Briefly explain whether the background section included sources current at the time of the study (ie. within 5 years of publication).

Write your evaluation in the Word document provided (Critique 1 answer sheet). You can insert the cursor after each question, and type in your answers. Use full sentences, with paragraph breaks, to describe each point. Double space all writing; number pages.
Provide rationales for your decisions (citing sources). For example, if you write that the theory framework is strong, describe how it is strong with at least one citation (Author, year) to a theory book, research book, or article.
List all sources at the end of the answer sheet, following APA format for a reference list. Remember to cite the article you are evaluating at least once in the text, and put it in the reference list as well.
Remember to type your NAME at the top of the answer sheet to get credit for it!
Critique #1 Content:

Authors, Title, and Abstract

Discuss author(s) qualifications to conduct the study, including educational preparation and clinical experience of author[s].
Discuss the clarity of the article title (type of study, variables, and population stated).
Discuss the quality of the abstract (purpose, design, sample, intervention, and key results presented). (10 pts)
Literature Review/Background

Briefly describe the clinical problem that prompted the study. This is not the research question, but the clinical issue that needed investigation.
Discuss the data provided for the significance of the clinical problem, and whether or not you believe it is an important problem for nursing science.
Identify the major topics discussed in the background section and evaluate whether there were any missing ideas or topics.
Briefly explain whether the background section included sources current at the time of the study (ie. within 5 years of publication).
Discuss whether the studies were critically evaluated and synthesized to provide a clear summary of the current knowledge about the problem of interest.
Evaluate whether or not the background section provided support for the current research study. In other words, whether a gap(s) in research knowledge was/were clearly described. (20 pts)
Research Problem, Purpose, Research Questions/Hypotheses

State the study purpose and evaluate whether or not the purpose clearly addresses the gap in nursing knowledge identified in the background section.
If there are research questions and/or hypotheses, list them, and discuss whether they logically follow from the research problem and purpose. If questions/hypotheses were only implied, rather than explicitly stated, describe that. (10 pts)
Theoretical Framework

Describe the theory/framework that supported the study, and list the important concepts in the theory framework.
Evaluate the clarity of the presentation of the framework. If it was vague or had missing elements, describe those.
Discuss how well the theory’s concepts were linked to the study variables. (10 pts)
Writing Style & Format

Grammar: full sentences, precision, clarity, spelling, and punctuation.
Use APA format throughout this paper, specifically citations and a reference list. (10 pts)

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Explain how you might apply knowledge gained from your colleagues’ case studies to you own practice in clinical settings.

Respond to at least two of your colleagues who were assigned to a different case than you. Explain how you might apply knowledge gained from your colleagues’ case studies to you own practice in clinical settings.

NOTE: Positive comment

Main Post

Case Study: Volume 2, Case #21 focuses on the treatment of an adult client diagnosed with Attention Deficit Hyperactivity Disorder (ADHD).

Questions

Question 1: Are you having problems with your loved one’s due being “argumentative and temperamental”?

Rationale: The client may have additional stress due to broken relationships and this could be due to his disorder. “Emotional dysregulation is increasingly recognized as a core feature of ADHD” (Stralen, 2016). Signs of ADHD include low frustration tolerance and explosive behavior (Stralen, 2016).

Question 2:

Respond to at least two of your colleagues who were assigned to a different case than you. Explain how you might apply knowledge gained from your colleagues’ case studies to you own practice in clinical settings.

NOTE: Positive comment

Main Post

Case Study: Volume 2, Case #21 focuses on the treatment of an adult client diagnosed with Attention Deficit Hyperactivity Disorder (ADHD).

Questions

Question 1: Are you having problems with your loved one’s due being “argumentative and temperamental”?

Rationale: The client may have additional stress due to broken relationships and this could be due to his disorder. “Emotional dysregulation is increasingly recognized as a core feature of ADHD” (Stralen, 2016). Signs of ADHD include low frustration tolerance and explosive behavior (Stralen, 2016).

Question 2:

What causes you the most anxiety?

It is important to determine the triggers of the anxiety to help the patient prepare for times when he is likely to be in high stress situations. Planning a response when feeling overwhelmed can help the patient remain in control of his emotions and allow the patient to monitor his behavior.

