Nursing) (Web article Example; Use all 3 examples as templates)

    \*\* Remember that ALL references should be accessible and cited in the body of the paper. The in-text citations for the above examples are as follows:

    (Field et al., 2014)

    (Knowles et al., 2005)

    (National League for Nursing [NLN], 2021)- First citation.

    (NLN, 2021)- Subsequent citation.

    **## IHITool_Aim-Statement-Worksheetforunit10.pdf**

    IHI TOOL

    Aim Statement Worksheet

    Copyright © 2019 Institute for Healthcare Improvement. All rights reserved. Individuals may photocopy these materials for educational, not-for-profit uses,
    provided that the contents are not altered in any way and that proper attribution is given to IHI as the source of the content. These materials may not be reproduced
    for commercial, for-profit use in any form or by any means, or republished under any circumstances, without the written permission of the Institute for Healthcare
    Improvement.

    What? What’s the problem or opportunity? Make sure it relates to a fundamental customer need.

    How much? By how much will you improve? Or “how good” do you want to get?

    By when? What is the date by which you will achieve the level of improvement you’ve set out to accomplish?

    For whom? Who is the customer or population who will benefit from the improvement?

    Where? What are the boundaries of the process or system you’re trying to improve? Where does it begin and end?

    Complete aim statement:

    Ask a colleague to double-check your work and recommend improvements:
    q Is the problem or opportunity clearly stated?
    q Do you know what the team is going to do about the problem?
    q Has the team set a numerical goal to quantify the amount of improvement they’d like achieve?
    q Do you know the calendar date by which the team plans to achieve the goal?
    q Is it clear who will benefit from the improvement?
    q Is the scope of the project clear?
    q Do you know why this improvement effort is important?

    Aim Statement Worksheet

    An aim statement is the answer to the first question in the Model for Improvement, “What are we trying to accomplish?”
    Effective aim statements delineate clear, specific plans for the work ahead.

    Use the prompts below to write an effective aim statement. Then use the checklist to double-check your work.

    IHI TOOL: Aim Statement Worksheet

    Institute for Healthcare Improvement • ihi.org 2

    01. Text1: E.g. Increase the percent of children who receive a Health Needs Assessment
    02. Text2: E.g. 95% of children who should receive a Health Needs Assessment will receive one
    03. Text3: E.g. January 31, 2020
    04. Text4: E.g. Children under the age of 12 who have an initial referral to Child Protective Services
    05. Text5: E.g. In Middlesex County
    06. Text6: E.g. By January 31, 2020, of children under the age of 12 for whom a Health Needs Assessment is recommended, 95% will receive the assessment in Middlesex County.
    07. Check Box15: Off
    08. Check Box16: Off
    09. Check Box17: Off
    10. Check Box18: Off
    11. Check Box19: Off
    12. Check Box20: Off
    13. Check Box21: Off

    **## Aimstatementinstructions.docx**

    Due Sept.26th :The assignment is an
    **academic paper formatted according to APA guidelines, including a title page, headings for each main section, proper in-text citations, and a references page. complete the assignment using the Template provided below. Must be less than 10% AI and similarity detection on Turnitin report!!!!**

    In the last assignment you completed a Gap Analysis, selected a single Gap to examine deeper, examined root causes of that selected Gap, and formulated a Problem Statement.(Mine was Consistency of fall-risk assessment and reassessment in hospital or acute care setting).

    For this assignment you will draft an adapted Aim Statement and identify a Theoretical/Explanatory Framework to guide the design of an improvement project to address the identified problem.

    The assignment template includes the following sections:

    ·
    **Introduction:** Begin with a relevant, cited statistic to draw the reader in, then introduce your topic and explain its importance. Write in third person; do not use first person in this paper. End the introduction with a purpose/thesis statement that identifies at least the two main points/sections your paper will address (e.g., "The purpose of this paper is to explore my practice problem of…"). The entire paper should be written in your authentic graduate-level voice and supported by full-text evidence throughout.

    ·
    **Practice Setting:** Describe the practice setting where you identified the problem (current or prior). Include enough detail to frame the problem's context (e.g., outpatient or inpatient, urban or rural, facility and unit type, population served, staffing).

    ·
    **Description of the Problem:** This section should be the most substantively developed in your paper and draw on the broadest range of evidence. Describe the problem using local observations or data from your practice setting (e.g., audits, metrics, incident reports, direct examples), and address its scope and significance, who is affected, and the clinical, safety, financial, or quality consequences if left unaddressed. Clearly state how current practice deviates from guidelines, evidence, or expected outcomes. Include evidence that this problem has also been identified in other practice settings, establishing it as a recognized issue in the literature rather than an isolated local concern. Briefly note the contributing context (e.g., workflow, staffing, or training gaps) without fully analyzing causation, as that deeper analysis belongs in the Framework section. Clearly establish the gap between current practice and best practice or performance benchmarks, since this gap is what your Problem Statement will later distill into a single sentence. Aim to synthesize at least
    **4–6 scholarly sources**(nursing and medical journals are great!) here, supporting every claim about scope, prevalence, or consequence with a citation.

    ·
    **Problem Statement:** Write a succinct, single problem statement. Use the "Constructing a Problem Statement" document linked in the assignment instructions as a guide.

    ·
    **Aim Statement:** Draft an Aim Statement that addresses only the one intervention you have selected — do not present or compare multiple intervention options in this section; that comparative work should already be resolved before you write this statement. Use IHI's Aim Statement worksheet (found in your assignment resources below) to guide your development of a clear, measurable, time-bound statement, but write this section in narrative form. Do not copy and paste the worksheet directly. Include:

    · A timeframe for the improvement project process

    · A description of your single, selected proposed intervention or change strategy

    · A descriptor of the practice setting where the improvement project will occur

    · The specific Aim and desired outcome of implementing that intervention

    ·
    **Framework:** This section requires you to identify and apply frameworks to understand why your problem exists and what factors are driving it. The purpose here is not to describe how to implement or evaluate change, but to analyze the underlying behavioral, motivational, environmental, organizational, and system-level factors contributing to the problem.

