Category: Nursing

  • CASE PRESENTATION: ASSESSMENT & DIAGNOSIS (CPAD) ASSIGNMENT

    Case Presentation: Assessment & Diagnosis (CPAD) Assignment Instructions

    Overview

    This
    Case Presentation: Assessment & Diagnosis (CPAD) Assignment
    is the first part of three parts of your Benchmark Case Presentation Final (CPF) comprehensive case presentation due later in this course. The CPAD is called a formative assignment in that you will get to “practice” the assessment and diagnosis process. This is an essential first step toward the development of a sound case conceptualization and treatment plan. It is the foundation of the “golden thread” when working with a client. If you miss the mark here, it can lead your treatment plan astray and potentially do harm.

    For this CPAD Assignment, you will complete an assessment and diagnosis of your client as illustrated in the
    Case Presentation: Assessment & Diagnosis (CPAD) Instructions
    and
    Case Presentation: Assessment & Diagnosis (CPAD) Template
    documents found in Canvas.

    Requirements

    This assignment is to be 6 to 8 pages in length, not including the title page and reference page.

    Please utilize APA 7
    th
    edition formatting, including headings, subheadings, and intext citations.

    The assignment requires at least 2 citations, one of which should be the DSM-5-TR (APA, 2022). Do not use any other version of the DSM. Additional references are to be scholarly articles published within the last five years unless they are considered seminal works in the field of study.

    ORDER YOUR CUSTOM-WRITTEN PAPER HERE

    Instructions

    You will use the data collected during the initial Clinical Interview Roleplay (CIR) in which you were the counselor. The client you interviewed during the role play will be the client for your Benchmark Case Presentation Final (CPF). Your CPF will be comprised of three components: the Assessment and Diagnosis (CPAD), the Case Conceptualization (CPCC), and the Treatment Plan (CPTP). CASE PRESENTATION: ASSESSMENT & DIAGNOSIS (CPAD) ASSIGNMENT

    As you work on the CPAD, you may notice that you need additional clinical information to complete the necessary sections. In these situations, you may have to consult with your client via your Microsoft Teams Group to gain access to missing data points.

    To complete this assignment:

    Review the Case Presentation: Assessment and Diagnosis (CPAD) instructions

    Review the
    Case Presentation: Assessment & Diagnosis (CPAD) Grading Rubric
    .

    Review the
    Case Presentation: Assessment and Diagnosis (CPAD) Template
    Follow the APA formatting as provided in the template. It is developed to help you stay aligned with assignment expectations based on the assignment instructions and grading rubric.

    Write the Identifying Information and Reason for Referral/Presenting Problem.

    After collecting all the clinical data, write up the Summary of Assessment.

    After writing the summary, develop your DSM-5-TR diagnosis. Most often in clinical work this will include a primary diagnosis, a comorbidity, and Z-codes. You can “consult” with your clinical team as needed in the development of the diagnosis. Please write the diagnosis in the format indicated in the DSM-5-TR and the example provided.

    As you begin to establish a diagnosis, consider the definition of Mental Disorder stated in the DSM-5-TR (pp. 13-14) and consider the 4 D’s of diagnosing: deviance, distress, dysfunction, and danger. Consider onset of symptoms, duration of symptoms, frequency of symptoms, severity of symptoms (mild, moderate, severe), deviance from the norm, descriptive lineaments (good insight, poor insight, absent insight), and impairment in functioning. Consider differential diagnosis, course of the disorder (partial remission, full remission), and Risk: Suicide, Homicide, and other self-harming behaviors.

    After you solidify your diagnoses, develop your diagnostic impression. The impression is an integration of DSM-5-TR criteria, specifiers, severity with supporting evidence from the case study.

    Note: Your assignment will be checked for originality via the Turnitin plagiarism tool.

    Please
    see the additional detailed explanations below
    for information that needs to be included in the CPAD.

     

     

    Case Presentation: Assessment & Diagnosis
    Section Descriptions

     

    Identifying Data

     

    Date of Initial Assessment:

    Client Name:

    Age:

    Gender:

     

    Race:                                                                           Marital Status:

    Sexual Orientation:                                                    Employment Status:

     

    Reason for Referral/Presenting Problem

    Provide a brief reason why the client has entered counseling. This may be a triggering event such as a divorce, death, pandemic, loss of employment, bullying or client reported increase in signs, symptoms, impaired functioning, etc. Ideally, offering direct quotes on how the client describes the reason, presenting problem.

     

    Confidentiality

    This section should include a statement indicating that you reviewed confidentiality and the limitations therein.

     

    Source of Information

    Provide the source and the manner in which data was obtained in the preparation of this report. This includes both formal and informal or semi-structured assessments in the summary as well as throughout the case presentation as necessary to support your conclusions.

     

    Assessment

    Offer clinically relevant background information on the client. Write this out in paragraph format using complete sentences, – no bullet points. Note: the case studies are limited and, if no data is present, note this under the heading below. The section should include the following in this order:

     

    If no assessment data was available, then indicate how would you assess this client in real practice and the importance of assessing such area.

     

    Family and Home Background/Religious Background

    Identifying information about parents and siblings (names, ages, occupations, etc.).  Client’s perception of the home environment and relationships within the family. Critical family incidents may be included. Also note any events that triggered the client, family coming to counseling, e.g., precipitating events.

     

    Educational History

    Description of pertinent information in relation to educational background including academic achievement, school instances that were significant for understanding the individual and the client’s attitude toward education. Any assessment information would be helpful.

     

    Mental Health

    Historical and as well as present signs, symptoms as well as mental health test results (formal and informal) such as DSM-5-TR cross-cutting symptom measure, Beck’s Depression Inventory, Beck’s Anxiety Depression Inventory, Patient Health Questionnaire, etc.

     

    Mental Status Exam

    When first meeting the client, what are your observations that would include speech; mood; affect; orientation to person, place, time; thought process; delusions; hallucinations; concentration, suicide ideation, etc. Also include any self-harm, e.g., cutting and/or harm to others.

    Indicate onset of symptoms, duration of symptoms, frequency of symptoms, severity of symptoms (mild, moderate, severe), deviance from the norm, descriptive lineaments (good insight, poor insight, absent insight), and impairment in functioning.

     

    Risk Assessment

    A description of the assessment for Suicide, Homicide, and other self-harming behaviors. Indicate the level of risk assessed.

     

    Client’s Physical/Medical Health

    A statement of the client’s significant health history, current treatment and medications.

     

    Occupational History

    A description of the client’s vocational history. Emphasis should be placed on current occupational functioning, history of work problems and reason for change. Quality of work and satisfaction and interests.

     

    Sexual Adjustment

    Current status, significant problems or disturbances in functioning, alternate lifestyles

     

    Substance Use History

    Description of client’s alcohol/drug use, patterns of use, and last use; as well as how often client uses and how much.

     

    Spiritual Assessment

    Does the client believe in God? Attend church? What role does religious affiliation play in the client’s life? Are spiritual resources or issues important to the client? How does the client describe God? What is the state of the client’s spiritual awareness? Additionally, an assessment of the religious background of the family is included.

     

    Cultural Factors

    Does the client have any factors such as acculturation, discrimination, etc. that impact the client and may be source of signs, symptoms? How would the client explain the problem from their cultural lens?

     

    Barriers to Treatment/Success

    Are there personality factors, stages of change influences, or contextual factors that would influence the success of treatment?

    Other Pertinent Data

    Provide any other data points not captured from the sections above such as signs, symptoms, severity, onset, conditions, context that provide a clearer picture for the development and discernment of the diagnosis as well as client insight and motivation to treatment. As you begin to establish a diagnosis, consider the definition of Mental Disorder stated in the DSM-5-TR (pp. 13-14) and consider the 4 D’s of diagnosing: deviance, distress, dysfunction, and danger.  Consider onset of symptoms, duration of symptoms, frequency of symptoms, severity of symptoms (mild, moderate, severe), deviance from the norm, descriptive lineaments (good insight, poor insight, absent insight), and impairment in functioning. Consider differential diagnosis, course of the disorder (partial remission, full remission), and Risk: Suicide, Homicide, and other self-harming behaviors.

    Diagnostic Impressions

    DSM-5 Diagnosis

    Primary – F 32.1 major depressive disorder, single episode, moderate

    Secondary – this may include another diagnosis such as GAD and also Z-codes.

     

    Differential Diagnosis

    Be sure to include diagnoses that you are still assessing for to rule them out (For example, you may be ruling out Generalized Anxiety Disorder, but the client has not yet had anxiety for 6 months or longer, so you’re keeping it as a provisional diagnosis). Make sure the rationale is directly connected to the DSM-5-TR.

     

    Diagnosis Rationale

    When writing up this section, make sure to offer each disorder criteria with case data to support the diagnosis. For each diagnosis, offer a separate paragraph in the diagnostic impression/rationale. Below are examples of incorrect and correct ways to write it up:

    Not correct– The client has a marked fear about one or more social situations. The individual feared that he will act in a way or show anxiety symptoms that will be negatively evaluated (offered DSM criteria only).

     

    Not correct – The client is depressed and noted sadness during the interview. The client isolated herself at home (problem, did not connect to DSM criteria).

     

    Correct – The client has marked fear in several social situations as evidenced by her fear when presenting in class, turning in a paper, and speaking with classmates (A1). She is fearful to speak up when feeling wronged by her supervisor, avoids chatting with co-workers, and isolates herself at home when asked to attend social events (A2). Her fears are founded on the belief that she will act in ways that will be perceived negatively by instructors, classmates, and coworkers (B3). Offer criteria and case study data to support it.

     

    Make sure to use Z codes as needed that are found in the back of the DSM-5-TR. At times, if no disorder is appropriate, a z-code may be the principal diagnosis.

    Make sure to offer a paragraph of z-codes in the diagnostic impression/rationale.

    The first paragraph is only for the principal diagnosis, the next paragraph is on the second disorder, and then additional paragraphs are for the other disorders. Each paragraph is to focus on only one disorder. It is like building a court defense. If your records are subpoenaed or you transfer a client to another counselor, they are not questioning your diagnosis as being incorrect, or inconclusive based on the diagnostic discussion. For the final paragraph, discuss your differential diagnosis.