Question 3:

You stated that your father was abusive, was this physical or verbal abuse or both? Do you contribute some of your anxiety from previous issues with your father?

It is important for the provider to understand the client’s point of view in regards to his upbringing. He realizes it has affected in him in some way, as he has obtained psychotherapy in the past. I would want to know if he has ever spoken to his father about this and if his father has ever apologized for his actions.

Questions for family

I would want to talk with his mother to ask her how he did as a child in school and at home in regards to schoolwork, chores and would want to know if he had friends. Although social problems are not part of the diagnostic criteria for ADHD, the peer relationship difficulties faced by youth with this disorder are profound (Hoza, 2007)

Diagnostics & Exams

A full psychiatric evaluation which would include the Adult Self-Report Scale (ASRS). ASRS was been developed by the World Health Organization to determine if an individual (adult) may have ADHD. The scale is made up of 6 questions, and if a client has at least 4 of 6 symptoms, there may need to be a diagnosis of ADHD made by a professional (ADDA, 2018). Seay et al. (2009) suggests the PMHNP should utilize intelligence test, broad-spectrum scales, tests of specific abilities, and brain scans to confirm the diagnosis and to rule out other disabilities, autism, auditory processing disorders or mood disorders. In addition, a full medical work-up by a PCP in order to rule out other medical conditions that could present similarly to ADHD.

Differential DX

General Anxiety Disorder: The patient exhibits symptoms of generalized anxiety disorder, DSM-5 300.02 (F14.1). He has had the symptoms for greater than six months with the symptoms being severe enough to interfere with the patient’s daily functioning. The patient complains of feels of worry that is difficult to control, irritability, restlessness, difficulty concentrating and feeling on edge. The patient symptoms have not been linked to a physical condition or to substance use (Reynolds & Kamphaus,2013).

ADHD: client consistently complains of feeling tense, irritable, and anxious (Stahl Online, 2019). Questions arise once the general anxiety symptoms are resolved and the client is left feeling hyperactive, inattentive, and the inability to focus (Stahl Online).

Post-Traumatic Stress Disorder: The client’s diagnosis of anxiety may have been related to underlying issues related to a traumatic event that he experienced as a child. The client’s father was verbally abusive to him and was an alcoholic. It is a possibility that the client’s issues could have some relations to previous exposure as a child. Post-Traumatic Stress Disorder is a serious condition that can occur in clients who have experienced various incidents including abuse (PTSD, 2018).

Medications

The case states by year six the client has failed to achieve remission on an SSRI, a 5-HT1A receptor partial agonist, an antihistamine anxiolytic and an SGRI (Stahl Online, 2019).

Based on the pharmacological agents, I would select either Cymbalta 60mg or Effexor XR 150mg. Cymbalta did illicit a response, but side effects prevented the escalation of the dosage. Augmenting with guanfacine an alpha-adrenergic agonist proved to be the therapy that elicited remission for this client.

Lessons Learned

I learned to always consider additional differential diagnosis and evaluate and re-evaluate every situation separately to be sure of the correct diagnosis. Patient’s often have comorbid diagnosis and treating both is vital to a successful outcome for the patient. Symptoms of mental illness change overtime making continued care necessary for the patient. The provider must always be approachable and helpful for the client to feel comfortable in his/her presence.

References

Attention Deficit Disorder Association. (2018). Adult ADHD Test. Retrieved from https://add.org/adhd-test/

Generalized Anxiety Disorder. (2018). Anxiety and Depression Association of America. Retrieved from https://adaa.org/understanding-anxiety/generalized-anxiety-disorder-gad

Posttraumatic Stress Disorder. (2018). Anxiety and Depression Association of America. Retrieved from https://adaa.org/understanding-anxiety/posttraumatic-stress-disorder-ptsd

Seay, B., McCarthy, L. F., and Williams, P. (2009). Your complete ADHD/ADD diagnosis guide.

Retrieved from https://www.additudemag.com/adhd-testing-diagnosis-guide/

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical

Applications (4th ed.). New York, NY: Cambridge University Press.

