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APA format
1) Minimum 19 pages  (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per page
You must strictly comply with the number of paragraphs requested per page.
.
           Part 1: minimum  3 pages (60 hours)
           Part 2: minimum  3 pages (60 hours)
           Part 3: minimum  4 pages (40 hours)
           Part 4: minimum  2 pages 
           Part 5: minimum  2 pages
           Part 6: minimum  1 page
           Part 7: minimum  1 page 
           Part 8: minimum  3 pages (40 hours)
Submit 1 document per part
2)¨******APA norms
         All paragraphs must be narrative and cited in the text- each paragraph
         The writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information. 
         Bulleted responses are not accepted
         Don’t write in the first person 
         Don’t copy and paste the questions.
         Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph
Submit 1 document per part
3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 
********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)
4) Minimum 3 references (APA format) per part not older than 5 years  (Journals, books) (No websites)
Part 1:  Minimum 4 references (APA format) per part not older than 5 years  (Journals, books) (No websites)  
Part 2:  Minimum 4 references (APA format) per part not older than 5 years  (Journals, books) (No websites)  
Part 3:  Minimum 6 references (APA format) per part not older than 5 years  (Journals, books) (No websites) 
Part 8:  Minimum 4 references (APA format) per part not older than 5 years  (Journals, books) (No websites)  
All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.
5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next
Example:
Q 1. Nursing is XXXXX
Q 2. Health is XXXX
6) You must name the files according to the part you are answering: 
Example:
Part 1.doc 
Part 2.doc
__________________________________________________________________________________
 
Part 1: Culture in nursing  (Write in the first person) (Due 60 hours)
Purpose:
The purpose is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the Culture in nursing course. 
1.  Introduction (1 paragraph)
a. Introduces the purpose of the reflection (Culture in nursing)
b. Describe how the Essential IV allows you to translate and integrate knowledge into multicultural clinical practice.  
2. Reflect and demonstrate your learning from the “Culture in nursing” course on:
a. Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations (2 paragraphs)
b.  Use clinical judgment and decision-making skills in appropriate, timely nursing care during disaster, mass casualty, and other emergency situations. (2 paragraphs)
c. Assess protective and predictive factors, including the health of individuals, families, groups, communities, and populations. (2 paragraphs)
d. Advocate for social justice, including a commitment to the health of vulnerable populations and the elimination of health disparities. (1 paragraph)
3. Conclusion (1 paragraph)
Part 2: Nursing Leadership  (Write in the first person) (Due 60 hours)
Purpose:
The purpose is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the Nursing Leadership course. 
1.  Introduction (1 paragraph)
a. Introduces the purpose of the reflection (Nursing Leadership)
b. Describe how Essential II allows you to translate and integrate organizational leadership into the clinical practice
2. Reflect and demonstrate your learning from the ” Nursing Leadership ” course on:
a.  Demonstrate the professional standards of moral, ethical, and legal conduct.  (2 paragraphs)
b.   Promote the image of nursing by modeling the values and articulating the knowledge, skills, and attitudes of the nursing profession  (2 paragraphs)
c.  Demonstrate an appreciation of the history of and contemporary issues in nursing and their impact on current nursing practice. (2 paragraphs)
d.  Identify personal, professional, and environmental risks that impact personal and professional choices, and behaviors (1 paragraph)
3. Conclusion (1 paragraph)
Part 3: Nursing Leadership (Due 40 hours)
Topic: Nursing shortage
1. Introduction (1 paragraph)
2. Describe the actual problem in the USA with the nursing shortage (1 paragraph)
a. Include static data
3. Describe how the nursing shortage impacts the nursing activities (1 paragraph)
a. Include static data
4. Describe how the nursing shortage impacts the Healthcare system (1 paragraph)
a. Include static data
5. Describe how the nursing shortage impacts patient care (1 paragraph)
6. Describe how the nursing shortage impacts the emotional and psychological of nurses (2 paragraphs: One paragraph per each topic Work stress and Burnout / Addictions)
a. Work stress and burnout
b. Addictions (illicit drugs)
7. Describe one strategy for reducing the nursing shortage (1 paragraph)
8. Describe the outcomes of the strategy (1 paragraph)
9. Describe how to present and promote the proposal in (2 paragraphs):
a. Senate
b. Sanitary system
c. Health professionals
10. Conclusion (1 paragraph)
Part 4: Healthcare policy (Due 20 hours)
1. Describe three ways in which a population health focus might be applied in transforming the health care delivery system (Six paragraphs: Two paragraphs per each “way”)
Part 5: Health Promotion (Due 20 hours)
 CASE STUDY: Caregiver Role Strain
 Ms. Sandra A. Sandra, a 47-year-old divorced woman, received a diagnosis of stage 3 ovarian cancer 4 years ago, for which she had a total hysterectomy, bilateral salpingo- oophorectomy, omentectomy, lymphadenectomy, and tumor debulking followed by chemotherapy, consisting of cisplatin (Platinol), paclitaxel (Taxol), and doxorubicin (Adriamycin). 
She did well for 2 years and then moved back to her hometown near her family and underwent three more rounds of secondline chemotherapy. She accepted a less stressful job, bought a house, renewed old friendships, and became more involved with her two sisters and their families. Sandra developed several complications, including metastasis to the lungs. Then she could no longer work, drive, or care for herself. She had been told by her oncologist that there was nothing else that could be done and that she should consider entering a hospice. She met her attorney and prepared an advance directive and completed her will. She decided to have hospice care at home and, with the help of her family, set up her first floor as a living and sleeping area. She was cared for by family members around the clock for approximately 3 days. 
Sandra observed that she was tiring everyone out so much that they could not really enjoy each other’s company. At this time, she contacted the Visiting Nurse Association (VNA) to seek assistance. Her plan was to try to enjoy her family and friend’s visits. After assessment, the VNA nurse prioritized her problems to include fatigue and caregiver role strain. Other potential problem areas that may need to be incorporated into the care plan include anticipatory grieving and impaired comfort. 
1. What are some of the stresses on Sandra’s middle-aged sisters and their families? (Two paragraphs)
2. What resources are available to manage these stresses and support the sisters while caring for their dying sister Sandra? (Two paragraphs)
3. Describe Sandra’s feelings about dependency and loss of autonomy because she is unable to do her own activities of daily living any longer (Two paragraphs)
 