    · You will work with two related yet distinct types of frameworks:

    ·
    **Explanatory Framework:** Identifies and organizes the specific variables or factors that cause or sustain the problem (e.g., workflow gaps, knowledge deficits, staffing patterns, communication breakdowns, or resource constraints). An explanatory framework answers the question, "What factors contribute to this problem, and how do they interact?"

    ·
    **Theoretical Framework:** Provides the broader conceptual or disciplinary lens that explains why the problem exists at a more fundamental level, based on behaviors, motivation, or decision-making processes, and can help predict outcomes (e.g., Health Belief Model, Theory of Planned Behavior, Self-Determination Theory). It may also take the form of a conceptual model that illustrates relationships among core concepts in your topic (e.g., Technology Acceptance Model, Roy Adaptation Model). If no clear existing framework or model fits your problem, you may instead provide an in-depth framing of the concept grounded in the literature. Whichever form it takes, the framework must be supported by evidence.

    _Note: Frameworks focused primarily on implementation or evaluation (e.g., PDSA, Lean, Six Sigma, Knowledge-to-Action, RE-AIM) or EBP models (e.g., Iowa Model) are not appropriate for this section because they describe how to implement or evaluate change, not why the problem exists._

    ·
    **Conclusion:** Include a Conclusion section (Level 1 header, centered and bolded), typically one paragraph. Summarize the paper and restate its main points, including a restated or rephrased version of your purpose/thesis statement. Do not introduce new ideas or new cited information here — if you find yourself wanting to add cited information, move it to the appropriate earlier section instead. You may close by clarifying the paper’s intent and importance.

    ·
    **References:** All references must be accessible and cited in the body of the paper, formatted in APA style.

    · All references and supporting evidence must be independently verified, appropriately cited, and drawn from current scholarly literature with accessible full-text sources. Validate your opinions and ideas with proper APA citations throughout.
    **Must download the pdf file of each reference source/ website you get information from and add it to the end of the paper.**

    Assignment Resources

    **Use the following resources to assist with this assignment:**

    ·
    [Problem Statement Instruction Sheet](https://herzing.instructure.com/courses/57058/files/15022292?wrap=1) [Download Problem Statement Instruction Sheet](https://herzing.instructure.com/courses/57058/files/15022292/download?download_frd=1)

    ·
    [IHITool Aim-Statement Worksheet](https://herzing.instructure.com/courses/57058/files/15022513?wrap=1) [Download IHITool Aim-Statement Worksheet](https://herzing.instructure.com/courses/57058/files/15022513/download?download_frd=1) [PDF]

    **Put information into the attached template format!!!**

    Ethical Artificial Intelligence Use

    You are expected to use AI ethically as a tool for idea generation and exploration:

    1. Survey the literature using AI to identify a minimum of three potential explanatory and/or theoretical frameworks, models, or literature-based concepts that could help explain your problem.

    2. Review the AI-generated output and select one primary framework (explanatory, theoretical, or a combined approach if justified) that best aligns with your identified practice problem and your selected intervention.

    3. Synthesize what you learned into your own scholarly discussion, describing the framework you selected and discussing how it aligns with the elements of the problem and informs your project design. Write in your authentic graduate-level voice.

    **## PaperTemplatewithAIInputIncluded.docx**

    **Title of Paper**

    Student Name

    University

    Nursing Practice

    Faculty Name

    Due Date

    1

    8

    **Insert Title of Paper Here**

    Tips for the Introduction: It is effective to open a paper with a statistic (supported with a citation) on the topic to grab the reader's attention. Then introduce the paper's topic and explain why it is important. End the introduction paragraph describing the purpose of the paper. Example: The purpose of this paper is to explore the identified practice problem of… (Include at least 2 main points/sections you will address in the body of your paper.) and describe the framework selected as the best fit to inform project design.
    _One final note: this entire paper should be written in your authentic graduate-level voice and supported with full-text evidence._

    **Practice Setting**

    This section should describe the practice setting where you identified the problem. This could be your current or a prior practice setting, with sufficient detail to frame the problem's context (e.g., outpatient/inpatient, urban/rural, facility, unit type, population, staffing).

    **Description of the Problem**

    This section should be the most substantively developed in your paper, drawing on the broadest range of evidence.
    **Describe the problem using local observations or data from your practice setting**(e.g., audits, metrics, incident reports, direct examples) and address its scope and significance, including who is affected and the clinical, safety, financial, or quality consequences if left unaddressed. Clearly state how current practice deviates from guidelines, evidence, or expected outcomes.
    **Include evidence demonstrating that this problem has been identified in other practice settings, establishing it as a recognized issue in the literature rather than an isolated local concern.** Briefly note the contributing context (workflow, staffing, or training gaps) without fully analyzing causation, as that deeper analysis belongs in the Framework section. Clearly establish the gap between current practice and best practice or performance benchmarks, as this gap is what your Problem Statement will distill into a single sentence later. Aim to synthesize 4-6 scholarly sources here, supporting every claim about scope, prevalence, or consequence with a citation.

    **Problem Statement**

    This section should include a succinct problem statement, using the linked document “Constructing a Problem Statement” provided in the assignment instructions as a guide.

    **Aim Statement**

    This section should include your Aim statement relevant to the identified problem. Use IHI’s Aim Statement worksheet to guide your development of the elements of an adapted statement so that it is clear, measurable, and time-bound. Include a proposed intervention or change strategy. This section should be in narrative form, not a copy-and-paste of the worksheet.

    **Framework Options Sourced from AI Engagement**

    Use an ethical approach with AI to guide your construction of this section. You may use ChatGPT or any other AI platform you may be familiar with are already using. Numerous AI platforms offer free engagement which will be sufficient to complete this element of the assignment.