Stralen, J. W. (2016). Emotional dysregulation in children with attention-deficit/hyperactive disorder.

Attention Deficit Hyperactivity Disorder. 8(4). p. 175-187. Retrieved from

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5110580/

Hoza B, Mrug S, Gerdes AC, Bukowski WM, Kraemer HC, Wigal T, et al. What aspects of peer relationships are impaired in children with attention-deficit/hyperactivity disorder? Journal of Consulting and Clinical Psychology. 2005b;73:411–423.

Reynolds, C. & Kampaus, R. (2013). Generalized Anxiety Disorder. Pearson. Retrieved from:

www.images.pearsonclinical.com/images/assets/basc-3/basc3resources/DMS-5_

It is important to determine the triggers of the anxiety to help the patient prepare for times when he is likely to be in high stress situations. Planning a response when feeling overwhelmed can help the patient remain in control of his emotions and allow the patient to monitor his behavior.

Question 3:

You stated that your father was abusive, was this physical or verbal abuse or both? Do you contribute some of your anxiety from previous issues with your father?

It is important for the provider to understand the client’s point of view in regards to his upbringing. He realizes it has affected in him in some way, as he has obtained psychotherapy in the past. I would want to know if he has ever spoken to his father about this and if his father has ever apologized for his actions.

Questions for family

I would want to talk with his mother to ask her how he did as a child in school and at home in regards to schoolwork, chores and would want to know if he had friends. Although social problems are not part of the diagnostic criteria for ADHD, the peer relationship difficulties faced by youth with this disorder are profound (Hoza, 2007)

Diagnostics & Exams

A full psychiatric evaluation which would include the Adult Self-Report Scale (ASRS). ASRS was been developed by the World Health Organization to determine if an individual (adult) may have ADHD. The scale is made up of 6 questions, and if a client has at least 4 of 6 symptoms, there may need to be a diagnosis of ADHD made by a professional (ADDA, 2018). Seay et al. (2009) suggests the PMHNP should utilize intelligence test, broad-spectrum scales, tests of specific abilities, and brain scans to confirm the diagnosis and to rule out other disabilities, autism, auditory processing disorders or mood disorders. In addition, a full medical work-up by a PCP in order to rule out other medical conditions that could present similarly to ADHD.

Differential DX

General Anxiety Disorder: The patient exhibits symptoms of generalized anxiety disorder, DSM-5 300.02 (F14.1). He has had the symptoms for greater than six months with the symptoms being severe enough to interfere with the patient’s daily functioning. The patient complains of feels of worry that is difficult to control, irritability, restlessness, difficulty concentrating and feeling on edge. The patient symptoms have not been linked to a physical condition or to substance use (Reynolds & Kamphaus,2013).

ADHD: client consistently complains of feeling tense, irritable, and anxious (Stahl Online, 2019). Questions arise once the general anxiety symptoms are resolved and the client is left feeling hyperactive, inattentive, and the inability to focus (Stahl Online).

Post-Traumatic Stress Disorder: The client’s diagnosis of anxiety may have been related to underlying issues related to a traumatic event that he experienced as a child. The client’s father was verbally abusive to him and was an alcoholic. It is a possibility that the client’s issues could have some relations to previous exposure as a child. Post-Traumatic Stress Disorder is a serious condition that can occur in clients who have experienced various incidents including abuse (PTSD, 2018).

Medications

The case states by year six the client has failed to achieve remission on an SSRI, a 5-HT1A receptor partial agonist, an antihistamine anxiolytic and an SGRI (Stahl Online, 2019).

Based on the pharmacological agents, I would select either Cymbalta 60mg or Effexor XR 150mg. Cymbalta did illicit a response, but side effects prevented the escalation of the dosage. Augmenting with guanfacine an alpha-adrenergic agonist proved to be the therapy that elicited remission for this client.

Lessons Learned

I learned to always consider additional differential diagnosis and evaluate and re-evaluate every situation separately to be sure of the correct diagnosis. Patient’s often have comorbid diagnosis and treating both is vital to a successful outcome for the patient. Symptoms of mental illness change overtime making continued care necessary for the patient. The provider must always be approachable and helpful for the client to feel comfortable in his/her presence.