    This section should include a concise rationale for each diagnosis, differential diagnoses, and Z codes provided above.

     

    References

     

    At least offer the DSM-5-TR as a reference and one other scholarly reference minimum.

     

     

    CASE PRESENTATION: ASSESSMENT & DIAGNOSIS (CPAD) ASSIGNMENT

     

    (Client Name) Case Presentation: Assessment & Diagnosis

     

    (Student’s Name)

    Department of Counselor Education & Family Studies, Liberty University

     

     

     

    Author Note

               
    (Student Name,  
    https://orcid.org/#####
    )

    I have no conflicts of interests to disclose.

    Correspondence concerning this paper should be address to (Student Name, Address, City, State, Zip. Email: email@liberty.edu)

    (Client Name ) Case Presentation: Assessment & Diagnosis

    Identifying Data

    Date of Initial Assessment:                                                    Age:

    Client Name:                                                                          Gender:

    Race:                                                                                       Marital Status:

    Sexual Orientation:                                                                Employment Status:

     

    Reason for Referral/Presenting Problem

     

     

    Confidentiality

     

     

    Source of Information

     

    Assessment

    Family and Home Background/Religious Background

     

    Educational History

     

    Mental Health

     

    Mental Status Exam

    Risk Assessment

     

    Client’s Physical/Medical Health

     

    Occupational History

     

    Sexual Adjustment

     

    Substance Use History

     

    Spiritual Assessment

     

    Cultural Factors

     

    Barriers to Treatment/Success

     

    Other Pertinent Data

    Diagnostic Impressions

    DSM-5 Diagnosis

     

    Differential Diagnosis

     

    Diagnosis Rationale

    CASE PRESENTATION: ASSESSMENT & DIAGNOSIS (CPAD) ASSIGNMENT  References

    268626__Case-Study-of-Gretel–10yrs-old_68c1a464e0fb4.pdf

  • PRAC 6540: AGPCNP Clinical Skills and Procedures Self-Assessment Form

    PRAC 6540: AGPCNP
    Clinical Skills and Procedures Self-Assessment Form

     

    PRAC 6540: AGPCNP Clinical Skills and Procedures

    Self-Assessment Form

    Procedure

    Confident

    (Can complete independently)

    Mostly confident

    (Can complete with supervision)

    Beginning

    (Have performed with supervision or need supervision to feel confident)

    New

    (Have never performed or does not apply)

    Biopsy (excision or punch)

    ü

     

     

     

    Cerumen removal

    ü

     

     

     

    Clinical breast examination

    ü

     

     

     

    Digital rectal exam

    ü

     

     

     

    EKG 12 lead placement and interpretation

    ü

     

     

     

    Epistaxis management/nasal packing

    ü

     

     

     

    Fluorescein stain of the eye

     

     

    ü

     

    Gait and balance assessment

     

    ü

     

     

    Herpes culture

     

    ü

     

     

    I &D abscess

    ü

     

     

     

    CXR interpretation

    ü

     

     

     

    KOH skin slide for fungus

     

    ü

     

     

    Laboratory/diagnostic testing-order and/or interpret

    ü

     

     

     

    Mini Mental Status Exam

    ü

     

     

     

    Nail examination and removal/nail trephination/subungual hematoma

    ü

     

     

     

    Nasal packing, removal of

    ü

     

     

     

    Pap smear

     

    ü

     

     

    Peak flow meter

     

    ü

     

     

    Prostate examination

     

    ü

     

     

    Remove foreign body

    (ear, eye, nose, soft tissue, other)

     

    ü

     

     

    Skin tag removal,

    tick removal

     

    ü

     

     

    Suturing

    ü

     

     

     

    PFT interpretation

     

    ü

     

     

    Vision/hearing

    ü

     

     

     

    Wart destruction/removal

     

     

     

    ü

    Wound care

    ü

     

     

     

    Radiology reports: Interpret chest X-ray, constipation

    ü

     

     

     

    Inject local anesthetics

    ü

     

     

     

     

    Summary of strengths:

                As an adult-gerontology primary care nurse practitioner (AGPCNP), I am going into this practicum feeling confident in a number of skills and procedures. These are tasks or clinical skills/procedures that I can now do independently, correctly, and without any supervision or assistance whatsoever. There are only a few that I can still complete under supervision and only one that I have never performed before (and that I look forward to perform in this practicum). Presently I am able to perform biopsy excision and the extraction of cerumen impacting the external ear canal under no supervision. In the same vein, I am now skilled and independent in correctly performing a clinical breast examination and a digital rectal examination to rule out masses and prostate enlargement respectively (Ball et al., 2023). I can now correctly perform and interpret a 12-lead electrocardiogram (EKG) with no assistance. I will start by first placing the 12 leads by myself and then doing the procedure followed by interpreting the graph – all independently.

    The other clinical skills I can undertake independently include the management of nasal bleeding or epistaxis, as well as nasal packing. In addition to this, I am able to independently perform an incision and drainage (I&D) procedure on an abscess with no preventable complications (Jameson et al., 2022). I can skillfully interpret a chest X-ray (CXR) without help. But I can also independently order laboratory/diagnostic tests and interpret the results. This I do after taking history and performing physical examination, with a view to confirming the tentative diagnosis. As an AGPCNP, I am also expected to assess my patients for suspected mental health disorders, before referring them to mental health specialists like the psychiatric-mental health nurse practitioner or PMHNP. On this, I am now able to independently and correctly do a mini mental status examination (MMSE) and come up with a tentative psychiatric diagnosis (APA, 2022). The other clinical skills and procedures that I am now able to do alone and confidently with no help are nail examination and removal, nail trephination and care of a sub-ungual hematoma, the removal of nasal packing (which I stated above that I can insert independently), injection of local anesthetics (Rosenthal & Burchum, 2020), assessment of vision and hearing, suturing, interpretation of radiology reports such as chest X-rays, management of constipation, and wound care. PRAC 6540: AGPCNP Clinical Skills and Procedures Self-Assessment Form

    ORDER HERE

    Opportunities for growth:

                I feel that opportunities for growth for me exist in those areas of clinical skills and procedures in which I still require assistance or supervision to perform. These are the areas in which I am planning to work on during this practicum to achieve independence and proficiency. As such, the clinical skills and procedures that I still feel I cannot complete without supervision include extraction and mounting of the potassium hydroxide (KOH) skin slide for fungus, preparation of a herpes culture to grow, and gait and balance assessment (Ball et al., 2023; Jameson et al., 2022). Others are the removal of a foreign body (from the ear, the eye, the nose, soft tissues, or other locations), Pap smear taking, peak flow meter reading, pulmonary function test (PFT) interpretation, the removal of skin tags, and tick removal. The one clinical skill/procedure in which I still feel like a beginner is fluorescein stain of the eye. On the other hand, the one procedure that I have never done eve under supervision (and which I hope to do in this practicum) is wart removal or destruction as a sexually transmitted infection or STI.

     

    Now, write 3–4 possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.

               
    My practicum goals/objectives for this placement are:

    a.      To become proficient and independent in all the clinical procedures and skills in which I still need supervision to perform, by the end of this practicum.

    b.     To become most confident or completely confident (independent) in performing fluorescein stain of the eye by the end of this practicum placement.

    c.      To perform for the first time under supervision the removal of warts or destruction of the same by the end of this practicum placement.

     

     

     

    References

    American Psychiatric Association [APA] (2022).
    Diagnostic and Statistical Manual of Mental Disorders-Text Revision (DSM-5-TR), 5
    th
    ed
    . Author.

    Ball, J., Dains, J.E., Flynn, J.A., Solomon, B.S., & Stewart, R.W. (2023).
    Seidel’s guide to physical examination: An interprofessional approach, 10
    th
    ed
    . Elsevier.

    Jameson, J.L., Fauci, A.S., Kasper, D.L., Hauser, S.L., Longo, D.L., & Loscalzo, J. (Eds) (2022).
    Harrison’s principles of internal medicine, 21
    st
    ed
    . McGraw-Hill Education.

    Rosenthal, L.D., & Burchum, J.R. (2020).
    Lehne’s pharmacotherapeutics for advanced practice providers, 2
    nd
    ed
    . Elsevier. PRAC 6540: AGPCNP Clinical Skills and Procedures Self-Assessment Form

  • Project 2: Predictive Analytics for High-Risk No-Show Patients

    Project 2: Predictive Analytics for High-Risk No-Show Patients Content

    This is the first assignment where you are starting to write your project paper. Here are some hints towards a successful background, significance, purpose and PICO question.

    Background and Significance

    This is the beginning of the paper when the author (you) have to sell the problem to the reader (faculty). A nice strategy is to begin with some statistics that demonstrate the seriousness of the problem. This grabs the reader’s attention right from the start. Then go into some definitions of clinical terms.

    Describe the clinical nature of the problem, Including physiology and pathophysiology. Remember, you are clinical experts and here is where that can be displayed.

    Purpose

    Address current practice and what is the gap between current practice and best evidence. Be concise in your purpose statement. Imagine riding in the elevator and you are asked to explain your project.

    PICO

    What is the population, intervention, comparison, and outcome? Who is your population of focus? What is the intervention? The comparison is best evidence to current practice, for example. What is the outcome?

    GENERAL CLASS INSTRUCTIONS

    Please refer to the DNP Project Templates in this Module. Here is the link to the DNP paper template DNP Paper Template 1.24[3]-2-1.docx

    Your proposal must be written using APA format. The template has been prepared with basic APA formatting. Please pay particular attention to headers, spacing, in-text citation format, and reference list citations. Refer to you APA Manual (7th edition) and/or the Purdue OWL (Online Writing Lab) resource for details. https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.htmlLinks to an external site.

    ASSIGNMENT 1 INSTRUCTIONS

    Using the DNP Paper Template 1.24[3]-2-2.docx, write a brief introduction to your proposed project. See the template for more information and description of the specific components. Include the following:

    Create a Title and complete the Title Page (add running head in the document header)

    Write the Background and Significance of the Problem.

    Write the Purpose of the Project.