    Below is the prompt you will utilize to generate your discussion for this section of the assignment:

    I am a graduate nursing student in a Scholarship for Nursing Practice course completing an assignment that requires search, synthesis and selection of a suitable theory or conceptual model for providing a framework that informs the elements/actions of a graduate level scholarship improvement project where the identified practice problem is ***** [here you will input your identified practice problem,
    **succinctly**]. I need help generating a list of three such frameworks for my review that I can later narrow to one. Do not include any frameworks in the output that inform only the implementation process, include only frameworks that inform the design of the improvement actions and activities.

    **Note:** The purpose of generating three framework options is to help you critically evaluate potential conceptual foundations for your project.

    **Here you will copy-and-paste your AI query prompt and the AI query output for faculty review.**

    In the final paragraph in this section, you will
    **identify the framework you have selected** from the AI outputs. After you have identified your selected framework,
    **provide a rationale as to why you believe this is the best framework to inform your project design**. Hint, if it is the best framework, is the intervention you included in your Aim Statement encompassed in the AI output relative to this framework? If yes, congratulate yourself for discerning that in advance of the AI output generation. If no, perhaps you need to revisit the literature about potential, evidence-informed solutions that you can apply to address the problem.

    **Framework**

    This section should include a completed description – overview – of the key concepts encompassed in the framework you selected from the AI outputs. Next you will construct a discussion of how the selected framework aligns with the elements of the problem and how it informs your project design. The framework could be a relevant theory that explains why a problem exists, based on behaviors, motivation, or decision-making processes, and that predicts outcomes (e.g., Health Belief Model, Theory of Planned Behavior, Self-Determination Theory). Alternatively, it could be a conceptual (explanatory) model that illustrates relationships among the core concepts of your problem. The framework should be supported by evidence. NOTE: The AI output you generated may not provide reference to the original work for your selected framework. You are responsible to search for the originating work on the theory and cite that work – do not cite a secondary source for the theory. Do not use an implementation framework like the Iowa, KTA, PDSA, or any other QI framework.

    Conclusion

    Tips: Notice that the Conclusion is a Level 1 Header, centered and bolded. A conclusion section should be included in all scholarly papers to summarize the paper. It is normally one paragraph, succinct, and restates the main points of your paper. You should also restate or rephrase your purpose/thesis statement. In conclusion, do not add new ideas or new information with citations; instead, summarize the paper and reflect on key elements. If you need to add cited information, move it to a previous section of your paper. You can end the conclusion by clarifying the intent and importance of the paper. For additional APA font choices for scholarly papers, see
    [https://apastyle.apa.org/style-grammar-guidelines/paper-format/font](https://apastyle.apa.org/style-grammar-guidelines/paper-format/font).

    **References**

    Field, B., Booth, A., Ilott, I., & Gerrish, K. (2014). Using the knowledge to action framework in practice: A citation analysis and systematic review.
    _Implementation Science_,
    _9_(1), 1.
    [https://doi.org/10.1186/s13012-014-0172-2](https://doi.org/10.1186/s13012-014-0172-2) (Journal Example for a template)

    Knowles, M., Holton, E.F., & Swanson, R.A. (2005).
    _The adult learner: The definitive class in adult education and human resource development_ (6th ed.). Elsevier. (Book Example)

    National League for Nursing (2021).
    _Coaching for excellence in nursing: A guide for educators._ NLN.
    [https://ondemand.nln.org/product?catalog=Coaching-for-Excellence-in-Nursing](https://ondemand.nln.org/product?catalog=Coaching-for-Excellence-in-Nursing) (Web article Example; Use all 3 examples as templates)

    \*\* Remember that ALL references should be accessible and cited in the body of the paper. The in-text citations for the above examples are as follows:

    (Field et al., 2014)

    (Knowles et al., 2005)

    (National League for Nursing [NLN], 2021)- First citation.

    (NLN, 2021)- Subsequent citation.

  • [Solved] Nursing

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    In-depth study guidance and analytical solution covering Nursing.

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    $6.99

    Immediate access to the full model answer, formatted citations, and rubric breakdown.

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    Have this question answered from scratch according to your specific instructions and deadline.

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    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] Discussion Post

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Make a case study. It must carefully address a number of sections in a specific order with specific information contained in each. The guideline below outlines each of those sections. **Section** **Information to Include** Introduction (patient and problem) – Explain who the patient is (Age, gender,…

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    Assignment Prompt & Instructions

    Make a case study. It must carefully address a number of sections in a specific order with specific information contained in each. The guideline below outlines each of those sections.

    **Section**

    **Information to Include**

    Introduction (patient and problem)

    – Explain who the patient is (Age, gender, etc.)
    – Explain what the problem is (What was he/she diagnosed with, or what happened?)
    – Introduce your main argument (What should you as a nurse focus on or do?)

    Pathogenesis

    – Explain the development or evolution of the disease, from the initial stimulus (how etiologic factors alter physiologic function) to ultimate expression of manifestations of the disease and related complications.

    History

    – Explain what health problems the patient has (Has she/he been diagnosed with other diseases?)
    – Detail any and all previous treatments (Has she/he had any prior surgeries or is he/she on medication?)

    Nursing Physical Assessment

    – List all the patient’s health stats in sentences with specific numbers/levels (Blood pressure, bowel sounds, ambulation, etc.)

    Related Treatments

    – Explain what treatments the patient is receiving because of his/her disease

    Nursing Diagnosis & Patient Goal

    – Explain what your nursing diagnosis is (What is the main problem for this patient? What need to be addressed?)
    – Explain what your goal is for helping the patient recover (What do you want to change for the patient?)

    Nursing Interventions

    – Explain how you will accomplish your nursing goals, and support this with citations (Reference the literature)

    Evaluation

    – Explain how effective the nursing intervention was (What happened after your nursing intervention? Did the patient get better?)