References

Attention Deficit Disorder Association. (2018). Adult ADHD Test. Retrieved from https://add.org/adhd-test/

Generalized Anxiety Disorder. (2018). Anxiety and Depression Association of America. Retrieved from https://adaa.org/understanding-anxiety/generalized-anxiety-disorder-gad

Posttraumatic Stress Disorder. (2018). Anxiety and Depression Association of America. Retrieved from https://adaa.org/understanding-anxiety/posttraumatic-stress-disorder-ptsd

Seay, B., McCarthy, L. F., and Williams, P. (2009). Your complete ADHD/ADD diagnosis guide.

Retrieved from https://www.additudemag.com/adhd-testing-diagnosis-guide/

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical

Applications (4th ed.). New York, NY: Cambridge University Press.

Stralen, J. W. (2016). Emotional dysregulation in children with attention-deficit/hyperactive disorder.

Attention Deficit Hyperactivity Disorder. 8(4). p. 175-187. Retrieved from

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5110580/

Hoza B, Mrug S, Gerdes AC, Bukowski WM, Kraemer HC, Wigal T, et al. What aspects of peer relationships are impaired in children with attention-deficit/hyperactivity disorder? Journal of Consulting and Clinical Psychology. 2005b;73:411–423.

Reynolds, C. & Kampaus, R. (2013). Generalized Anxiety Disorder. Pearson. Retrieved from:

www.images.pearsonclinical.com/images/assets/basc-3/basc3resources/DMS-5_

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Describe how you would collaborate with a nurse leader to reach consensus on the best strategy to deal with the conflict.

Read Finkelman (2016), Chapter 13: Improving Teamwork: Collaboration, Coordination, and Conflict Resolution, section on Negotiation and Conflict Resolution, pp. 324-333. Watch tutorial below.
Write a ***6*** page paper (not including the title or References pages). Follow APA format. Consult your APA manual, and consider using the APA resources provided. Cite the course textbook and two scholarly sources.
Cite the course textbook and two scholarly sources. Scholarly references must be published within the last 5
Review the information provided in our library
Review the information provided in our library
You are required to complete this assignment using the productivity tools which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad.
Observe nurses in a care delivery setting. Identify a recurring conflict with the potential to negatively impact patient care. This should be from your practice setting or prelicensure experiences.
Provide details of what happened, including who was involved, what was said, where it occurred, and what was the outcome that led you to decide the conflict was unresolved.
REVIEW AND DISCUSS the four stages of conflict as found in Finkelman. IDENTIFY AND EXPLAIN how the stages of conflict relate to the example in your workplace.***DO NOT use direct quotes.****
Describe how you would collaborate with a nurse leader to reach consensus on the best strategy to deal with the conflict. Besides the textbook, the paper needs to summarize conflict resolutions from two scholarly articles.
Describe the rationale for selecting the best strategy.
Provide a summary or conclusion about this experience or assignment and how you may deal with conflict more effectively in the future.
Describe the rationale for selecting the best strategy.
Provide a summary or conclusion about this experience or assignment and how you may deal with conflict more effectively in the future

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Identify the target populations addressed by the bill. ( nursing home /hospital falls. Elderly

Legislation Testimony/Advocacy Statement regarding patient falls

Based on the health-related bill you selected, develop a 1- to 2-page Legislation Testimony/Advocacy Statement that addresses the following:

And a 1 page fact sheet or talking point.

· Determine the legislative intent of the bill you have reviewed.

· Identify the proponents/opponents of the bill.

· Identify the target populations addressed by the bill. ( nursing home /hospital falls. Elderly

· Where in the process is the bill currently? Is it in hearings or committees?

· Is it receiving press coverage?

· Advocate a position for the bill you selected and write testimony in support of your position.

· Describe how you would address the opponent to your position. Be specific and provide examples.

· Recommend at least one amendment to the bill in support of your position

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How can credentialed health care providers work collaboratively with Mr. Chen to ensure that prescription medicines and herbs are compatible and that there are no adverse or harmful interactions between various medicines?

Creating Culturally Competent in Health Care Organizations

Read chapter 9 of the class textbook and review the attached PowerPoint presentation. Once done present an analysis of the following case study answering the questions below.

