Problem/PICOT/Evidence Search (PPE)

PPE grading rubric: Selects and identifies one quality or safety clinical priority practice problem from the assignment guidelines practice scenario. Thoroughly summarizes why you believe the nursing practice problem/issues the most important. Thoroughly summarizes the rationale (why) the problem was chosen. Provides details. PICOT question has 5 elements correct. Question is nursing related. All of the 5 criteria are present. (1) Locates evidence relevant to chosen nursing practice problem. Explains how the evidence is relevant to your chosen clinical nursing problem/issue. (2) Explains why the evidence was chosen. (3) Provides a complete APA reference to the evidence (includes authors, year, title of the evidence, title of the resource). (4) Evidence must be published within the last 10 years. (5) Provides the permalink. Thoroughly summarizes what was learned from the evidence. Thoroughly summarizes why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem.

Challenge of Cultural Diversity in a Nursing Practice

Cultural diversity as a challenge in a nursing practice
1.Introduction/Overview of the Problem:
Thorough and logical overview of the problem, includes a discussion of the problem’s relevancy to nursing
2. Summary of Findings:
Thoughtful, clear, and detailed summary of findings from the current peer-reviewed literature on this issue
3. Recommendations:
Recommendations/implications are stated clearly, includes a discussion about expert views and steps to address the issue
4. Personal Opinion:
Clearly addresses the nurse’s role in evidence-based healthcare including the following questions: 1) what you feel your role is in applying research to your own practice 2) how your practice has changed as a result of evidence (i.e. is practice now different because of the current evidence?)
5. Formatting:
Consistent use of APA (7ed)guidelines including reference citations within the paper and on reference page; grammar, writing style, and avoiding personal pronouns for “personal opinion” section
6. Use at least 5 peer-reviewed articles for references, scientific journals

Nurse Practitioner Community Advocacy

Community Advocacy Agencies
Having received a diagnosis of Alzheimer’s and encountering the associated stigmas, Michael Ellenbogen encourages increased advocacy efforts for the geriatric population struggling with this disease. He says, “We did nothing wrong to get this disease, and we need to speak up to let our voice be heard…There are no excuses for not wanting to help. The human cost factor is too high, and we are all accountable to do something” (Ellenbogen, 2012). As an advanced practice nurse caring for the geriatric population, it is important for you to join in advocacy efforts within your community whether it is in support of Alzheimer’s or another prevalent need such as abuse. You should be aware of community agencies that advocate for the well-being and care of your local geriatric population, as these agencies often provide resources and assistance to the elderly in need. In your role of care, you are able to identify prevalent needs and work with patients, their families, and agencies to promote change and impact lives.
To prepare:

  • Review this week’s media presentation, as well as the American Geriatric Society’s Public Policy and Advocacy website in the Learning Resources.
  • Locate and research two agencies that advocate for the elderly in your community. Consider their current advocacy actions and/or campaigns.
  • Reflect on your experiences and observations at your practicum site. Consider new advocacy actions you might suggest to the agencies you selected. Based on these advocacy actions, think about new policies that might improve the care of the population at your current practicum site.

By Day 3
Post a description of two agencies that advocate for the elderly in your community, including their current advocacy actions and/or campaigns. Then, explain new advocacy actions you might suggest to these agencies based on your experiences and observations at your practicum site. With these advocacy actions in mind, suggest at least one new policy that might improve the care of the population at your current practicum site.

Nurse Practitioner Community Advocacy

Community Advocacy Agencies
Having received a diagnosis of Alzheimer’s and encountering the associated stigmas, Michael Ellenbogen encourages increased advocacy efforts for the geriatric population struggling with this disease. He says, “We did nothing wrong to get this disease, and we need to speak up to let our voice be heard…There are no excuses for not wanting to help. The human cost factor is too high, and we are all accountable to do something” (Ellenbogen, 2012). As an advanced practice nurse caring for the geriatric population, it is important for you to join in advocacy efforts within your community whether it is in support of Alzheimer’s or another prevalent need such as abuse. You should be aware of community agencies that advocate for the well-being and care of your local geriatric population, as these agencies often provide resources and assistance to the elderly in need. In your role of care, you are able to identify prevalent needs and work with patients, their families, and agencies to promote change and impact lives.
To prepare:

  • Review this week’s media presentation, as well as the American Geriatric Society’s Public Policy and Advocacy website in the Learning Resources.
  • Locate and research two agencies that advocate for the elderly in your community. Consider their current advocacy actions and/or campaigns.
  • Reflect on your experiences and observations at your practicum site. Consider new advocacy actions you might suggest to the agencies you selected. Based on these advocacy actions, think about new policies that might improve the care of the population at your current practicum site.

By Day 3
Post a description of two agencies that advocate for the elderly in your community, including their current advocacy actions and/or campaigns. Then, explain new advocacy actions you might suggest to these agencies based on your experiences and observations at your practicum site. With these advocacy actions in mind, suggest at least one new policy that might improve the care of the population at your current practicum site.

Improvement Plan In-Service

As a Registered Nurse (RN), APN, NP, or CHN,  prepare a 10-slide presentation about Improvement Plan In-Service.

ANA Regulations -The Legal Implications of Acceptance or Refusal of an Assignment

After reviewing the ANA position statement on “Rights of Registered Nurses when Considering a Patient Assignment,” discuss the legal and ethical implications of accepting assignments. When delegating assignments to unlicensed personnel, what considerations need to be considered? What insurance issues come into play? Analyze the legal principle of Respondent Superior.

Impaired Nurses

Assume that you have knowledge that the nurse working with you on your unit has been illegally using drugs. Discuss your professional obligations and institutional obligations to disclose this. Discuss the referral sources for impaired nurses in your state. Analyze the impact of this issue on your advanced practice role as a nurse practitioner/administrator/educator.

Legal Issues of an Advanced Practice Nurse in the Workplace

Choose one topic from the following list and evaluate how the chosen topic impacts your role as an advanced practice nurse. What are the legal implications related to your role? Analyze how understanding of the chosen topic will impact your future role as an advanced practice nurse.
Choose one:
Employer and employee rights
American with Disabilities Act
Employment contracts and unionization
Corporate liability
Sexual harassment in the workplace
Employees with AIDS/HIV and exposure to blood-borne pathogens
Environmental health and safety

Application of Nursing Philosophies to Patient Care

Discuss how the following nursing philosophies are applied to patient care .

  • Virginia Henderson Philosophy (400 words)
  • Orem’s Self-Care Theory and Peplau’s Interpersonal Theory (400 words)

Confidentiality and Truthfulness in Nursing Practice

Read the case and discuss the concept of confidentiality and truthfulness. (550 words).