    Recommendations

    – Explain what the patient or nurse should do in the future to continue recovery/improvement

    3-4 pages in length

    APA style

    your application of nursing journals into the treatments and interventions.

    For integrating nursing journals, remember the following:

    – Make sure to integrate citations
    – Support all claims of what the disease is, why it occurs, and how to treat it with references to the literature on this disease
    – Always use citations for information that you learned from a book or article; if you do not cite it, you are telling your reader that YOU discovered that information (how to treat the disease, etc.)

    – a month ago

  • [Solved] psych

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – a month ago **files (1)** – ## 111.rtf **## 111.rtf** **Clinical Case Presentation Paper Requirements** **1. Use APA 7th edition format to complete the case presentation paper. This assignment will be reviewed for correct grammar and spelling.** **2. Use a nursing theorist or psychiatric related…

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    Assignment Prompt & Instructions

    – a month ago

    **files (1)**

    – ## 111.rtf

    **## 111.rtf**

    **Clinical Case Presentation Paper Requirements**

    **1. Use APA 7th edition format to complete the case presentation paper. This  assignment will be reviewed for correct grammar and spelling.**

    **2. Use a nursing theorist or psychiatric related theory to guide your  approach to patient care.**

    **3. Must have at least three current references within the last five years.**

    **4. Limit the paper to 9 pages excluding the title page and references page. And include a power point for the case presentation.**

    **5. Must include all of the following elements:  1. Use of APA 7th edition format and grammar  2. Identifying data, but only use the individual’s initials  3. Chief Complaint (CC)  4. History of Present Illness (HPI)  5. Psychiatric History including Substance Use History  6. Personal and Social History  7. Suicide and Homicide Assessment  8. Medical History  9. Allergies  10. Current Medications  11. Review of Systems  12. History of Abuse, Neglect, or Trauma  13. Mental Status Examination  14. Assessment (DSM 5-TR Diagnosis)  15. Nursing Theory or Psychodynamic Approach  16. Treatment Plan  17. Education and Referrals  18. Conclusions and Summary  19. References**

    ****Here I am including the patient information for the assignment. Please use all relevant patient information necessary to meet all the required parameters. If any required information is missing, please add appropriate details as needed to ensure that all assignment requirements are fully addressed.****

    ****Psych Initial Visit****

    ****CC****

    ****Patient seen via tele-health from home: " I have been feeling depressed again"****

    ****HPI****

    ****Patient was seen via tele-health on a secure platform, both the provider and patient reside in the state of Florida. Consent for telemedicine was obtained and the patient was verified by using two patient identifiers.****

    **Patient is a 49 year old female with a past psychiatric history significant for depression and anxiety, originally diagnosed at age 22, who presents today for psychiatric evaluation due to recurrence of symptoms over the past six months. Patient reports that following her initial diagnosis she was treated with sertraline for approximately eight years, with good response. She eventually discontinued the medication and was able to manage her symptoms through coping skills learned during individual psychotherapy. Patient reports in 2014 she moved to the United States and the transition to a new country was emotionally challenging, causing  worsening mood and anxiety during that time which led her to seek psychiatric treatment again in 2016. She recalls being treated with  venlafaxine and possibly a low-dose of Abilify, which she reports was beneficial. After several years of stability she discontinued medication and has been managing without the need of pharmacologic treatment. Over the past six months, however patient reports gradual return of the symptoms. She attributes part of the worsening mood to increased stress and burnout related to her work as a social worker at a dialysis clinic.  Patient endorses, increased incidents and episodes of sadness,  low mood, low motivation, poor concentration, excessive worry, restlessness, feelings of fear, and apprehension, and increased appetite. She describes feeling mentally exhausted and overwhelmed by her workload. Patient states that her husband and mother have encouraged her to seek psychiatric evaluation after noticing changes in her mood and behavior.  Patient reports decreased motivation and diminished ability to experience excitement about normally enjoyable activities. She states "my family and I take trips every year and I have planned a trip to Europe for spring break, but I have noticed that I'm not happy or excited about it like I should be instead I feel like I'm dragging the preparation for the trip".  Patient reports taking Benadryl at night for her allergies, but also finding it helpful for sleep endorsing approximately eight hours of sleep per night. Patient reports some fluctuations in appetite, some days snacking more than others. At this time, patient denies visual and auditory hallucinations, as well as suicidal and homicidal ideation. They voiced reason to live. Patient also denies anger, irritability, risky, or self injurious behavior.**

    **Protective factors include family, friends, and religion. Patient reports symptoms interfere with work, learning, social interactions, family, and adaptation to daily life. Patient denies regular use of illegal drugs, cigarette smoking, or alcohol.**

    ****PsychHx****

    ****The patient's past psychiatric history was remarkable for outpatient treatment of depression and anxiety. There was no history of hospitalizations. The patient described a history of passive death wishes in the past, no plan or intent to hurt self. No suicide attempts.****

    ****PMHx****

    ****HTN****
    ****GERD****
    ****Asthma****

    **Comments: Hearing loss- uses hearing aid Allergies**

    ****PSHx****

    ****Breast Cyst removal****

    **Comments: Appendectomy, c-section**

    ****PsychFHx****

    ****No significant family history is noted.****

    ****PsychSHx****

    ****The patient was born in Cuba, moved to USA 2014. The patient's mother had no problems with her pregnancy or delivery and developmental milestones were within normal limits. The patient is the first of two. The patient was an introvert and a shy child who exhibited separation anxiety. In addition, the patient denied academic difficulties in school. Throughout school the patient had a few close friends and a few friends. The patient reported that her parents would discipline appropriately. The patient denied any physical or sexual abuse. As an adolescent the patient had no behavioural abnormalities. The patient completed a graduate degree. Currently the patient worked full time. Financial status is stable. Sexual history included being sexually active. This relationship started 20 years ago. The patient is married. Living arrangements include living with spouse and 14 year old daughter and mother. The patient has 1 children. was described as loving. Hobbies include reading, watching tv shows, going to church.****