Mrs. Li Huan, a 79-year-old Chinese American widow who lives alone in New York City’s Chinatown recently had a cerebrovascular accident (CVA) or stroke. Mrs. Li has right-sided paralysis with partial loss of voluntary movement and sensation in her right arm and leg. Mrs. Li has weak facial muscles, difficulty with speech, and drooling. She experiences numbness and tingling in her arms and legs. Mrs. Li is going to a rehabilitation center known for delivering culturally competent interprofessional care where she is cared for by a team of credentialed health care providers: Dr. Indira Patel, nurse J.J. Johnson, physical therapist Mohammad Abu Said, dietician Maria Gonzalez, and Chinese American herbalist, Chen Minzhe.

(Note: In traditional Chinese culture, a person’s last name or surname is written first, followed by his/her first name. Therefore, the patient’s last name is Li and the herbalist’s last name is Chen. It is proper etiquette to call a person of Chinese background by his/her title, in this case, Mrs. Li and Mr. Chen until the individual gives you permission to use his/her first name. To further confuse matters, many acculturated Chinese Americans are likely to reverse their first and last names in the typical US or Canadian order. Therefore, it is important to ask the patient, “What is your first name? What is your last name?” Note the correct order on the patient’s chart for other members of the team.)

How do members of the interprofessional team assess Mrs. Li’s literacy, diet, and medications, including herbal medicines being provided by her herbalist, Mr. Chen?
How do the nurse and other members of the team determine if complementary or integrative treatments, such as medicinal herbs, are helpful, harmful, or neutral to Mrs. Li’s recovery?
If you were seeking advice or consultation from a traditional Chinese herbalist in your community, how would you locate one?
Why do patients seek treatment from alternative and integrative healers?
How can credentialed health care providers work collaboratively with Mr. Chen to ensure that prescription medicines and herbs are compatible and that there are no adverse or harmful interactions between various medicines?
What strategies would you recommend in promoting Mrs. Li’s optimum functioning and health following her CVA? (Andrews & Boyle, Transcultural Concepts in Nursing Care, 7th Edition).
As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 6 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard. If you don’t post your assignment in any of the required forums you will not get the points. A minimum of 2 evidence-based references besides the class textbook no older than 5 years must be used (excluding the class textbook). You must post two replies to any of your peers on different dates sustained with the proper references no older than 5 years as well and make sure the references are properly quoted in your assignment. A minimum of 800 words is required. Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.

Please check your assignment after the week is due because I either made comments or ask for clarification in some statements.
If you have any questions, please contact me via FNU email.

Due dates: Assignment – Wednesday, March 4, 2020, @ 11:59 PM in the discussion tab of the blackboard, and SafeAssign exercise in the assignment tab of the blackboard.

Replies and test are due on Sunday, March 8, 2020, at 11:59 PM.

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Describe strategies for moving from intervention at the family level to intervention at the aggregate level

1) **********minimum 6 full pages (3 pages each document) ( not words)**************************** (cover or reference page not included)

2)¨**********APA norms (All paragraphs must be narrative and cited in the text- each paragraphs)

3)********** It will be verified by Turnitin and SafeAssign

4) References not older than 5 years

5) Each answer must be identified according to the question number. Check the list of questions.

Your answer should start objectively answering the question

example:

Question:

1)…………

2)…………

3)…………

Answer:

1)…………

2)…………

3)…………

_______________________________________________________

You must answer (4) question 2 times.

You must submit 2 documents (each one 3 page).

Copy and paste will not be admitted.

You should address the questions with different wording, different references, but always, objectively answering the questions.

___________________________________________________________

Define case management and care management and compare the differences.
Mention and discuss the case management concepts into the clinical practice of community health nursing.
Give the definition of family and mention and discuss the different types of families, mention and discuss the model of care for families.
Describe strategies for moving from intervention at the family level to intervention at the aggregate level

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-Identify your subtopic (Genetically competent care for those with chronic illness)and provide a brief summary of your journal article on how this topic relates to nursing practice.

