Each week you will be expected to provide the following information to your community practice instructor through your journal entries:

1. What are your upcoming week’s specific learning goals and objectives?
2. What is your upcoming week’s detailed schedule at your community practice experience placement?
3. Were there any placement items/issues that occurred this week that you feel your instructor should be aware of that are private in nature and are more appropriately shared here than in the discussion board with your classmates?
4. Give a brief description of an objective you worked on this week. Make sure to cite at least one reference showing how your objective relates to the public health knowledge you’ve studied during this course or the public health course. You may choose to reference your e-text, journal articles, or videos you’ve studied during these courses or you may find an outside reference on your own to further enhance your public health knowledge and practices.

Learning Objectives

Students will:

• Develop diagnoses for clients receiving psychotherapy*
• Evaluate the efficacy of motivational interviewing techniques for clients*
• Analyze legal and ethical implications of counseling clients with psychiatric disorders*

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 7.

Select a client whom you observed or counseled this week. Then, address the following in your Practicum Journal:

• Describe the client (without violating HIPAA regulations) and  identify any pertinent history or medical information, including  prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for this client.
• Explain whether motivational interviewing would be effective with  this client. Include expected outcomes based on this therapeutic  approach. Support your approach with evidence-based literature.
• Explain any legal and/or ethical implications related to counseling this client.

 1- Discussion question: You are taking care of an 80 African-American-year-old male patient in a medical-surgical unit who was hospitalized with congestive heart failure. He is being discharged with multiple medications and home health care. Describe the steps you would take to provide patient education including cultural considerations. 

2- 3 paragraphs of 3 sentences each

3- 2 references

4- APA Style

Portfolio Assignment: The Role of the Nurse Informaticist in Systems Development and Implementation

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

To Prepare:

• Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
• Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

• Planning and requirements definition
• Analysis
• Design of the new system
• Implementation
• Post-implementation support

Ethics in Nursing

End of Life—Reflection 

Assignment: Write an essay of a minimum of 500 words that include the responses to the following questions. The rubric below instructs how this assignment will be graded. You are to use at one professional journal reference to substantiate your thoughts on the end of life care or any of the ethical principles that were in operation (or not) during the end of life simulation experience.

1. How will you use this end-of-life experience to inform your nursing practice? What specific changes will you make?

2. What communication skills did you learn and how can you use them in applying these in your profession?

3. Did you see a satisfactory resolution to the ethical dilemmas presented? What would you have done differently if you had participated in this experience?

4. Has this end-of-life simulation experience changed or deepened your opinion/beliefs about death and dying? Please elaborate.

End of Life Journal Rubric

EOL Journal Assignment 

Points Available

Points Earned

Essay of minimum of 500-word response including:

4

4

Ethical Principles/Standards Noted in Simulation

2

2

Professional journal (not more than 5 yrs old)—used to   substantiate ethical principles or other aspects of end of life care

2

2

APA format/proper citation/grammar

2

2

Ticket to Enter 

(Late submissions will result in 2 lost participation   points per day)

0

0

Please read comments in the document

10 points

10 points

attachment

 1. Discuss the clinical narrative provided here using the unfolding case study format to promote situated learning of clinical reasoning (Benner, Hooper-Kyriakidis, & Stannard, 2011).
2. Regarding the various aspects of the case as they unfold over time, consider questions that encourage thinking, increase understanding, and promote dialogue, such as: What are your concerns in this situation? What aspects stand out as salient? What would you say to the family at given points in time? How would you respond to your nursing colleagues who may question your inclusion of the family in care?
3. Using Benner’s approach, describe the five levels of competency and identify the characteristic intentions and meanings inherent at each level of practice. 

Identify a quality improvement initiative that relates to improving population health outcomes for a population with which you are familiar. Have these initiatives been successful? Why or why not?  

The Lab Assignment

• Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.

• Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

  The kickoff-to-execution presentation is designed to get everyone on the right path while inspiring and motivating them to succeed. This is your opportunity to showcase the work you have done designing and planning your project as well as the unique tools you developed and are about to implement. Your kickoff PowerPoint presentation is the key to setting the tone for the kickoff meeting. If you have already conducted a formal kickoff and have started execution of your project, complete this as if you had not done so yet. Gather as many colleagues as possible to present your PPT. For actual kickoffs, present your PPT to as many of the project team as possible. 

Requirements

1. Complete the Kickoff PowerPoint presentation.  All slides except title slides and reference lists must have speaker notes.
2. Grammar, spelling, punctuation, references, and citations are consistent with formal academic writing and APA format as expressed in the current edition of the APA manual.

Preparing the Paper

1. You must recap your project plan, getting everyone in agreement for project, while you motivate and inspire your team and stakeholders. Introduce and give thanks to team members who have worked hard to get the project to the implementation phase. Give comments that help the teams realize that they are important. Discuss each team member’s role in the project. Everyone in the room is important and vital to the project’s success.
2. You must have at least 33 slides. It is important to note that if you could not give your presentation and someone would have to stand in for you, he or she would need to know what you were going to say. All slides except the title slides and reference lists must have speaker notes so that someone may step in for you.
3. Judiciously include visual elements such as charts, graphs, tables, relevant pictures and/or cartoons.
4. Maintain the 6 x 6x 6 rule for a professional PowerPoint presentation: no more than six lines per slide, six words per line, and six slides without a graphic.
5. Ideas and information from professional sources must be cited correctly, using the current edition of the APA manual.
6. Grammar, spelling, punctuation, references, and citations are consistent with formal academic writing.

Rubric

NR632: W1 Kickoff PowerPoint PresentationNR632: W1 Kickoff PowerPoint PresentationCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeKickoff PowerPoint Presentation Plan80.0 ptsThe plan is thoroughly reviewed, getting everyone on board by including all of the critical elements as included in the PowerPoint, and the presentation is inspiring and motivating. It follows 6X6X6 rules; every slide includes speaker notes70.0 ptsThe plan is lacking one or two critical elements included in the PowerPoint document to help get everyone on board, and the presentation is inspiring and motivating. It follows 6X6X6 rules; every slide includes speaker notes64.0 ptsThe plan is lacking three critical elements included in PowerPoint document to help get everyone on board, or the presentation is not inspiring and motivating. It does not follow 6X6X6 rules; missing speaker notes30.0 ptsThe plan is lacking four critical elements included in the s PowerPoint to help get everyone on board, or the presentation is not inspiring and motivating. . It does not follow 6X6X6 rules; missing speaker notes0.0 ptsThe plan is lacking five or more critical elements included in the PowerPoint to help get everyone on board, or the presentation is not inspiring and motivating or is text heavy without notes in the notes section.80.0 pts
This criterion is linked to a Learning OutcomeGrammar, spelling, punctuation, references, citations, and APA formatting20.0 ptsNo grammar, spelling, punctuation, references, citation, or APA errors18.0 pts1 total grammar, spelling, punctuation, references, citation, or APA error16.0 pts2 total grammar, spelling, punctuation, references, citation, or APA errors8.0 pts3 total grammar, spelling, punctuation, references, citation, or APA errors0.0 pts4 or more total grammar, spelling, punctuation, reference, citation, or APA errors20.0 pts
Total Points: