Complete only the History, Physical Exam, and Assessment sections of the Aquifer virtual case: Family Medicine 27: 17-year-old male with groin pain.

Discussion Question 1

Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain.

Discussion Question 2

Based on your performance and the expert feedback in your PHYSICAL EXAM collection, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client.

Discussion Question 3

Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Use specific references from your text.

Discussion Question 4

Based on your performance and the expert feedback in your ASSESSMENT identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client.

Discussion Question 5

Based on your performance and the expert feedback in your ASSESSMENT of differential diagnoses, describe one incorrect/missed differential diagnosis and use specific references from your text to support the inclusion of the diagnosis for this client.

The benchmark assesses the following competencies:

1.4 Participate in health care policy development to influence nursing practice and health care.

Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.

Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.

Follow this outline when writing the policy brief:

1. Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources.
2. Create a problem statement.
3. Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.
4. Discuss the impact on the health care delivery system.

Include three peer-reviewed sources and two other sources to support the policy brief.

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. 

Reply to this discussion post (site sources if applicable)

Independent and dependent variables are essential to any evidence based practice project. An independent variable is something that you can change, or that is controlled in a scientific study. A dependent variable is the variable that is being tested, measured within the study. In my project I discussed decreasing medications errors. The independent variable is mandating staff to scan all administered medications, the dependent variable is the medication error. I would need to collect the amount of medication errors within a quarter or year to be able to compare it to the after change numbers. Knowing the numbers we are starting with will allow us to see if the errors decreased. The independent variable would be the staff administering the medications. This can be measured by reviewing their scan rate data of patients and medications administered. The medication error can also be measured by data that is reported within the computer system. This data will be extremely important in my research to make sure that it was successful, or to see what needs to be adjusted. 

Articulate a Practice Problem

Purpose

The purpose of this assignment is to articulate a compelling practice problem. The development of a focused and accurate problem statement is foundational to drive actions and decisions to improve healthcare outcomes. Formulation of a clear and accurate practice problem statement with substantiation from primary peer-reviewed journals supports the professional formation of the DNP scholar.

Course Outcomes

This assignment enables the student to meet the following course outcomes.

1. Investigate practice problems relevant to advanced nursing practice.

2. Appraise practice problems at the micro, meso, and macrosystems levels. 

3. Examine the role of stakeholders in change and translation science. 

5. Compare and contrast differences and similarities in change models, conceptual frameworks, and translation models.

Preparing the Assignment

Follow these guidelines when completing each component of this assignment.

1. The assignment should be no more than four pages (excluding Title and References pages).
2. The assignment will include the following components.
   1. Title Page
   2. Introduction
      1. Purpose Statement
      2. Practice Problem Identification
      3. Role of the DNP Practice Scholar in Influencing Practice Problems
   3. Implications of the Practice Problem at the National Level (Cancer)
      1. Significance
      2. Relevance
      3. Economic Ramifications
   4. Impact of the Practice Problem (cancer)at the National Level on Key Stakeholders
      1. Patients
      2. Families
      3. Nurses
      4. Interprofessional Team Members
      5. Healthcare Organizations
   5. Implications of the Practice Problem at the Local Level (cancer in Miami, Florida)
      1. Significance (INCIDENCE AND PREVALENCE OF CANCER)
      2. Relevance (MORTALITY OF CANCER)
      3. Economic Ramifications (financial data)
   6. Impact of the Practice Problem at the Local Level (cancer in Miami, Florida) on Key Stakeholders
      1. Patients
      2. Families
      3. Nurses
      4. Interprofessional Team Members
      5. Healthcare Organizations
   7. Conclusion
      1. Summation of the Impact of the Practice Problem at the National Level (CANCER IN USA)
      2. Summation of the Impact of the Practice Problem at the Local Level(cancer in Miami, Florida) Summation of the Role of the DNP Practice Scholar on Influencing a Practice Problem
   8. APA Style and Organization
      1. APA Standards for Scholarly Papers. use level 1 header*
   9. Grammar and Mechanics
      1. Paper is four pages (excluding Title and References pages)
      2. Five minimum scholarly, primary sources
      3. Level I Headings are included
3. Selects and reviews a minimum of five primary peer-reviewed journals to substantiate the Problem Statement.
4. To complete this paper, please search from the library home page at https://library.chamberlain.edu (Links to an external site.). Click the Search Everything tab to search on your keywords. Using this search field pulls from over 50 large databases. Federal and other open access sources are not included in the search function and must be searched individually. See the list of open access article databases at https://library.chamberlain.edu/az.php?t=9617. (Links to an external site.) For help, contact a librarian through http://chamberlain.libanswers.com/ask. (Links to an external site.) For additional search help, consider making an appointment with a librarian at https://library.chamberlain.edu/Appointments. (Links to an external site.)
5.  This written assignment will be screened for originality by Turnitin.

Introduction requirements:
1. Includes a focused purpose statement
2. Identifies selected practice problem in general terms
3. Identifies the role of the DNP practice scholar in influencing practice problems

 Implications of the Practice Problem at the National Level requirements:
1. Describes the significance of the practice problem at the national level.
2. Discusses the relevance of the practice problem at the national level.
3. Discusses the economic ramifications of the practice problem at the national level.

 Impact of the Practice Problem at the National Level on Key Stakeholders requirements:
1. Describes the impact of the problem on patients/families at the national level.
2. Discusses the impact of the problem on nurses/nursing care at the national level.
3. Describes the impact of the problem on interprofessional team members at the national level.
4. Discusses the impact of the problem on healthcare organizations at the national level.

 Implications of the Practice Problem at the Local Level Requirements:
1. Describes the significance of the practice problem at the local level.
2. Discusses the relevance of the practice problem at the local level.
3. Discusses the economic ramifications of the practice problem at the local level.

 Impact of the Practice Problem at the Local Level on Key Stakeholders Requirements:
1 Describes the impact of the problem on patients/families at the local level.
2 Discusses the impact of the problem on nurses/nursing care at the local level.
3 Describes the impact of the problem on interprofessional team members at the local level.
4 Discusses the impact of the problem on healthcare organizations at the local level.

 Conclusion Requirements:
1. Includes a summation of the impact of the practice problem at the national level
2. Includes a summation of the impact of the practice problem at the local level
3. Includes a summation of the role of the DNP practice scholar in influencing a practice problem.

 References Requirements:
1. Cites and references a minimum of 5 scholarly primary peer-reviewed journals

 APA Style and Organization Requirements:
1. Uses APA Standards for Scholarly Papers
2. Grammar and Mechanics are free of errors
3. Paper is 4 Pages (excluding Title and Reference Pages)
4. Uses required Level I Headings.

 Additional Resources

American Association of Colleges of Nursing. (2004). AACN position statement on the practice doctorate in nursing. Washington, DC: Author.American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. Washington, DC: Author.American Association of Colleges of Nursing. (2017). The DNP fact sheet. Washington, DC: Author.

The Local Burden of Disease (LBD)

These websites explore the local burden of disease.

• View the U.S. State Burden Topic Profiles at http://www.healthdata.org/node/6444 (Links to an external site.).
• Download the GBD report, Rethinking Development and Health: Findings From the Global Burden of Disease at http://www.healthdata.org/results/country-profiles (Links to an external site.).
• View main findings by country at http://www.healthdata.org/results/country-profiles (Links to an external site.).
• Explore the GBD Compare data visualization at http://vizhub.healthdata.org/gbd-compare/ (Links to an external site.).
• Read about the GBD research study at www.healthdata.org/gbd (Links to an external site.).
• The U.S. Burden of Disease Collaborators. (2018). The State of U.S. health, 1990-2016 burden of diseases, injuries, and risk factors among U.S. states (Links to an external site.). JAMA, 319(14), 1444-1472. https://doi.org/10.1001/jama.2018.0158

The Role of the Stakeholder When Designing a Practice Change

Cluzeau, F., Wedzicha, J. A., Kelson, M., Corn, J., Kunz, R., Walsh, J., & Schünemann, H. J. (2012). Stakeholder involvement: How to do it right: Article 9 in integrating and coordinating efforts in COPD guideline development (Links to an external site.). Proceedings of the American Thoracic Society, 9(5), 269–273. https://www.atsjournals.org/doi/full/10.1513/pats.201208-062ST

Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Implementing an evidence-based practice change (Links to an external site.). The American Journal of Nursing, 111(3), 54-60. https://doi.org/10.1097/10.1097/01.NAJ.0000395243.14347.7e

Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission:

1. Describe the contemporary issue and explain what external stressors are associated with this issue.
2. Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian.
3. Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented. 

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. 

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.

The assignment will be used to develop a written implementation plan.

For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.

The Adaptation Model of Nursing is a prominent nursing theory aiming to explain or define the provision of nursing science. In her theory, Sister Callista Roy’s model sees the individual as a set of interrelated systems who strives to maintain a balance between various stimuli.A 23-year-old male patient is admitted with a fracture of C6 and C7 that has resulted in quadriplegia. He was injured during a football game at the university where he is currently a senior. His career as a quarterback had been very promising. At the time of the injury, contract negotiations were in progress with a leading professional football team.

1. Use Roy’s criteria to identify focal and contextual stimuli for each of the four adaptive modes.

2. Consider what adaptations would be necessary in each of the following four adaptive modes: (1) physiological, (2) self-concept, (3) interdependence, and (4) role function.

3. Create a nursing intervention for each of the adaptive modes to promote adaptation.

Describe the effect of extremely low birth weight babies on the family and community. Consider short-term and long-term impacts, socioeconomic implications, the need for ongoing care, and comorbidities associated with prematurity. Explain how disparities relative to ethnic and cultural groups may contribute to low birth weight babies. Identify one support service within your community to assist with preterm infants and their families and explain how the service adequately addresses the needs of the community, or a population in your community. Provide the link to the resource in your post.

Critique the following research article and answer the following questions: Women with Breast Cancer: Self reported distress in early survivorship.

1. Give a brief 1-2 sentence description of the article.

2, What type of statistical tool(s) was used?

3. Were these tests appropriate? Why or Why not?

4. Did the researchers accept or reject the null hypotheses in each article? How can you tell?

5. Give a brief overview of the hypothesis , intervention, and data collection used in the article in your own words.

 Use the attached old paper to prepare a new one 

Topic: Risk Analysis and Capital Structuring

Deliverable Length: 6-8 pages of content excluding Information and Reference Pages

The board of directors of your for-profit hospital has been approached by a nonprofit hospital to consider a joint venture to take over their business resulting in a larger for-profit medical center status. You have been asked to construct a financial risk analysis for this conversion. Using course materials, including your text and the Internet, and principles of financial risk analysis, evaluate the considerations that a nonprofit hospital has in considering the conversion to a for-profit hospital.

Consider the following options in support of your decision: 

• Projected profit and loss statements
• Retention of estimates
• Selected cost of capital
• Other spreadsheets and calculations you feel are needed to support your decision 

Consider the following topics in your discussion:

• Key characteristics of nonprofit hospitals that differ from for-profit hospitals 
  • Include the characteristics required to maintain a nonprofit status. 
• The need for shifts in corporate structure required for survival in this environment, including safety net requirements and responsibilities
• Potential reasons driving both organizations and considerations between an outright merger verses a      corporate alliance or joint venture. 
• Assessment of the payer mix, financial benchmarks of nonprofit and for-profit hospitals
  • Consider uncompensated care burdens within the for-profit model
• Proffer a decision based on your analysis of whether the organization should convert, create a joint      venture, or decline the offer with rationale and justification.  

Your paper must include your financial information derived in your risk analysis as an appendix included after the Reference page.

PLEASE NOTE: Applicable spreadsheets should be attached to support your decisions. The assignment should include at least 5 relevant peer-reviewed academic or professional references published within the past 5 years.