Locate at least one scholarly journal article that discusses your subtopic (I have attached the required articles for this week you can choose from as well)

-Identify your subtopic (Genetically competent care for those with chronic illness)and provide a brief summary of your journal article on how this topic relates to nursing practice.

-What is the nurse’s role in providing care in relation to your subtopic and the overarching theme of advocacy?

-What ethical implications should be considered with regard to genetics and genomics for nursing practice? Why?

A 3-paragraph (at least 350 words)

Be sure to use evidence from the readings and include in-text citations.

Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames.

Avoid quotes; paraphrase to incorporate evidence into your own writing.

A reference list is required. Use the most current evidence (usually ≤ 5 years old)

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Utilize the nursing process to provide safe and effective care for patients across the life span.

The nursing process is a tool that puts knowledge into practice. By utilizing this systematic problem-solving method, nurses can determine the health care needs of an individual and provide personalized care.

Write a paper (1,750-2,000 words) on cancer and approach to care based on the utilization of the nursing process. Include the following in your paper:

Describe the diagnosis and staging of cancer.
Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.
Discuss what factors contribute to the yearly incidence and mortality rates of various cancers in Americans.
Explain how the American Cancer Society (ACS) might provide education and support. What ACS services would you recommend and why?
Explain how the nursing process is utilized to provide safe and effective care for cancer patients across the life span. Your explanation should include each of the five phases and demonstrate the delivery of holistic and patient-focused care.
Discuss how undergraduate education in liberal arts and science studies contributes to the foundation of nursing knowledge and prepares nurses to work with patients utilizing the nursing process. Consider mathematics, social and physical sciences, and science studies as an interdisciplinary research area.
You are required to cite to a minimum of four sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN-BSN

2.1: Incorporate liberal arts and science studies into nursing knowledge.

3.1 Utilize the nursing process to provide safe and effective care for patients across the life span.

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Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum.

Report Issue

Research the health-illness continuum and its relevance to patient care. In a 750-1,000 word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:

Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.
Explain how understanding the health-illness continuum enables you, as a health care provider, to better promote the value and dignity of individuals or groups and to serve others in ways that promote human flourishing.
Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.
Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract

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Explain why the sources of online information selected should provide the best evidence for the chosen diagnosis.

Create a 1-2-page resource that will describe databases that are relevant to EBP around a diagnosis you chose and could be used to help a new hire nurse better engage in EBP.

Evidence-based practice (EBP) integrates the best evidence available to guide optimal nursing care, with a goal to enhance safety and quality. EBP is crucial to nursing practice because it incorporates the best evidence from current literature, along with the expertise of the practicing nurse. The concern for quality care that flows from EBP generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise. To gain the knowledge, you require a good understanding of how to search for scholarly resources, as well as identify which databases and websites are credible for the purposes of implementing evidence-based changes in practice.

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

Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies.
Explain why the sources selected should provide the best evidence for the chosen diagnosis.
Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
Describe the best places to complete research and what types of resources one would want to access to find pertinent information for the diagnosis within the context of a specific health care setting.
Competency 4: Plan care based on the best available evidence.
Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis.
Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
Describe communication strategies to encourage nurses to research the diagnosis, as well as strategies to collaborate with the nurses to access resources.
Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.
Professional Context
As a baccalaureate-prepared nurse, you will be responsible for providing patient-centered, competent care based on current evidence-based best practices. You will be required to do research, analysis, and dissemination of best evidence to stay abreast of these best practices. Understanding where to go to find credible sources and locate evidence, as well as which search terms to use, is the foundation of incorporation of best practices.

Scenario
You are supervising three nurses working on the medical-surgical floor of a local teaching hospital. This hospital is nationally recognized as a leader in education and has a computer lab with an online library where staff has access to medical research databases (that is, CINAHL, PubMed, Medline, and Cochrane library) and online sources of all hospital policies, procedures, and guidelines, and computers at nurse workstations that also have access to these resources. (For this scenario, use the Capella University Library to simulate the hospital’s online library.) You have given the nurses their patient assignments and you have all participated in shift report. A new nurse who just completed orientation and training a week ago approaches you and tells you that one of the assigned patients has a diagnosis he or she is very unfamiliar with. Knowing that patient-centered care based on best practices is imperative to positive patient outcomes, you want to assist this nurse to find research that can be utilized to provide the best care for this patient. Describe how you would communicate with this nurse to encourage him or her to research the diagnosis. Assume you will assist in the quest to locate evidence, then describe where you would go within the facility and what resources you would look for. These resources may include websites, journals, facility policies or guidelines, or any other sources of online information.