    Write the Clinical Question. You may write this as (1) a PICO question or (2) as SMART objectives for your Project: Specific, Measurable, Achievable, Relevant, and Time-oriented (stated timeline for project/outcome)

    Project 2: Predictive Analytics for High-Risk No-Show Patients

    Project Aim Statement

     

    The aim of this Doctor of Nursing Practice (DNP) project is to reduce no-show rates in an otolaryngology (ENT) outpatient clinic by implementing a predictive analytics tool to identify patients at high risk for missed appointments and applying targeted reminder strategies. The goal is to improve appointment adherence, optimize provider utilization, and enhance patient access to specialty care.

     

    PICOT Question

     

    P (Population): Adult patients scheduled for outpatient ENT appointments

     

    I (Intervention): Use of a predictive model to identify high-risk no-show patients, followed by enhanced outreach (e.g., phone call + text reminders, flexible rescheduling)

     

    C (Comparison): Standard reminder system (generic automated text or phone reminder)

     

    O (Outcome): Reduction in no-show rates and improvement in appointment adherence

     

    T (Time): Over a 6-month implementation period

     

    PICOT: In adult patients scheduled for outpatient ENT visits (P), how does implementing a predictive analytics tool with enhanced outreach (I) compared to standard reminders (C) affect no-show rates (O) over 6 months (T)?

     

     

    BUY A PLAGIARISM-FREE, HUMAN WRITTEN PAPER HERE

     

    Project 2: Predictive Analytics for High-Risk No-Show Patients

    SMART Goals

     

    Specific & Measurable

    By the end of a 6-month pilot, implement a predictive analytics tool in the ENT clinic EMR that identifies at least 80% of high-risk no-show patients based on historical data.

     

    Achievable & Relevant

    Within 3 months of implementation, ensure that 90% of flagged high-risk patients receive enhanced outreach (phone call + text reminder).

     

    Outcome-Focused

    Reduce overall ENT clinic no-show rates by 15% within 6 months compared to baseline rates before the intervention.

     

    Time-Bound

    Conduct outcome evaluation at 3 months and 6 months post-implementation to determine effectiveness of predictive analytics + enhanced outreach.

     

    Predictive Analytics for High-Risk No-Show Patients

     

    Title

    Student Name

    University of Florida

    College of Nursing

     
     
     
     

    Faculty Member:

    Practice Mentor:

    Date of Submission:

     

     

    INTRODUCTION

               

    Introduction/Background Knowledge/Significance

               
    Nature and significance of the national and local problem. Why did you choose this project?  Give a general description of the issues and process involved.  Give any relavant demographic/data/statistics to describe the scope and severity of the problem

     

    Specific AIMS:

     

    Project Purpose

     

    The purpose of this project is …..(to address your identified systems problem). Why is this important for the clinical site. Define project goals (what are you trying to accomplish? Numerical goals and business impact)

     

    What is the PICOT Question

     

    What is the question that you want answered?

     

    LITERATURE SYNTHESIS

     

    Search Method and Platforms-
    Use at least three platforms. Use all articles identified for the project (no need to limit manuscripts to certain number)

    Comprehensive Appraisal of Evidence
    (Consider using two-three themes identified in the literature). Provide a summary of literature and relevant information. Identify best practices or evidence based practice

    Strengths/Weaknesses/Gaps and Limitations of Evidence

    Conclusion-
    Summarize findings and identified gaps in care

     

     

     

    THEORY/FRAMEWORK AND CONCEPTS

     

    Introduce Theory/Framework that will guide the project

    Linking Concepts to project purpose, describe selection rationale

     

    METHODS

     

    Quality Improvement Project Design

    Approach used for assessing the impact of the intervention. Was this a QI Improvement Project that use the PDSA cycle from the IHI model?  Was this a retrospective/prospective examination of a systems change?
     
    Remember this is not a Research project but a Quality Improvement project

     

    Setting and Stakeholders

    Description of local setting to include an overview of the organization and patient.

    Participants and Recruitment

    Intervention
    – Describe the intervention in enough detail that other organziations could reproduce if so desired.  What considerations were taken into account to ensure that the implementation matched the plan?  (i.e. monitoring and auditing, rapid cycle evaluations?)

    Data Collection Measures-
    What was chosen for studying the process and outcomes and the rationale for choosing them and their validity and reliability

    Performance Measure (numerator/denominator)

    Type (Process, Outcome, or Structure/Cost)

    Data Source (chart review, observation, database – specify)

    Frequency of collection (daily, weekly, monthly)

     

    Project Approval if needed (IRB/QIPR/Committee)

    Implementation Timeline – Included in project proposal

    Data Analysis for Quality Improvement project design

    Ethical Considerations-
    Ethical aspects of conducting the project are addressed. Will there be personal health information collected? If so, how is it protected? If an IRB or QI committee approval is required, include the approval letter in the appendix

     

    RESULTS

    Describe Outcomes of Quality Improvement project-
    Stick to the facts! There is no interpretation of data in this section

    Tables and Figures are well designed and support the results

     

     

    DISCUSSION

    Impact of Results on practice
    – key findings based on the purpose and the question (specific aims). Brief recap of results which expands into the discussion. How does your outcomes compare with the findings in other publications Were there any variables that contributed to the success or failure of the project?

    Strengths/Limitations of project-

    Conclusions-
    Plan for dissemination and sustainability

    Future Implications and suggested next steps

     

     

     

    REFERENCES

     

    APA 7
    th
    Edition Formatting should be used throughout the paper

     

    APPENDIX

     

    Module 1 – Predictive Analytics for High-Risk No-Show Patients

    Assignment 1: Introduction to the Project

     

    GENERAL CLASS INSTRUCTIONS

    Please refer to the DNP Project Templates in this Module. There are two templates: (1) one for the overall DNP Project that includes instructions and guiding comments in
    italic
    s and (2)DNP Proposal (a short version without instructions).  Please refer to the instructions in the full version.
    Please use the DNP Proposal (short form) for all assignments; type directly on the document. For each assignment, add sections to this document.

    Your proposal must be written using APA format. The template has been prepared with basic APA formatting.
    Please pay particular attention to headers, spacing, in-text citation format, and reference list citations.
    Refer to you APA Manual (6
    th
    edition) and/or the Purdue OWL (Online Writing Lab) resource for details.
    https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.html

    ASSIGNMENT 1 INSTRUCTIONS

    Using the DNP Proposal template, write a brief
    introduction
    to your proposed project. See the template for more information and description of the specific components. Include the following:

    Create a Title and complete the Title Page (add running head in the document header)

    Write the Background and Significance of the Problem.

    Write the Purpose of the Project.

    Write the Clinical Question. You may write this as (1) a PICO question or (2) as SMART objectives for your Project:
    S
    pecific,
    M
    easurable,
    A
    chievable,
    R
    elevant,
    and Time
    -oriented (stated timeline for project/outcome).

    SUBMITTING YOUR ASSIGNMENT

    SAVE your document
    , using this format:
    Assignment1_
    lastname
    .
    doc

    SUBMIT
    the completed document via Canvas, under the Assignments tab

     

    GRADES

    Submissions will be graded according to the Assignment #1 rubric.

  • Nurse Informaticist (NIs) Role in Systems Development and Implementation

    Nurse Informaticist (NIs) Role in Systems Development and Implementation

    The Assignment: (2-3 pages not including the title and reference page)

    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.

    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

    Use APA format and include a title page and reference page

     

    Nurse Informaticist (NIs) Role in Systems Development and Implementation

     
    Student’s Name

    Department, Institution

    Code and Course Name

    Professor’s Name

    Submission Date

     
    Nurse Informaticist (NIs) Role in Systems Development and Implementation

    NIs connect information technology with the clinical practice team. NIs leverage informatics expertise and advanced clinical knowledge to bridge gaps in the healthcare sector. Health information systems (HIS) are the backbone of quality, effective, and timely patient care in the modern technology-based healthcare industry (Annamalai et al., 2023). Hence, NIs are involved in making all significant decisions regarding clinical systems. This paper explores NIs’ role in various stages of the Systems Development Life Cycle (SDLC).

    Planning and Requirements Definition

    NIs partner with other important stakeholders to obtain technical and functional requirements of the suggested HIS. They assess the current clinical system defects based on a clinical point of view, identifying areas that need improvement. They ensure that the new system aligns with regulatory standards, organizational goals, and evidence-based practice (EBP). NIs also identify the resources needed in the project, time, benefits to the end-users and healthcare institution, and possible risks based on nursing practice. Therefore, these nurse practitioners (NPs) impact this phase positively by ensuring that patient and nurses’ needs are represented in this initial and significant stage.

    ORDER YOUR PAPER HERE

    Analysis

    NIs determine practice areas that require automation or clinical inefficiencies through the analysis of the current clinical data and workflow documentation. They identify the way in which the proposed clinical system can substitute or improve the existing practices to maximize patient outcomes by gap assessment and workflow analysis. NIs fix the special needs of users, which are to be met by the new clinical system. Specifically, NIs do not only prioritize the new system as suitable to the daily clinical activities of frontline nurses, but they also ensure that such an alternative meets their requirements. NIs’ role in the analysis phase has a positive impact since it would refine the system requirements, ensuring that the new HIS reflect the real-life clinical needs, enhancing care delivery (Keizer et al., 2020).

    Design of the New System

    NIs work with other professionals, such as IT specialists and system designers in designing of the critical components of the new HIS, such as interfaces, clinical decision support tools, data fields, and documentation templates. They are also engaged in usability testing where they provide information to develop user interface (UI) design, refining nursing workflows. NIs also suggests patient safety features, interoperability, and evidence-based (EB) guidelines in the context of discussions of design that the new HIS must adhere to, to fill the existing gaps in clinical practice (Zhai et al., 2022). The role of NIs in this stage has a positive impact since it leads to the creation of a user-centered design, effective in streamlining clinical workflow. The input of NIs throughout the design phase also ensures that the new system is anchored on clinical relevance and nursing-centric capabilities.

    Implementation

    NIs create and provide training during the implementing
    a new HIS. They make sure that training materials and learning modules align with a specific clinical role. They also provide use live support, serve as clinical champions, and trouble-shooters for the end user during go-live sessions. Finally, they collaborate with IT experts to effectively transit from the legacy systems and preserve integrity of the clinical data. As a result, NIs prevent potential serious ethical breach that would violate privacy and confidentiality of the patients, leading to legal consequences (Turkstani et al., 2025). NIs’ participation in the implementation impacts this stage positively by contributing to smoother adoption of the new HIS via peer support.