    ****Medications****

    ****Benadryl Allergy 25 mg tablet** (Edited by BRENDA RIVAS on 05 Mar, 2026 at 11:54 AM )**

    ****pantoprazole 20 mg tablet,delayed release** (Edited by BRENDA RIVAS on 05 Mar, 2026 at 11:54 AM )**

    ****LOSARTAN POTASSIUM 25 MG TAB,** TAKE 1 TABLET BY MOUTH EVERY DAY (Edited by ROLANDO DIAZ on 05 Mar, 2026 at 11:53 AM )**

    ****MSE****

    ****The patient's speech was normal, sharing conversation with normal laryngeal efforts. Depressed mood and affect were seen on exam. Thought processes were logical, relevant, and thoughts were completed normally. Thought content was normal with no psychotic or suicidal thoughts. The patient's judgement was realistic with normal insight into their present condition. Mental status included: correct time, place, person orientation, normal recent and remote memory, normal attention span and concentration ability. Language skills included the ability to correctly name objects. Fund of knowledge included normal awareness of current and past events.****

    ****Tests****

    ****GAD-7 total score: 11 PHQ-9 total score: 13****

    ****Psych Impression****

    ****Psychotherapy was provided for ≥53 minutes, separate from the E/M service. The session focused on identifying maladaptive thoughts, reviewing diagnosis and treatment goals, medication education, and strategies for relapse prevention. Interventions included supportive psychotherapy, cognitive restructuring, psychoeducation, and encouragement to utilize coping skills. The patient was engaged, demonstrated insight, and agreed to continue practicing discussed strategies.****

    ****DSM-5****

    ****Generalized anxiety disorder (F41.1) Generalized anxiety disorder modified 5 Mar, 2026****

    **Moderate recurrent major depression (F33.1) Major depressive disorder, recurrent, moderate modified 5 Mar, 2026**

    ****Assessment****

    ****Generalized anxiety disorder** (F41.1) Generalized anxiety disorder modified 5 Mar, 2026**

    ****Moderate recurrent major depression** (F33.1) Major depressive disorder, recurrent, moderate modified 5 Mar, 2026**

    ****Plan****

    ****Start:****

    **Venlafaxine ER 37.5 MG PO**

    **1 TAB FOR ONE WEEK THEN INCREASE TO 2 TABS DAILY**

    **Referral to individual psychotherapy**

    **Follow-up in 4 weeks or sooner if needed.**

    **Start time: 11:30 AM**
    **Stop time: 12:30 PM**

    **The patient was instructed that psychiatric medications must be taken as prescribed to achieve maximum therapeutic effect. Educated on side effects, risks, benefits, and indications of medication; patient is receptive and agrees to decided plan. Improve diet and get regular exercise, daily relaxation and manage stress levels. Patient gave full consent to start medications and agreed to take medications as directed, as well as report any side effects that may occur. Brief supportive psychotherapy provided. Avoid use of alcohol, cigarettes and illegal substances while on psychotropic medications. Emergency procedure reminder: If you have a life-threatening emergency, call 911. This practice is outpatient only. If in-patient psychiatric care is needed, please go to your nearest emergency room for evaluation. If you are suicidal, you can call the National Suicide Prevention Life line at 1800-273-8255 or go to www.suicide.com or www.suicide.org. You are not alone.**

    **PATIENT EDUCATION:**

    ****Generalized Anxiety Disorder: Care Instructions****

    ****Learning About Depression** **Venlafaxine****

    ****Generalized anxiety disorder****

    ****Venlafaxine ER 37.5 MG PO****

    ****Moderate recurrent major depression****

    ****Venlafaxine ER 37.5 MG PO****

    **## 111.rtf**

    **Clinical Case Presentation Paper Requirements**

    **1. Use APA 7th edition format to complete the case presentation paper. This  assignment will be reviewed for correct grammar and spelling.**

    **2. Use a nursing theorist or psychiatric related theory to guide your  approach to patient care.**

    **3. Must have at least three current references within the last five years.**

    **4. Limit the paper to 9 pages excluding the title page and references page. And include a power point for the case presentation.**

    **5. Must include all of the following elements:  1. Use of APA 7th edition format and grammar  2. Identifying data, but only use the individual’s initials  3. Chief Complaint (CC)  4. History of Present Illness (HPI)  5. Psychiatric History including Substance Use History  6. Personal and Social History  7. Suicide and Homicide Assessment  8. Medical History  9. Allergies  10. Current Medications  11. Review of Systems  12. History of Abuse, Neglect, or Trauma  13. Mental Status Examination  14. Assessment (DSM 5-TR Diagnosis)  15. Nursing Theory or Psychodynamic Approach  16. Treatment Plan  17. Education and Referrals  18. Conclusions and Summary  19. References**

    ****Here I am including the patient information for the assignment. Please use all relevant patient information necessary to meet all the required parameters. If any required information is missing, please add appropriate details as needed to ensure that all assignment requirements are fully addressed.****

    ****Psych Initial Visit****

    ****CC****

    ****Patient seen via tele-health from home: " I have been feeling depressed again"****

    ****HPI****

    ****Patient was seen via tele-health on a secure platform, both the provider and patient reside in the state of Florida. Consent for telemedicine was obtained and the patient was verified by using two patient identifiers.****