You may choose the diagnosis for the patient in this scenario. Choose something you would find interesting to research or that applies to a clinical problem you would be interested in addressing. Create a list of at least five sources that could be used to find evidence, with the best source listed first, and explain why the sources you chose are best to find evidence for the diagnosis you chose and the clinical scenario. You are only evaluating the sources of evidence (database, website, policy database or website, et cetera). You are not actually completing a search and selecting evidence. Consider the following examples: a nursing journal in CINAHL may not be the best source of evidence for information on how to administer medications through a central-venous catheter, whereas a hospital policy database found on a website may not be the best source of information on caring for a patient with a rare chromosomal abnormality.

Preparation
To help ensure you are prepared to complete this assessment, review the following resources related to the Capella library. These resources will provide you an overview of the types of tools, resources, and guides available in the library. This may be useful in forming a better understanding of the library to apply to the hypothetical situation laid out in the scenario of this assessment.

BSN Program Library Research Guide.
Evidence-Based Practice in Nursing & Health Sciences.
Databases A-Z: Nursing & Health Sciences.
Get Critical Search Skills.
Remember, it is also appropriate to look toward databases and resources outside of the Capella library, such as organizational policies, professional organizations, and government health care resources.

You are encouraged to complete the Evaluating the Credibility of Evidence activity. This activity offers an opportunity to practice evaluating the credibility of evidence. These skills will be necessary to complete Assessment 1 successfully and is for your own practice and self-assessment. Completing this activity is also a way to demonstrate course engagement.

Instructions
The purpose of this assessment is to understand where to find evidence that can be applied to clinical scenarios and to learn effective communication and collaboration with clinical staff during the process of evidence location. As a baccalaureate-prepared nurse, you will not only use research for self-improvement in your clinical role, but you will also serve as a mentor to supervised nursing staff. Therefore, you will need to be able to communicate and collaborate effectively to guide them toward resources to find research, as well as support them through the initial evidence location process. In doing so, nurses can gain access to evidence that can be analyzed and utilized to stay current on best practices. This allows them to provide safe, patient-centered care and improve patient outcomes.

For this assessment:

Describe your role as a baccalaureate-prepared nurse supervising clinical staff nurses with regard to communication and collaboration in locating evidence for application to a nursing practice scenario.
Compile a list of five online databases or other online sources (that is, websites, journals, facility policies or guidelines, et cetera) that can be used to research evidence to apply to this scenario and describe to which of these you would direct a nurse colleague to search for evidence.
Describe where you might go in the clinical setting to complete this research and how you would access the desired, relevant research within research databases or other online sources.
Be sure to address the following in this assessment, which correspond to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you will know what is needed for a distinguished score.

Describe communication strategies to encourage nurses to research the diagnosis, as well as strategies to collaborate with the nurses to access resources.
Describe the best places to complete research and what types of resources you would want to access to find pertinent information for the diagnosis within the context of a specific health care setting.
Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis.
Explain why the sources of online information selected should provide the best evidence for the chosen diagnosis.
Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.
Note: While you are not selecting and evaluating specific evidence to help with the clinical diagnosis, you should still be citing the literature and best practices to support your description of your communication and collaboration approach. Additionally, it is appropriate to cite best practices related to EBP and evaluating databases to support your explanation as to why you selected the five sources of online information that you did.

Submission Requirements
Your assessment should meet the following requirements:

Length of submission: 1–2 pages (not including the reference page) description of communication, collaboration, and evidence location process, including a list of databases or other sources with description of why they are appropriate for clinical scenario diagnosis (that is, something that would be useable in professional practice for other nurses). Be sure to include an APA-formatted reference page at the end of your submission.
Number of references: Cite a minimum of three sources of scholarly or professional evidence that supports your findings and considerations. Resources should be no more than five years old.
APA formatting: References and citations are formatted according to current APA style.
Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.

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