    Post-Implementation Support

    NIs are involved in reviewing the system to determine its effectiveness in achieving clinical objectives and performance indicators. NPs provide updates or optimizations of future systems by communicating to it by their feedback as end users. They equally offer continuous learning to the end users, making the new system viable and effective. Their involvement in this step has constructive effects as it keeps the system long-term effective, allowing end-users to improve quality of care. NIs also impact this stage positively by aligning health IT with the constantly changing clinical practice requirements and patient needs.

    Conclusion

    The strategic position of NIs in different phases of the SDLC aligns new system’s features with the organization’s goals and end-users’ requirements. These practitioners ensure that the new systems are technically aligned to the clinic reality. They achieve this goal through active participation in every stage of SDLC. They advocate for HIS that promotes efficient, safe, coordinated, and patient-centered care using frontline nursing knowledge and informatics expertise. Thus, NIs’ role throughout system implementation cannot be underestimated. Nurse Informaticist (NIs) Role in Systems Development and Implementation

     

     

    References

    Keizer, R. J., Dvergsten, E., Kolacevski, A., Black, A., Karovic, S., Goswami, S., & Maitland, M. L. (2020). Get real: integration of real‐world data to improve patient care. 
    Clinical Pharmacology&Therapeutics
    ,(4),722-725.
    https://drive.google.com/file/d/11m1xIlNwWAcG9UWFdYt7KgJ5LxtsMIlX/view

    S Annamalai, A., Vijayakumar, R., Vellaisamy, P., & Nagarajan, M. (2023). Impact of Health Information Technology Tools on Patient Safety in the Indian Healthcare Industry. 
    The Open Biomedical Engineering Journal
    , 
    17
    (1). DOI: 10.2174/18741207-v17-e230925-2022-HT28-4371-9

    Turkstani, H. A., Almutawah, F. N., AlZamel, N. A., Zaid, M., Alshammari, A. A. A., Algharbi, M. T., … & Aljuwayed11, N. H. (2025). Privacy and Confidentiality in Healthcare: Best Practices for Protecting Patient Information. 
    J. Healthc. Sci
    , 
    5
    . http://dx.doi.org/10.52533/JOHS.2025.50106 .

    Zhai, Y., Yu, Z., Zhang, Q., Qin, W., Yang, C., & Zhang, Y. (2022). Transition to a new nursing information system embedded with clinical decision support: a mixed-method study using the HOT-fit framework. 
    BMC Medical Informatics and Decision Making
    , 
    22
    (1), 310.
    https://link.springer.com/article/10.1186/s12911-022-02041-y
      Nurse Informaticist (NIs) Role in Systems Development and Implementation

  • HCA 502 – Human Resources – Forecasting Assignment

    HCA 502 – Human Resources – Forecasting Assignment

    Assignment Description

    This integrative experience requires learners to pull from the knowledge, skills, and abilities developed within this course. Learners will apply knowledge and perspective from the field of human resources and use interrelated competencies to complete this HCA 502 – Human Resources – Forecasting Assignment.

    HR forecasting is the process of predicting demand and supply—whether it’s the number of employees or the types of skills that are needed and available to get the job done. Basic forecasting techniques include Quantitative assessments, using mathematical calculations that examine how many employees are needed and when. Techniques typically include using past data to predict future staffing needs. Additionally, organizations can use surveys, benchmarking, and modeling techniques to estimate workforce staffing numbers. In this activity, you will be engaged in practically applying your skills while forecasting the staffing needs of a healthcare organization.

    Assignment Learning Objectives

    Practice forecasting a healthcare organization’s human resource needs

    Familiarize yourself with factors that affect a healthcare organization’s future human resource needs (growth, automation, turnover)

    Acknowledge the complexities involved in creating human resource forecasts and remaining in line with budgets

    Identify human resource forecasting and budgeting needs based on assumptions and that these assumptions are critical to the accuracy of the forecast and related budget. Incorrect assumptions lead to erroneous forecasts and budgets

    ORDER HERE

    This HCA 502 – Human Resources – Forecasting Assignment assignment will prepare learners for future assignments throughout the MHA program.

     

    This HCA 502 – Human Resources – Forecasting Assignment assignment addresses the following competencies:

     

     

    CAHME Domain Alignment

    HCA Competency Alignment

    Competency Overview

    and Description

    Knowledge of the Healthcare System

    Human Resource Management

    Please see the About This Course area of the Canvas course room for detailed information regarding competency reinforcement and/or measurement criteria.

    Critical Thinking, Analysis, and Problem Solving

    Analytical Thinking

    Communications and Interpersonal Effectiveness

    Communication Skills I – Writing

    Critical Thinking, Analysis, and Problem Solving

    Information Seeking

     

    Assignment Instructions

    Required to Complete Assignment:
     1-2 hours

     
    You have been given the assignment of forecasting the human resource needs of Cape Fear Healthcare (referred to as “the organization”) which currently employs approximately 950 people, by the VP of Human Resources. The organization presently has 50 clinics throughout the metropolitan area, employing 550 persons. The organization expects to add 25 additional clinics during the next three years. Clinics within the organization differ considerably in size, so the figures represent averages.

    During the past month, the organization has placed an order for 30 automated telehealth units to be placed in its former clinic spaces. These units are scheduled to be in operation on December 31, one year from now. The organization has found that one less clinic nurse is needed on average for each new telehealth unit purchased. A breakdown of the organization’s current staffing is shown in 
    Table 2.1
    .

     

    Table 2.1. Cape Fear Healthcare Present Staffing Distribution

    Number of Clinics

    50

     

    Practice Managers per Clinic

    1

     

    Number of Practice Managers

     

    50

    Nurses per Clinic

    10

     

    Number of Nurses

     

    500

    Clinic Employees (subtotal)

     

    550

    System Office Employees (subtotal)

     

    400

    Cape Fear Healthcare Employees (total)

     

    950

     

    The VP of Human Resources has asked you to perform these three (3) human resources forecasting tasks:

     

    First, based on the assumptions given below:

     

    You are making all projections in December for subsequent years ending December 31.

     

    Concerning former clinics, assume:

    The 50 former clinics employ one practice manager and ten nurses each.

    On December 31 of year 1, 30 telehealth units were placed in operation, which replaced 30 nurses.

    The clinic does not terminate any employees because of the new telehealth units. Instead, as nurses quit throughout the year, 30 are not replaced.

    Turnover is 30% for nurse personnel and 20% for practice managers.

    HCA 502 – Human Resources – Forecasting Assignment

     

    Concerning new clinics, assume:

    New clinics are added as follows: 5 in Year 1, 10 in Year 2, and 10 in Year 3.

    Each new clinic employs 11 individuals (1-practice manager and ten nurses).

    Turnover is 30% for nurse personnel and 20% for practice managers. Average cost of Clinic Nurse replacement is $46,100 with the range of $33,900 to $58,300 whereas Practice Manager replacement is $62,504 with a range of $54,294 and $70,715.

     

    Concerning the system office, assume

    Turnover will be 10% per year.

     

    Name:
    Insert Your Name Here

    Date:
    Insert Date Here

     

    Question 1.
    The VP of Human Resources would like you to determine employee turnover for the system office, the former clinics, and the new clinics for the next three years for each of the personnel categories below:

     

    Your first assignment
    is to complete Table 2.2:

     

    Table 2.2. Turnover

    Employee Category

    Year 1

     Year 2

    Year 3

    Former Practice Managers

     

     

     

    Former Clinic Nurses

     

     

     

    System Office

     

     

     

    New Practice Managers

     

     

     

    New Clinic Nurses

     

     

     

     

    Question 2.
    The VP of Human Resources would like to know the number of new employees the clinic will need to hire for each major personnel category for the following three (3) years.

     

    Your second assignment is to complete Table 2.3:

     

    Table 2.3. Number of Employees to be Hired

    Employee Category

    Year 1

     Year 2

    Year 3

    Former Practice Managers

     

     

     

    Former Clinic Nurses

     

     

     

    System Office

     

     

     

    New Practice Managers

     

     

     

    New Clinic Nurses

     

     

     

    Totals

     

     

     

     

    Question 3.
    The VP of Human Resources would like to know the total number of employees working for the clinic at the end of the following three (3) years. HCA 502 – Human Resources – Forecasting Assignment

     

    Your third assignment is to complete Table 2.4:

     

    Table 2.4. Year-End Employment

    Employee Category

    Year 1

     Year 2

    Year 3

    Former Practice Managers

     

     

     

    Former Clinic Nurses

     

     

     

    System Office

     

     

     

    New Practice Managers

     

     

     

    New Clinic Nurses

     

     

     

    Totals

     

     

     

     

    Question 4.
    The VP of Human Resources would like to know the total replacement costs for Clinic Nurses based on a replacement cost calculation per Full-Time Equivalent (FTE) for the following three (3) years.

     

    Your fourth assignment is to complete Table 2.5:

     

    Table 2.5. Replacement Cost per Full-Time Equivalent (FTE)

    Employee Category

    Year 1

     Year 2

    Year 3

    Replacement Cost for Clinic Nurses

     

     

     

     

    Assignment Due Date

    This HCA 502 – Human Resources – Forecasting Assignment assignment is due at the end of Module 3, by 11:59 pm EST

     

    Please note that you will be utilizing the Excel File(s)

    Accompanying this document to complete this activity.

     

    Both files must be submitted for grading and assessment within Canvas
    .