    **Patient is a 49 year old female with a past psychiatric history significant for depression and anxiety, originally diagnosed at age 22, who presents today for psychiatric evaluation due to recurrence of symptoms over the past six months. Patient reports that following her initial diagnosis she was treated with sertraline for approximately eight years, with good response. She eventually discontinued the medication and was able to manage her symptoms through coping skills learned during individual psychotherapy. Patient reports in 2014 she moved to the United States and the transition to a new country was emotionally challenging, causing  worsening mood and anxiety during that time which led her to seek psychiatric treatment again in 2016. She recalls being treated with  venlafaxine and possibly a low-dose of Abilify, which she reports was beneficial. After several years of stability she discontinued medication and has been managing without the need of pharmacologic treatment. Over the past six months, however patient reports gradual return of the symptoms. She attributes part of the worsening mood to increased stress and burnout related to her work as a social worker at a dialysis clinic.  Patient endorses, increased incidents and episodes of sadness,  low mood, low motivation, poor concentration, excessive worry, restlessness, feelings of fear, and apprehension, and increased appetite. She describes feeling mentally exhausted and overwhelmed by her workload. Patient states that her husband and mother have encouraged her to seek psychiatric evaluation after noticing changes in her mood and behavior.  Patient reports decreased motivation and diminished ability to experience excitement about normally enjoyable activities. She states "my family and I take trips every year and I have planned a trip to Europe for spring break, but I have noticed that I'm not happy or excited about it like I should be instead I feel like I'm dragging the preparation for the trip".  Patient reports taking Benadryl at night for her allergies, but also finding it helpful for sleep endorsing approximately eight hours of sleep per night. Patient reports some fluctuations in appetite, some days snacking more than others. At this time, patient denies visual and auditory hallucinations, as well as suicidal and homicidal ideation. They voiced reason to live. Patient also denies anger, irritability, risky, or self injurious behavior.**

    **Protective factors include family, friends, and religion. Patient reports symptoms interfere with work, learning, social interactions, family, and adaptation to daily life. Patient denies regular use of illegal drugs, cigarette smoking, or alcohol.**

    ****PsychHx****

    ****The patient's past psychiatric history was remarkable for outpatient treatment of depression and anxiety. There was no history of hospitalizations. The patient described a history of passive death wishes in the past, no plan or intent to hurt self. No suicide attempts.****

    ****PMHx****

    ****HTN****
    ****GERD****
    ****Asthma****

    **Comments: Hearing loss- uses hearing aid Allergies**

    ****PSHx****

    ****Breast Cyst removal****

    **Comments: Appendectomy, c-section**

    ****PsychFHx****

    ****No significant family history is noted.****

    ****PsychSHx****

    ****The patient was born in Cuba, moved to USA 2014. The patient's mother had no problems with her pregnancy or delivery and developmental milestones were within normal limits. The patient is the first of two. The patient was an introvert and a shy child who exhibited separation anxiety. In addition, the patient denied academic difficulties in school. Throughout school the patient had a few close friends and a few friends. The patient reported that her parents would discipline appropriately. The patient denied any physical or sexual abuse. As an adolescent the patient had no behavioural abnormalities. The patient completed a graduate degree. Currently the patient worked full time. Financial status is stable. Sexual history included being sexually active. This relationship started 20 years ago. The patient is married. Living arrangements include living with spouse and 14 year old daughter and mother. The patient has 1 children. was described as loving. Hobbies include reading, watching tv shows, going to church.****

    ****Medications****

    ****Benadryl Allergy 25 mg tablet** (Edited by BRENDA RIVAS on 05 Mar, 2026 at 11:54 AM )**

    ****pantoprazole 20 mg tablet,delayed release** (Edited by BRENDA RIVAS on 05 Mar, 2026 at 11:54 AM )**

    ****LOSARTAN POTASSIUM 25 MG TAB,** TAKE 1 TABLET BY MOUTH EVERY DAY (Edited by ROLANDO DIAZ on 05 Mar, 2026 at 11:53 AM )**

    ****MSE****

    ****The patient's speech was normal, sharing conversation with normal laryngeal efforts. Depressed mood and affect were seen on exam. Thought processes were logical, relevant, and thoughts were completed normally. Thought content was normal with no psychotic or suicidal thoughts. The patient's judgement was realistic with normal insight into their present condition. Mental status included: correct time, place, person orientation, normal recent and remote memory, normal attention span and concentration ability. Language skills included the ability to correctly name objects. Fund of knowledge included normal awareness of current and past events.****

    ****Tests****

    ****GAD-7 total score: 11 PHQ-9 total score: 13****

    ****Psych Impression****

    ****Psychotherapy was provided for ≥53 minutes, separate from the E/M service. The session focused on identifying maladaptive thoughts, reviewing diagnosis and treatment goals, medication education, and strategies for relapse prevention. Interventions included supportive psychotherapy, cognitive restructuring, psychoeducation, and encouragement to utilize coping skills. The patient was engaged, demonstrated insight, and agreed to continue practicing discussed strategies.****

    ****DSM-5****

    ****Generalized anxiety disorder (F41.1) Generalized anxiety disorder modified 5 Mar, 2026****

    **Moderate recurrent major depression (F33.1) Major depressive disorder, recurrent, moderate modified 5 Mar, 2026**

    ****Assessment****

    ****Generalized anxiety disorder** (F41.1) Generalized anxiety disorder modified 5 Mar, 2026**

    ****Moderate recurrent major depression** (F33.1) Major depressive disorder, recurrent, moderate modified 5 Mar, 2026**

    ****Plan****

    ****Start:****

    **Venlafaxine ER 37.5 MG PO**

    **1 TAB FOR ONE WEEK THEN INCREASE TO 2 TABS DAILY**

    **Referral to individual psychotherapy**

    **Follow-up in 4 weeks or sooner if needed.**

    **Start time: 11:30 AM**
    **Stop time: 12:30 PM**

    **The patient was instructed that psychiatric medications must be taken as prescribed to achieve maximum therapeutic effect. Educated on side effects, risks, benefits, and indications of medication; patient is receptive and agrees to decided plan. Improve diet and get regular exercise, daily relaxation and manage stress levels. Patient gave full consent to start medications and agreed to take medications as directed, as well as report any side effects that may occur. Brief supportive psychotherapy provided. Avoid use of alcohol, cigarettes and illegal substances while on psychotropic medications. Emergency procedure reminder: If you have a life-threatening emergency, call 911. This practice is outpatient only. If in-patient psychiatric care is needed, please go to your nearest emergency room for evaluation. If you are suicidal, you can call the National Suicide Prevention Life line at 1800-273-8255 or go to www.suicide.com or www.suicide.org. You are not alone.**