Part 6: Nursing Research
Issue:  Falls in Patients with Medical Equipment/Support in Med-Surg Settings 
PICOT question: Will falls in patients with medical equipment/support in med-surge settings be reduced after nurses participate in a fall prevention program in comparison with the amount of falls before the educational program in ten weeks?
Intervention:  The Proposed intervention proposal is a 10-week educational program for nurses. Nurses need to be educated on various ways of assessing patients’ risk factors for falls and how to prevent them promptly (LeLaurin & Shorr, 2019). The program will include giving questionnaires to nurses to access their knowledge of fall prevention in medical-surgical units.  
1. Which evidence-based intervention can you use to fix the issue discussed in your research? and explain:
a. Why
Part 7: Nursing Research
Issue:   Administration of Intravenous Antibiotics in Geriatric Patients Error
PICOT question: it is unknown if the implementation of an educational program about the administration of IV antibiotics to nurses will reduce Iv antibiotic errors in geriatric patients compared with the error rate before the training within one month of the implementation of the educational program.
Intervention:  The intervention that will be implemented to reduce the error rate in the administration of intravenous antibiotics in elderly patients will be the training of nurses. To improve medication safety, various changes should be applied at different levels including training of nurses.
1. Which evidence-based intervention can you use to fix the issue discussed in your research? and explain:
a. Why
Part 8: Nursing Research  (Write in the first person) (Due 40 hours)
Purpose:
The purpose is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the Nursing Research course. 
1.  Introduction (1 paragraph)
a. Introduces the purpose of the reflection ( Nursing Research)
b. Describe how the Essential IV allows you to translate and integrate knowledge into multicultural clinical practice.  
2. Reflect and demonstrate your learning from the ” Nursing Research” course on:
a. Explain the interrelationships among theory, practice, and research.(2 paragraphs)
b. Demonstrate an understanding of the basic elements of the research process and models for applying evidence to clinical practice. . (2 paragraphs)
c. Evaluate the credibility of sources of information, including but not limited to databases and Internet resources.  (2 paragraphs)
d.  Participate in the process of retrieval, appraisal, and synthesis of evidence in collaboration with other members of the healthcare team to improve patient outcomes (1 paragraph)
3. Conclusion (1 paragraph)

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