     

    Instructions: Any cell with a color should have numbers inserted as the are function and formulas that would automatically populate other cells

    Former Cape Fear Healthcare Staffing

    Year 1

    Turnover Rates Year 1

    Turnover Numbers Year 1

    Employed after Year 1

    Turnover Rates  Year 2

    Turnover Numbers Year 2

    Employed after Year 2

    Turnover Rates Year 3

    Turnover Numbers Year 3

    Employed after Year 3

    Number of Clinics

    Practice Managers per Clinic

    Number of Practice Managers

    0

    0.2

    0

    0

    0.2

    0

    0

    0.2

    0

    0

    Nurses per Clinic

    0

    Telehealth Units

    Number of Nurses

    0

    0.3

    0

    Total nurse turnover less Telehealth Employees

    0

      Total Nurses and Telehealth Units

    0

    0.3

    0

    0

    0.3

    0

    0

    System Office Employees

    0.1

    0

    0

    0.1

    0

    0

    0.1

    0

    0

    Total Employees

    0

    0

    0

    0

    0

    0

    0

    New Clinic Year Cape Fear Staffing

    New Clinic  Year 1

    Year 1

    Turnover Rates Year 1

    Turnover Numbers Year 1

    Employed after turnover  after Year 1

    New Clinic  Year 2

    Year 2

    Total Employed Year 2

    Turnover Rates Year 2

    Turnover Numbers Year 2

    Employed after turnover after Year 2

    New Clinic  Year 3

    Year 3

    Total Employed Year 3

    Turnover Rates Year 3

    Turnover Numbers Year 3

    Employed after turnover  after Year 3

    Number of Clinics

    Practice Managers per Clinic

    Number of Practice Managers

    0

    0.2

    0

    0

    0

    0

    0.2

    0

    0

    0

    0

    0.2

    0

    0

    Nurses per Clinic

    0

    Number of Nurses

    0

    0.3

    0

    0

    0

    0

    0.3

    0

    0

    0

    0

    0.3

    0

    0

    Total Employees

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    Total Number of Employees Needed

    Year 1

    Year 2

    Year 3

    Former Practice Managers

    0

    0

    0

    Former Clinic Nurses

    0

    0

    0

    System Office

    0

    0

    0

    New Practice Managers

    0

    0

    0

    New Clinic Nurses

    0

    0

    0

    Totals

    0

    0

    0

    Number of Employees to be Hired

    Year 1

    Year 2

    Year 3

    Former Practice Managers

    0

    0

    0

    Former Clinic Nurses

    0

    0

    0

    System Office

    0

    0

    0

    New Practice Managers

    0

    0

    0

    New Clinic Nurses

    0

    0

    0

    Totals

    0

    0

    0

    Table 2.2. Turnover

    Employee Category

    Year 1

     Year 2

    Year 3

    Former Practice Managers

    0

    0

    0

    Former Clinic Nurses

    0

    0

    0

    System Office

    0

    0

    0

    New Practice Managers

    0

    0

    0

    New Clinic Nurses

    0

    0

    0

    Table 2.3. Number of Employees to be Hired

    Employee Category

    Year 1

     Year 2

    Year 3

    Former Practice Managers

    0

    0

    0

    Former Clinic Nurses

    0

    0

    0

    System Office

    0

    0

    0

    New Practice Managers

    0

    0

    0

    New Clinic Nurses

    0

    0

    0

    Totals

    0

    0

    0

    Table 2.4. Year-End Employment

    Employee Category

    Year 1

     Year 2

    Year 3

    Former Practice Managers

    0

    0

    0

    Former Clinic Nurses

    0

    0

    0

    System Office

    0

    0

    0

    New Practice Managers

    0

    0

    0

    New Clinic Nurses

    0

    0

    0

    Totals

    0

    0

    0

    Table 2.5. Replacement Cost per Full Time Equivalent (FTE)

    Employee Category

    Year 1

    Year 2

    Year 3

    Replacement Cost for Clinic Nurses

    $0.00

    $0.00

    $0.00

    HCA 502 – Human Resources – Forecasting Assignment

  • Resilience in the Face of Adversity: A Study of Children’s Coping Mechanisms in Wum, Aghem Article Review

    Resilience in the Face of Adversity: A Study of Children’s Coping Mechanisms in Wum, Aghem Article Review

     

    Student Name, Student number.

    Program, Institution

    Course Number, Course Name

    Instructor

    Due Date

    Review: Resilience in the Face of Adversity: A Study of Children’s Coping Mechanisms in Wum, Aghem

    Title 

    Does it express clearly what the manuscript is about? 

    The title offers a clear reflection of the article’s context, concisely communicating the focus as being on resilience and coping mechanisms of children within a specific geographical context. The title is effective and appropriate.

    Does it contain the necessary keywords to make it “discoverable” by a reader in your field?

    It contains keywords that make it searchable in databases, including “resilience,” “children,” and “coping mechanism,” making it searchable in databases.

    Does it contain any unnecessary description or jargon? 

    It avoids unnecessary jargon and is accessible to a wide audience, including non-native English speakers.

    Would it be clear to someone with language barriers? 

    The phrasing used in the title is simple and clear enough to be understood by those with language barriers.

    Abstract 

    Is the abstract a short and clear summary of the aims, key arguments, research methods, novel contribution(s), and conclusions?  

    The abstract offers a clear summary of the aims, methods, key findings, and implications of the study. It is concise, but could be more complete by mentioning the sample size and data collection tools.

    Does it contain unnecessary information, jargon, or undefined acronyms?

    There is no unnecessary jargon or acronyms, making the language accessible.

    Does it exaggerate or overstate the conclusions or their potential application/impact?

    It presents the results and contributions realistically and does not exaggerate the findings.

    Introduction 

    Does the introduction clearly summarize the current state of the topic? 

    The introduction effectively contextualizes the current state of research on child adversity and situates the study within the broader literature on child resilience. It is well structured and informative.

    Does it address the limitations of current knowledge in this field?

    It identifies knowledge gaps by using a contextual approach to indicate the lack of child-centered research.

    Does it explain the manuscript’s contribution to the existing literature and the wider impact?

    It articulates how it adds to the existing literature by adopting a contextual, child-centered approach.

    Does it define the aim of the manuscript and is this consistent throughout?

    The research aim is clearly stated and consistently addressed.

    Is the topic and/or research question clear and appropriate?

    The research topic and question are clear, appropriate and grounded in the relevant literature.

    Methods

    Are the research design and methods appropriate for the research question?

    It adopts a phenomenological qualitative design that is appropriate for the research question, and suitable for exploring lived experiences.

    Is there enough detail provided to allow a reader to repeat the methods or interventions if relevant?

    Enough detail is provided about the sampling, participant demographics, and thematic analysis, and this allows readers to repeat the methods.

    Is it clear how the research data were collected and/or how participants were selected and recruited?

    The participant selection and recruitment strategy is well explained.

    Is there any potential bias in the data collection or in the recruitment of participants?

    There is need to acknowledge any research positionality and bias.

    Has the author reflected on their own social and political context in relation to their research design?

    There is need for reflection on the power dynamics and research context, as this would enhance credibility. The ethical procedures are well noted.

    Do you have any concerns about the ethics of the work?

    There are no significant ethical concerns identified.

    Results 

    Do the authors summarize their overall conclusions? 

    The conclusions summarize and describe the key themes of social support, creative expression, and problem-solving. The themes are consistent with the theoretical and methodological framework. The findings are clear and insightful.

    Do the results presented match the methods?

    The results are aligned with the stated aim and methodology.

    Have all the relevant supporting data been included?

    Direct quotes are included from the participants to help enrich the findings.

    Is there any risk of participants being identified?

    There is no risk of participants being identified as the information is appropriately anonymized.

    Are the data described in the text consistent with the data in the figures, tables or other display items?

    The results are discussed narratively, with no figures, tables or other display items. The inclusion of a thematic summary table could enhance clarity. It could benefit from visual representation.

    Discussion and conclusion 

    Do the authors logically explain their findings?

    The findings are logically explained, with the discussion effectively interpreting the findings in light of the existing literature, particularly around child development and resilience theory.

    Do the authors compare their findings with current findings in the research field?

    The findings are situated in context with the previous research.

    Are the implications of the findings for policy, society, or future research directions discussed?

    It presents practical and policy implications that are thoughtfully discussed.

    Are the conclusions supported by the data and/or arguments as presented?

    The conclusions are well-supported by the presented data.

    Are any limitations of the study discussed?

    The limitations are acknowledged, including the sample size and geographical scope. More discussion is needed on potential cultural and methodological bias, to improve transparency.

    Are any contradictory data discussed?

    No contradictory data is discussed. Contradictory data should be acknowledged if present.

    Tables, figures and primary material

    Are data or other primary material, including images, quotations or excerpts from archival documents, or audio-visual material presented in a clear and appropriate manner?

    There are no figures or tables included. Although not essential, a thematic summary table could improve accessibility. Adding visual elements could improve clarity and reader engagement.

    Is the presentation of tables, figures and other primary material consistent with their description and interpretation in the text?

    There are no figures or tables included.

    Do the figure legends, table headings and image captions clearly explain what is shown?

    There are no figures or tables included.

    Do you have any concerns about inappropriate manipulation of data or other primary material?

    There are no concerns about data manipulation.

    References

    Are there any key references missing?

    It cites relevant and authoritative sources. The reference list is well balance between academic and practical sources.

    Have authors engaged with relevant empirical and theoretical literature where suitable?

    It engages with empirical and theoretical sources.

    Have the authors cited grey literature, for example newspaper or magazine sources, in place of appropriate academic literature?

    The use of grey literature is appropriate and complements peer-reviewed sources.

    Are the cited studies an up-to-date representation of current knowledge?

    The cited literature is relevant to the topic, but not up-to-date.

    Conflict of Interest.

    Does the manuscript deserve a high rating in terms of scientific quality and credibility?

    It demonstrates strong science integrity and methodological soundness.

    Was the script readable, clearly presented, and exhaustively annotated?

    It is clearly written, well-organized, and annotated logically.

    English language level: is the English language comprehensible and impeccable?

    The language usage is grammatically correct and accessible.

    Are there any grammatical or spelling errors?

    Minor editorial polishing is needed.

    Have legends for tables/figures been properly given?

    Not applicable as there were no tables or figures.

    The paper has adequate referencing?

    Properly formatted and consistent.

    Any plagiarism detected in the manuscript?

    No plagiarism detected. It appears original and well-referenced.

    Level of Interest: Please indicate how interesting you found the manuscript.

    The manuscript offers a valuable and timely contribution to the understanding of child development and resilience in marginalized settings. Its core strengths are evident in its qualitative depth, robust theoretical grounding, and commendable child-centered focus. To further enhance its impact, the authors could significantly improve the reflexivity within the methodology section. In addition, incorporating summary visuals would powerfully support and clarify the key findings, making the complex qualitative data more accessible and impactful for readers.