    **PATIENT EDUCATION:**

    ****Generalized Anxiety Disorder: Care Instructions****

    ****Learning About Depression** **Venlafaxine****

    ****Generalized anxiety disorder****

    ****Venlafaxine ER 37.5 MG PO****

    ****Moderate recurrent major depression****

    ****Venlafaxine ER 37.5 MG PO****

  • [Solved] WEEK 4

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    For this Assignment, you practice assessing and diagnosing patients with anxiety disorders, PTSD, and OCD. Review the DSM-5-TR criteria for the disorders within these classifications before you get started, as you will be asked to justify your differential diagnosis with DSM-5-TR criteria. – [\ \ …

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    Assignment Prompt & Instructions

    For this Assignment, you practice assessing and diagnosing patients with anxiety disorders, PTSD, and OCD. Review the DSM-5-TR  criteria for the disorders within these classifications before you get started, as you will be asked to justify your differential diagnosis with DSM-5-TR  criteria.

    – [\
    \
    WEEK4ASSIGNMENTPROMPT.docx](https://www.sweetstudy.com/files/week4assignmentprompt-docx "WEEK4ASSIGNMENTPROMPT.docx")
    – [\
    \
    NRNP_PRAC_6635_ComprehensivePsychiatricEvaluationExemplar_rev.4.20221.docx](https://www.sweetstudy.com/files/nrnp-prac-6635-comprehensivepsychiatricevaluationexemplar-rev-4-20221-docx-10601775 "NRNP_PRAC_6635_ComprehensivePsychiatricEvaluationExemplar_rev.4.20221.docx")
    – [\
    \
    NRNP6635CaseHistoryReportsrev4.26.20221.pdf](https://www.sweetstudy.com/files/nrnp6635casehistoryreportsrev4-26-20221-pdf-10601777 "NRNP6635CaseHistoryReportsrev4.26.20221.pdf")
    – [\
    \
    NRNP_PRAC_6635_ComprehensivePsychiatricEvaluationExemplar_rev.4.20223.docx](https://www.sweetstudy.com/files/nrnp-prac-6635-comprehensivepsychiatricevaluationexemplar-rev-4-20223-docx-10601779 "NRNP_PRAC_6635_ComprehensivePsychiatricEvaluationExemplar_rev.4.20223.docx")
    – [\
    \
    NRNPPRAC6635ComprehensivePsychiatricEvaluationTemplate1.docx](https://www.sweetstudy.com/files/nrnpprac6635comprehensivepsychiatricevaluationtemplate1-docx-10601781 "NRNPPRAC6635ComprehensivePsychiatricEvaluationTemplate1.docx")
    – [\
    \
    NRNP_PRAC_6635_ComprehensivePsychiatricEvaluationExemplar_rev.4.20222.docx](https://www.sweetstudy.com/files/nrnp-prac-6635-comprehensivepsychiatricevaluationexemplar-rev-4-20222-docx-10601783 "NRNP_PRAC_6635_ComprehensivePsychiatricEvaluationExemplar_rev.4.20222.docx")
    – [\
    \
    NRNP6635CaseHistoryReportsrev4.26.20222.pdf](https://www.sweetstudy.com/files/nrnp6635casehistoryreportsrev4-26-20222-pdf "NRNP6635CaseHistoryReportsrev4.26.20222.pdf")

    – a month ago

  • [Solved] unit 6 discussion

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    see attached – a month ago **files (1)** – ## 674unit6discussionquestion.docx **## 674unit6discussionquestion.docx** **Antidepressants and Mood Stabilizers** · What specific geriatric considerations are required in choosing an antidepressant to treat depression in an elderly client? · When would you…

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    see attached

    – a month ago

    **files (1)**

    – ## 674unit6discussionquestion.docx

    **## 674unit6discussionquestion.docx**

    **Antidepressants and Mood Stabilizers**

    · What specific geriatric considerations are required in choosing an antidepressant to treat depression in an elderly client?

    · When would you choose to use a mood stabilizer? What challenges are associated with determining an appropriate mood stabilizer?

    · What is the BlackBox warning you have to consider when using antidepressants? What specific patient education will you include?

    · What happens if a client with bipolar depression is treated with an antidepressant medication alone?

    · What are the special considerations for treating a client with lithium?

    Please provide constructive feedback to at least two of your peers. The discussion post should include at least two references, and the peer response should add information to move the conversation forward.

    **## 674unit6discussionquestion.docx**

    **Antidepressants and Mood Stabilizers**

    · What specific geriatric considerations are required in choosing an antidepressant to treat depression in an elderly client?

    · When would you choose to use a mood stabilizer? What challenges are associated with determining an appropriate mood stabilizer?

    · What is the BlackBox warning you have to consider when using antidepressants? What specific patient education will you include?

    · What happens if a client with bipolar depression is treated with an antidepressant medication alone?

    · What are the special considerations for treating a client with lithium?

    Please provide constructive feedback to at least two of your peers. The discussion post should include at least two references, and the peer response should add information to move the conversation forward.

  • [Solved] nursing

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    In-depth study guidance and analytical solution covering nursing.

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    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] cp 1

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    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] Falls Prevention

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    Executive Solution Overview

    Pease see attached. – a month ago **files (1)** – ## Assessment2instruction.docx **## Assessment2instruction.docx** For this assessment, you will analyze your healthcare process or issue in the context of your practicum site. · Describe your practicum site. Practicum Site is Sanford Health’s Neurolo…

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    Assignment Prompt & Instructions

    Pease see attached.