    Your overall comments on the paper

    This manuscript is a compelling and timely contribution, deserving of acceptance with minor revisions. To further strengthen its impact, I recommend incorporating a thematic table that succinctly summarizes the key findings, enhancing clarity and accessibility for the reader. Additionally, the authors should briefly address researcher positionality and the potential for bias in data interpretation within the methodology, bolstering the study’s reflexivity. Finally, a more in-depth discussion of ethical reflections is crucial, particularly concerning the unique considerations and challenges of conducting research with children in conflict-prone areas.

     

     

     

     

    Instructions for reviewers. – Resilience in the Face of Adversity: A Study of Children’s Coping Mechanisms in Wum, Aghem Article Review 

     

    Reviewer Responsibilities

    Maintain confidentiality of the articles and review process.

    Provide objective, constructive feedback to authors.

    Complete reviews within the agreed-upon timeframe.

    Review Guidelines

    Evaluate article content, structure, and relevance.

    Assess methodology, data analysis, and conclusions.

    Comment on originality, contribution, and potential impact.

    Expectations

    – Provide detailed, constructive feedback.

    – Maintain a professional tone and demeanor.

    Don’ts

    Reviewers should not use Generative AI or AI-assisted technologies to review other’s manuscripts

    Reviewing a scientific paper implies responsibilities that can only be attributed to humans. The critical thinking and assessment required for peer-review are outside the scope of generative AI and AI-assisted technologies, and there is a risk that the technology will generate incorrect, incomplete or biased conclusions. These considerations, together with the principle that submitted manuscripts are to be treated as confidential documents, underpins our
    Generative AI policies
    for reviewers and editors

    Refrain from direct contact with authors regarding ethical concerns to maintain impartiality

     

     

     

     

     

     

    Important instructions! – Resilience in the Face of Adversity: A Study of Children’s Coping Mechanisms in Wum, Aghem Article Review 

    Please answer all the post review questions below.

    Please do not track your comments and make sure that reviewer’s name is not visible. Use either brackets comments or make comments beneath the sentence.

    Please answer all the post review questions below.

     

    Post Review Form

    Title

    Does it express clearly what the manuscript is about?

    Does it contain the necessary keywords to make it “discoverable” by a reader in your field?

    Does it contain any unnecessary description or jargon?

    Would it be clear to someone with language barriers?

    Abstract 

    Is the abstract a short and clear summary of the aims, key arguments, research methods, novel contribution(s), and conclusions?

    Does it contain unnecessary information, jargon, or undefined acronyms?

    Does it exaggerate or overstate the conclusions or their potential application/impact?

    Introduction 

    Does the introduction clearly summarize the current state of the topic?

    Does it address the limitations of current knowledge in this field?

    Does it explain the manuscript’s contribution to the existing literature and the wider impact?

    Does it define the aim of the manuscript and is this consistent throughout?

    Is the topic and/or research question clear and appropriate?

    Methods

    Are the research design and methods appropriate for the research question?

    Is there enough detail provided to allow a reader to repeat the methods or interventions if relevant?

    Is it clear how the research data were collected and/or how participants were selected and recruited?

    Is there any potential bias in the data collection or in the recruitment of participants?

    Has the author reflected on their own social and political context in relation to their research design?

    Do you have any concerns about the ethics of the work?

    Results 

    Do the authors summarize their overall conclusions?

    Do the results presented match the methods?

    Have all the relevant supporting data been included?

    Is there any risk of participants being identified?

    Are the data described in the text consistent with the data in the figures, tables or other display items?

    Discussion and conclusion 

    Do the authors logically explain their findings?

    Do the authors compare their findings with current findings in the research field?

    Are the implications of the findings for policy, society, or future research directions discussed?

    Are the conclusions supported by the data and/or arguments as presented?

    Are any limitations of the study discussed?

    Are any contradictory data discussed?

    Tables, figures and primary material

    Are data or other primary material, including images, quotations or excerpts from archival documents, or audio-visual material presented in a clear and appropriate manner?

    Is the presentation of tables, figures and other primary material consistent with their description and interpretation in the text?

    Do the figure legends, table headings and image captions clearly explain what is shown?

    Do you have any concerns about inappropriate manipulation of data or other primary material?

    References

    Are there any key references missing?

    Have authors engaged with relevant empirical and theoretical literature where suitable?

    Have the authors cited grey literature, for example newspaper or magazine sources, in place of appropriate academic literature?

    Are the cited studies an up-to-date representation of current knowledge?

    Conflict of Interest.

    Does the manuscript deserve a high rating in terms of scientific quality and credibility?

    Was the script readable, clearly presented, and exhaustively annotated?

    English language level: is the English language comprehensible and impeccable?

    Are there any grammatical or spelling errors?

    Have legends for tables/figures been properly given?

    The paper has adequate referencing?

    Any plagiarism detected in the manuscript?

    Level of Interest:  Please indicate how interesting you found the manuscript.

     

    Your overall comments on the paper

    ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

     

     

    T
    i
    tle:

     

    R
    e
    s
    il
    i
    e
    n
    c
    e in the Face of Adversity: A Study of Children’s Coping Mechanisms in Wum,

     

    A
    ghem.

     

     

    Ab
    s
    tract:

     

    T
    his qualitative study explores the resilience and coping mechanisms of children in Wum,

     

    A
    ghem, a region marked by socioeconomic challenges and limited access to resources. By examining the lived experiences of children, this research sheds light on the ways in which they navigate adversity, including poverty, conflict, and social marginalization. The findings highlight the resourcefulness and adaptability of children, who employ a range of coping strategies, including social support networks, creative expression, and problem-focused coping.The study’s results underscore the importance of understanding children’s agency and resilience in the context of adversity, and emphasize the need for policies and interventions that support and empower children to thrive despite challenging circumstances. The research contributes to the growing body of literature on child resilience and coping, and provides insights for policymakers, practitioners, and researchers working to promote the well-being and development of children in challenging environments.

     

     

     

    Keywords: Child resilience, Coping mechanisms, Adversity, Poverty, Conflict, Social

     

    su
    p
    p
    ort networks, Creative expression

     

     

    1.
    Introduction

     

    Children growing up in adversity face numerous challenges that can impact their development,

     

    well-being, and future prospects. According to the United Nations Children’s Fund (UNICEF), millions of children worldwide live in poverty, experience violence, and are affected by conflict and displacement (UNICEF, 2020). In such contexts, children’s resilience and coping mechanisms play a crucial role in mitigating the negative effects of adversity and promoting their overall well-being (Luthar, 2000; Masten, 2001).

     

    The concept of resilience has been extensively studied in the context of child development. Resilience refers to the ability of children to withstand or recover from adversity, and is influenced by a range of factors, including individual characteristics, family support, and community resources. Research has shown that resilient children tend to have better outcomes in terms of mental health, academic achievement, and social relationships (Masten, 2001). Werner (1993) highlights the importance of understanding the complex interplay between risk and protective factors in shaping children’s resilience.

     

    In the context of adversity, children’s coping mechanisms are critical for mitigating the negative

     

    effects of stress and trauma. Coping mechanisms can include problem-focused coping,

     

    emotional regulation, and social support seeking. According to Compas et al. (2001), children’s coping mechanisms can be influenced by their cognitive, emotional, and social development.

     

    This study employs a qualitative research design, using in-depth interviews and observations

     

    to explore the experiences of children in Wum, Aghem. The study aims to investigate the

     

    resilience and coping mechanisms of children in this context, and to identify the factors that

     

    influence their ability to navigate adversity. By using a phenomenological approach, this study seeks to gain a deeper understanding of the lived experiences of children in Wum, Aghem.

     

    The study’s methodology is designed to capture the complexity and nuance of children’s

     

    experiences in adversity. In-depth interviews will be conducted with children aged 10-14 years,

     

    and observations will be carried out in schools and community settings. The data will be

     

    analyzed using thematic analysis, which involves identifying patterns and themes in the data (Braun & Clarke, 2006).

     

    The significance of this study lies in its potential to contribute to our understanding of child

     

    resilience and coping mechanisms in adversity. The findings of the study can inform the

     

    development of interventions and programs aimed at promoting the well-being of children in

     

     

    challenging environments. Additionally, the study can highlight the importance of supporting

     

    children’s resilience and coping mechanisms in adversity, and can inform policy and practice

     

    in this area.

     

     

     

     

    2.Theoretical Framework: Child-Centered Approach to Understanding Resilience

     

    This study is grounded in a child-centered approach to understanding resilience, which

     

    prioritizes the experiences, perspectives, and agency of children in the face of adversity. This

     

    framework draws on the sociology of childhood, which recognizes children as active participants in their own lives and emphasizes the importance of listening to their voices and perspectives (James & Prout, 1997; Corsaro, 2015).

     

     

     

    2:1. Key Principles

     

    The child-centered approach is informed by several key principles, including:

     

    Children’s Agency

     

    Children are recognized as active agents in their own lives, with their own experiences,

     

    perspectives, and coping mechanisms (Qvortrup, 1994). This principle emphasizes the

     

    importance of understanding children’s autonomy and agency in the face of adversity.

     

    Contextual Understanding

     

    Children’s experiences are understood within the context of their families, communities, and

     

    societies (Bronfenbrenner, 1979). This principle highlights the need to consider the complex

     

    interplay between individual and environmental factors in shaping children’s resilience.

     

    Participatory Approach

     

    Children are involved as participants in the research process, rather than simply being subjects

     

    of study (Hart, 1992). This principle emphasizes the importance of involving children in the

     

    research process to ensure that their voices and perspectives are heard.

     

    2:2. Theories of Resilience

     

    This framework is also informed by theories of resilience, which emphasize the importance of understanding the complex interplay between individual and environmental factors in shaping

     

     

    children’s ability to navigate adversity (Luthar, 2000; Masten, 2001). These theories highlight

     

    the need to consider the multiple factors that influence children’s resilience, including their

     

    individual characteristics, family support, and community resources.

     

    By using a child-centered approach to understanding resilience, this study aims to shed light

     

    on the complex experiences of children in Aghem,Wum and to identify ways in which their

     

    resilience and coping mechanisms can be supported and strengthened.