    – a month ago

    **files (1)**

    – ## Assessment2instruction.docx

    **## Assessment2instruction.docx**

    For this assessment, you will analyze your healthcare process or issue in the context of your practicum site.

    · Describe your practicum site.

    Practicum Site is Sanford Health’s Neurology and Neurosurgery Center (Neurosurgical Unit).

    · What type of institution are your practicum hours taking place in? Sanford Medical Center

    · Describe the patient population of your practicum site. Adults with Neurological disorders such as stroke, brain aneurysm, vertebral disc disease, spinal stenosis.

    · Estimate how many full-time healthcare staff are employed at your practicum site. Excluding about 51 providers across different specialties, there are about 77 healthcare staff. About 50% of the staff are travel nurses, 30% full-time employees, and 20% PRN staff.

    · What kind of nursing or healthcare decisions do you encounter in your practicum site? Are you in a position to make or have input in any of those decisions at your site? Nursing practice at the Neurosurgical unit is centered on specialized neurological assessments such as, Neuro check, NIHSS assessment, and management of High alert medication such as anticoagulants, diuretics, seizures medications. Fall precautions, dysphagia screening, early mobilization, intensive patient and family education and safe transition of care are also vital on the units. As a Registered Nurse, I am in the position where I advocate for patients and family, collaborate with providers, and other interdisciplinary team members to collectively make decisions that benefit patients, family, and the hospital as well.

    · What are the primary patient health outcomes for your practicum site? Primary patient health outcomes include functional status measured by NIHSS for stroke patients, reduced mortality and disability following stroke, prevention of secondary complications which include aspiration pneumonia, VTE, prevention of falls, pressure injuries, hospital readmission, as well as seizure management.

    · Identify your process issue as it relates to a patient diagnosis and patient outcomes. I identify Fall. The unit has increased falls from quarter 1 to quarter 3 this year. Q1 = 4, Q2, 10, Q3 = 9. Based on this, I selected Prevention of Falls to focus on the project.

    · Summarize the healthcare process problem or issue you’ll explore.

    · Provide context, data, or information that substantiates the presence of the problem and its significance.

    · Analyze your chosen process for impact on the organization and the patient client in terms of quality, safety, and cost.

    · What are the causes of the problem? What do you think is the root cause?

    · Provide evidence to support your claims.

    Scoring Criteria:

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

    · Competency 2: Make practicum and operational decisions based upon the best available evidence.

    · Describe practicum and operational decisions encountered at the practicum site, including one's input in those decisions.

    · Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.

    · Identify a process issue at a site that relates to a patient diagnosis and patient outcomes.

    · Analyze the impact of a current process on an organization and client in terms of quality, safety, and cost.

    · Competency 8: Apply professional, scholarly, evidence-based strategies to create effective written and oral communications.

    · Describe the practicum setting.

    · Organize content so ideas flow logically with smooth transitions.

    · Apply APA style and formatting to scholarly writing.

    **## Assessment2instruction.docx**

    For this assessment, you will analyze your healthcare process or issue in the context of your practicum site.

    · Describe your practicum site.

    Practicum Site is Sanford Health’s Neurology and Neurosurgery Center (Neurosurgical Unit).

    · What type of institution are your practicum hours taking place in? Sanford Medical Center

    · Describe the patient population of your practicum site. Adults with Neurological disorders such as stroke, brain aneurysm, vertebral disc disease, spinal stenosis.

    · Estimate how many full-time healthcare staff are employed at your practicum site. Excluding about 51 providers across different specialties, there are about 77 healthcare staff. About 50% of the staff are travel nurses, 30% full-time employees, and 20% PRN staff.

    · What kind of nursing or healthcare decisions do you encounter in your practicum site? Are you in a position to make or have input in any of those decisions at your site? Nursing practice at the Neurosurgical unit is centered on specialized neurological assessments such as, Neuro check, NIHSS assessment, and management of High alert medication such as anticoagulants, diuretics, seizures medications. Fall precautions, dysphagia screening, early mobilization, intensive patient and family education and safe transition of care are also vital on the units. As a Registered Nurse, I am in the position where I advocate for patients and family, collaborate with providers, and other interdisciplinary team members to collectively make decisions that benefit patients, family, and the hospital as well.

    · What are the primary patient health outcomes for your practicum site? Primary patient health outcomes include functional status measured by NIHSS for stroke patients, reduced mortality and disability following stroke, prevention of secondary complications which include aspiration pneumonia, VTE, prevention of falls, pressure injuries, hospital readmission, as well as seizure management.

    · Identify your process issue as it relates to a patient diagnosis and patient outcomes. I identify Fall. The unit has increased falls from quarter 1 to quarter 3 this year. Q1 = 4, Q2, 10, Q3 = 9. Based on this, I selected Prevention of Falls to focus on the project.

    · Summarize the healthcare process problem or issue you’ll explore.

    · Provide context, data, or information that substantiates the presence of the problem and its significance.

    · Analyze your chosen process for impact on the organization and the patient client in terms of quality, safety, and cost.

    · What are the causes of the problem? What do you think is the root cause?

    · Provide evidence to support your claims.

    Scoring Criteria:

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

    · Competency 2: Make practicum and operational decisions based upon the best available evidence.

    · Describe practicum and operational decisions encountered at the practicum site, including one's input in those decisions.

    · Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.

    · Identify a process issue at a site that relates to a patient diagnosis and patient outcomes.

    · Analyze the impact of a current process on an organization and client in terms of quality, safety, and cost.

    · Competency 8: Apply professional, scholarly, evidence-based strategies to create effective written and oral communications.

    · Describe the practicum setting.

    · Organize content so ideas flow logically with smooth transitions.

    · Apply APA style and formatting to scholarly writing.

  • [Solved] class participation 5

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    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.