     

    3.Description of the Children inAghem-Wum

     

    The children participating in this study are young individuals aged 10-14 years, residing in Wum, Aghem. According to Hart(2008), children in such contexts often face unique challenges that can impact their development and well-being.

     

    3:1.Demographic Characteristics

     

    The children in this study come from diverse backgrounds, with varying family structures and

     

    socio-economic statuses. As Boyden and Mann (2005) note, “children’s experiences are shaped by their social, economic, and cultural context” (p. 70). This context plays a significant role in influencing their experiences and perspectives.

     

    3:2. Experiences and Perspectives

     

    The children in Wum, Aghem face challenges such as limited access to resources and opportunities. Despite these challenges, they demonstrate remarkable resilience and adaptability, often employing creative strategies to navigate adversity. As Werner (1993) notes, “resilience is not a single trait, but a complex interplay of individual and environmental factors” (p. 503).

     

    3:3. Importance of Understanding their Experiences

     

    Understanding the experiences and perspectives of these children is crucial for developing

     

    effective interventions and programs that support their well-being and development. According

     

    to Save the Children (2019), “listening to children’s voices and perspectives is essential for

     

    developing programs that meet their needs” (p. 10).

     

     

    4.Research Methodology

     

    This study employed a qualitative research design to explore the experiences of children in

     

    Wum, Aghem. The qualitative approach allowed for an in-depth understanding of the children’s perspectives and experiences, and enabled the researcher to gather rich and detailed data.

     

    4:1. Research Design

     

    The study used a phenomenological research design, which focuses on understanding the lived

     

    experiences of participants (Creswell, 2013). This design allowed the researcher to gain a

     

    deeper understanding of the children’s experiences and perspectives.

     

    4:2.Sampling Strategy

     

    The study used a purposive sampling strategy, which involved selecting participants who were

     

    knowledgeable about the research topic (Patton, 2002). The sample consisted of 30 children

     

    aged 10-14 years, who were selected from local schools and community organizations.

     

    4:3.Data Collection Methods

     

    The study used in-depth interviews and focus groups as data collection methods. The

     

    interviews and focus groups were conducted in a safe and comfortable environment, and were

     

    audio-recorded with the consent of the participants.

     

    4:4.Data Analysis

     

    The data was analyzed using thematic analysis, which involves identifying patterns and themes

     

    in the data (Braun & Clarke, 2006). The researcher used NVivo software to code and analyze

     

    the data.

     

    4:5. Ethical Considerations

     

    The study was conducted in accordance with the ethical principles of informed consent, confidentiality, and anonymity. The researcher obtained informed consent from the participants and their caregivers, and ensured that the participants’ identities were protected.

     

    5.Findings

     

    The findings of this study reveal the complex experiences of children in Wum, Aghem,

     

    highlighting their resilience and adaptability in the face of adversity. The children in this study demonstrated remarkable coping mechanisms, including seeking social support, engaging in creative activities, and developing problem-solving skills.

     

     

    Theme 1: Social Support Networks

     

    The children in this study emphasized the importance of social support networks, including

     

    family and friends, in helping them navigate adversity. As one child noted, “My family is always there for me, they support me and help me through tough times.” This finding is consistent with previous research highlighting the importance of social support in promoting resilience (Werner, 1993).

     

    Theme 2: Creative Expression

     

    The children in this study also used creative expression, such as art and music, as a coping mechanism. According to Hart (2008), “creative activities can provide children with a sense of control and agency in the face of adversity” (p. 5).

     

    Theme 3: Problem-Solving Skills

     

    The children in this study demonstrated impressive problem-solving skills, often employing

     

    creative solutions to overcome challenges. As Boyden and Mann (2005) note, “children’s problem-solving skills are critical in helping them navigate adversity and build resilience” (p. 80).

     

    6.Discussion

     

    The findings of this study highlight the complex experiences of children in Wum, Aghem, and demonstrate the importance of understanding their perspectives and experiences. The children’s resilience and adaptability in the face of adversity are notable, and their use of social support networks, creative expression, and problem-solving skills are key coping mechanisms.

     

    6:1. Implications for Practice

     

    The study’s findings have implications for practice, particularly in the areas of child development and well-being. According to Ungar (2008), “practitioners working with children in adversity need to recognize the importance of supporting their resilience and coping mechanisms” (p. 123).

     

    6:2.Implications for Policy

     

    The study’s findings also have implications for policy, particularly in the areas of child protection and welfare. As noted by the United Nations Children’s Fund (UNICEF) (2019),

     

     

    “policies and programs that support children’s well-being and resilience are critical in

     

    promoting their development and protecting their rights” (p. 10).

     

    6:3. Limitations and Future Research

     

    This study has several limitations, including its small sample size and geographical scope.

     

    Future research should aim to explore the experiences of children in different contexts and

     

    settings.

     

     

     

     

    C
    onclusion

     

    The study’s findings highlight the importance of understanding the complex experiences of

     

    children in Wum, Aghem. The children’s resilience and adaptability in the face of adversity are

     

    notable, and their use of social support networks, creative expression, and problem-solving

     

    skills are key coping mechanisms. The study’s key findings include: Children’s resilience and

     

    adaptability in the face of adversity, The importance of social support networks, creative expression, and problem-solving skills as coping mechanisms. Implications for practice and policy in supporting children’s well-being and resilience. The study’s findings have implications for practice and policy, highlighting the need for practitioners and policymakers to support children’s resilience and coping mechanisms. Recommendations include, Providing resources and support for children’s social support networks, Encouraging creative expression and problem-solving skills in children, Developing policies and programs that promote children’s well-being and resilience. Future research should aim to explore the experiences of children in different contexts and settings, and to develop a deeper understanding of the complex factors that influence their resilience and well-being.

     

     

    R
    e
    ferences:

     

    Boyden, J., & Mann, G. (2005). Children’s risk, resilience, and coping in armed conflict. In D.

     

    Christie (Ed.), The impact of war on children (pp. 69-91). Palgrave Macmillan.

     

    Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in

     

    Psychology, 3(2), 77-101.

     

    Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and

     

    design. Harvard University Press.

     

    Compas, B. E., Connor-Smith, J. K., Saltzman, H., Thomsen, A. H., & Wadsworth, M. E. (2001). Coping with stress during childhood and adolescence: Problems, progress, and potential in theory and research. Psychological Bulletin, 127(1), 87-127.

     

    Corsaro, W. A. (2015). The sociology of childhood. Sage Publications.

     

    Creswell, J. W. (2013). Research design: Qualitative, quantitative, and mixed methods

     

    approaches. Sage Publications.

     

    Hart, J. (2008). Children’s participation in humanitarian response. Journal of Humanitarian

     

    Assistance, 1-13.

     

    Hart, R. A. (1992). Children’s participation: From tokenism to citizenship. UNICEF.

     

    James, A., & Prout, A. (1997). Constructing and reconstructing childhood: Contemporary issues in the sociological study of childhood. Falmer Press.

     

    Luthar, S. S. (2000). The construct of resilience: A critical evaluation and guidelines for

     

    future work. Child Development, 71(3), 543-562.

     

    Masten, A. S. (2001). Ordinary magic: Resilience processes in development. American

     

    Psychologist, 56(3), 227-238.

     

    Patton, M. Q. (2002). Qualitative research and evaluation methods. Sage Publications.

     

    Qvortrup, J. (1994). Childhood matters:An introduction. In J. Qvortrup, M. Bardy, G. Sgritta,

     

    & H. Wintersberger (Eds.), Childhood matters: Social theory, practice and politics (pp. 1-24).

     

    Avebury.

     

    Save the Children. (2019). Childhood in the time of war: Children in conflict-affected areas.

     

    Ungar, M. (2008). Resilience across cultures. British Journal of Social Work, 38(2), 218-235.

     

     

    Ungar, M. (2008). Resilience across cultures. British Journal of Social Work, 38(2), 218-235.

     

    UNICEF. (2020). The State of the World’s Children 2020.

     

    United Nations Children’s Fund. (2019). The State of the World’s Children 2019.

     

    Werner, E. E. (1993). Risk, resilience, and recovery: Perspectives from the Kauai Longitudinal

     

    Study. Development and Psychopathology, 5(4), 503-515.

  • Writing a Literary Analysis Essay Paper

    Writing a Literary Analysis Essay Paper

    Study Guide: Writing a Literary Analysis

    Essay Structure

    A well-structured literary analysis essay typically includes:

    Introduction
    : Introduce the text and author, provide background information, and present your thesis statement.

    Body Paragraphs
    : Each paragraph should focus on a single point that supports your thesis. Include evidence from the text and outside sources.

    Conclusion
    : Summarize your main points, restate your thesis in a new way, and provide a final thought or reflection. Writing a Literary Analysis Essay Paper

    Unified Body Paragraphs

    Each body paragraph should:

    Focus on a single idea or point.

    Begin with a topic sentence that states the main idea.

    Include evidence (quotes, examples) from the text and outside sources.

    Explain how the evidence supports the point.

    Conclude with a sentence that ties the paragraph back to the thesis.

    ORDER HERE

    Thesis Statements

    A thesis statement:

    Presents the main argument or claim of your essay.

    Should be specific and debatable.

    Guides the direction of your essay.

    Writing a Literary Analysis Essay Paper

    Example: “In ‘To Kill a Mockingbird,’ Harper Lee uses the character of Atticus Finch to illustrate the importance of moral integrity.”

    Importance of Topic Sentences

    Topic sentences:

    Introduce the main idea of a paragraph.

    Help organize your essay by providing a clear focus for each paragraph.

    Should relate directly to your thesis statement.

    Definition of Coherence

    Coherence refers to the logical flow and clarity of your essay. A coherent essay:

    Presents ideas in a logical order.

    Uses clear and concise language.

    Ensures that each paragraph transitions smoothly to the next.

    Need for Transitional Phrases

    Transitional phrases help:

    Connect ideas between paragraphs and within paragraphs.

    Guide the reader through
    your argument
    .

    Examples: “Furthermore,” “In addition,” “However,” “On the other hand,” “Therefore.”

    Strategies for Developing Body Paragraphs

    When developing body paragraphs, consider:

    Using Direct Quotes
    : Integrate quotes from the text to support your points. Make sure to explain the significance of each quote.

    Example: “As Scout observes, ‘Atticus was right. One time he said you never really know a man until you stand in his shoes and walk around in them’ (Lee 374). This quote highlights the theme of empathy in the novel.”

    Analyzing Evidence
    : Don’t just present quotes;
    analyze them
    . Explain how they support your thesis.

    Integrating research from outside sources

    Using Examples
    : Provide specific examples from the text to illustrate your points.

    Maintaining Focus
    : Stick to one main idea per paragraph to ensure clarity and coherence.

    Writing a Literary Analysis Essay Paper

  • Reducing Polypharmacy in Older Adults Through Medication Reconciliation Protocols

    Reducing Polypharmacy in Older Adults Through Medication Reconciliation Protocols

    Week 1 Discussion: Health Disparities and Social Justice

    Reducing Polypharmacy in Older Adults Through Medication Reconciliation Protocols

    Polypharmacy, which involves taking five or more drugs, is highly prevalent in older adulthood. According to Wang et al. (2023), the proportion of adults across the U.S. taking more than one drug has nearly doubled in the past 2 decades, with the elderly population being the most affected. This increases additional exposure to various side effects, drug interactions, hospitalization, and even death (Varghese et al., 2024). Medication reconciliation, the term that refers to the process where health professionals review the whole medication history of a patient during clinical handover, has been shown to reduce errors and increase patient safety. As a study by Jost et al. (2024) indicates, pharmacist-led medication reconciliation can decrease medication errors and hospitalization by ensuring that patients receive only necessary, safe, and appropriate prescriptions and over-the-counter medications to treat their illnesses.

    The decrease in polypharmacy, in health policy terms, aligns with the U.S. healthcare system’s goals of increasing safety, decreasing costs, and delivering high-quality care. The Joint Commission requires that hospitals maintain accurate medication lists in their point of care (The Joint Commission, 2025). Another program offered by Medicare, which enables older adults to track their prescriptions, is Part D Medication Therapy Management (Centers for Medicare and Medicaid Services, 2025). Professional societies, such as the American Geriatrics Society, have also developed the Beers Criteria. This tool identifies which medications can be safely used in older adults and which ones should be avoided (American Geriatrics Society, 2025). Adherence to these guidelines and policies will enable nurses and healthcare teams to mitigate the risks of polypharmacy in older adults.

    References

    American Geriatric Society. (2025). AGS releases new Beers criteria alternatives list to support safer prescribing for older adults | American Geriatrics Society.
    Americangeriatrics.org
    .
    https://doi.org/10.1111/jgs.19500
    )

    Centers for Medicare & Medicaid Services . (2025).
    Part D enhanced medication therapy management model | CMS
    . Www.cms.gov.
    https://www.cms.gov/priorities/innovation/innovation-models/enhancedmtm

    Jošt, M., Kos, M. K., Kos, M., & Knez, L. (2024). Effectiveness of pharmacist-led medication reconciliation on medication errors at hospital discharge and healthcare utilization in the next 30 days: A pragmatic clinical trial.
    Frontiers in Pharmacology
    ,
    15
    .
    https://doi.org/10.3389/fphar.2024.1377781

    The Joint Commission. (2025).
    Medication management and safety consulting
    . Jointcommission.org.
    https://www.jointcommission.org/en-us/products-and-services/advisory-services/medication-management-and-safety

    Varghese, D., Koya, H. H., Ishida, C., & Patel, P. (2024, February 12).
    Polypharmacy
    . National Library of Medicine; StatPearls Publishing.
    https://www.ncbi.nlm.nih.gov/books/NBK532953/

    Wang, X., Liu, K., Shirai, K., Tang, C., Hu, Y., Wang, Y., Hao, Y., & Dong, J.-Y. (2023). Prevalence and trends of polypharmacy in U.S. adults, 1999–2018.
    Global Health Research and Policy
    ,
    8
    (1).
    https://doi.org/10.1186/s41256-023-00311-4

    Reducing Polypharmacy in Older Adults Through Medication Reconciliation Protocols

  • Essay Assignment 1: Documented Literary Analysis

    Essay Assignment 1: Documented Literary Analysis

    Your literary analysis essay will be on the memoir
    Night
    by Elie Wiesel. You can choose from any of the topics listed.

    Your literary analysis should be between 2 ½ and 3 pages (
    600 to 750 words
    ),
    not including the Works Cited page
    , should be double spaced in Times New Roman 12-point font and must meet the following criteria:

    A clearly articulated thesis that states the assertion (position, argument, interpretation) that your paper will prove. Recommended placement for your thesis (for clarity purposes) is the last sentence of your introduction.

    An introduction, a minimum of 3 body paragraphs, and a conclusion

    At least
    three quotes
    from the memoir that are integrated into your analysis. Your text (Wiesel’s memoir) is your PRIMARY source for support, so choose your quotes wisely to back up your arguments.

    Essay Assignment 1: Documented Literary Analysis

    At least two citations of outside sources beyond the memoir
    (such as literary criticism on the memoir/and or you may choose to use sources from other academic areas such as psychology journals). At least one source should come from the MDC databases.
    All sources must be academic (DO NOT USE CLIFFSNOTES, SPARKNOTES, LITCHARTS, OR ANY OTHER NON-ACADEMIC SOURCE as you will not receive credit for them and will be missing required sources).

    Topic sentences that focus the discussion of the body paragraphs

    Examples, details, explanations in the body paragraphs that clearly support your thesis.

    Clear connections between ideas from paragraph to paragraph and within paragraphs.

    Proper MLA style format in the heading, in the in-text citations, and in the Works Cited page (see the template for the heading and margins in this lesson)

    Works Cited page includes articles from two sources and from the memoir for
    a minimum of three total listed sources

    Standard usage, grammar, and mechanics

     

     BUY A PLAGIARISM-FREE PAPER HERE

    IMPORTANT INFORMATION:

    You will submit your final draft through the Turn-it-in drop box designated for this purpose in the course. Please be aware, that although Turn-it-in does allow for similarities for quotations up to 24% of your paper, any similarity above 24% is considered too high for an original paper and will be flagged as plagiarism.

    Software has an AI detector. Papers that show AI use cannot earn a grade.

    You can get help with your paper at any of the
    campus writing
    centers (see the link in the course with this information), and you can also receive online help.

     

    Topics for Essay 1: Literary Analysis

     

    Analyze the relationship between Eliezer and his father in “Night.” How does it change from the childhood relationship he describes in Sighet throughout his experiences in the camps with his father?

    Explore the concept of witnessing and testimony in the book. Wiesel said, “For the dead and the living, we must bear witness.” Why does he feel this is important? What can this witnessing do once the brutality is finished? What witnessing and testimony occur in the memoir? How does his memoir serve the concept of witnessing? Analyze the theme of witnessing and form an argument about the message (s) the memoir gives in terms of obligation to those who lived through the Holocaust. Essay Assignment 1: Documented Literary Analysis

    Explore the transformation of Eliezer’s personality throughout the memoir.

    Think of Eliezer’s personality at the beginning of the book. How did he perceive the world while living in Sighet? Explore how the concentration camp changed Eliezer’s attitude towards life. In your thesis, argue that Eliezer’s personality changed from X to Y after his experiences during the Holocaust. You may want to use interviews with Wiesel to help you with your analysis.

    Analyze Eliezer’s changing view of God and faith throughout Night. Consider  Eliezer’s devout childhood in Sighet to life in the concentration camps after the Jews are deported from Hungary. How does Eliezer’s relationship to God and his commitment to his faith change over the course of the memoir? Write an analysis that argues the nature of this transformation.

    Consider the role of evil in Night. Examine how Wiesel portrays inhumanity, not just from the Nazis, but among the Jews in the camps and ghettos as well. What message is the author trying to convey about human capacity for evil? Argue your position.

    Explore the theme of dehumanization in the memoir. What are some examples of how people are treated like objects? How is this objectification related to the ability of Nazi to commit atrocities against Jewish people? You may wish to incorporate research from a psychology database which discusses how “normal” people can commit atrocities during genocides. Essay Assignment 1: Documented Literary Analysis

    Explore the symbolism in the book (night, fire, silence). What do these three symbols signify, and how does Wiesel develop those meanings throughout the course of the book? Alternately, you may choose to write your entire analysis with the symbol of night as your only focus.

    Explore the concept of identity and belonging in the memoir. How did Eliezer’s sense of  identity change throughout the course of the memoir? What parts of himself did he lose? Who did he become? Form an argument about the effects of trauma on identity as demonstrated in the text.

    Discuss the ethics of survival in “Night.” Wiesel describes prisoners who turn brutish in their quest to survive. For example, children turn against parents, and Jewish Kapos are cruel to Jewish camp inmates. Can someone in that circumstance be blamed if survival is the only goal? Did Wiesel retain his humanity (compassion) in the memoir? Did the trauma he suffered wipe away some of his humanity during that time? Argue your position.

    Explore the concept of guilt and responsibility in
    Night
    . Did guilt help or hurt those trying to survive? Did guilt make people more compassionate? What message does the text have about guilt and responsibility?

    Analyze the use of imagery in the memoir. What is the purpose of using graphic imagery? How does it affect the message of the memoir?

    Explore the theme of hope and despair in the book. What does hope look like in dire life and death moments? Can hope be used as a tool for survival? What happens to those who give in to despair? Form an argument about the message the book offers regarding hope and despair.

    Analyze the significance of Eliezer’s dreams and nightmares.

    Explore the theme of betrayal in the book. Use specific examples from the memoir to develop your ideas.

    How does Eliezer’s experience with death change his worldview? Use specific scenes from the book to support your thesis.

    Explore the theme of humanity and inhumanity in
    Night
    . Look for scenes in the book that demonstrate each side (compassion/brutality). Form an argument about human nature as expressed in the book.

    Analyze the significance of the final scene in the book. Wiesel’s final lines are: “From the depths of the mirror, a corpse gazed back at me. The look in his eyes, as they stared into mine, has never left me.” Think about the death he has seen and experienced prior to this and consider what seeing himself as a “corpse” means: physically, emotionally, spiritually. Argue the meaning of this description of himself as a corpose in relation to the events that have occurred.

    Discuss the theme of forgiveness and reconciliation in
    Night
    . In Essay Assignment 1: Documented Literary Analysis describing his father’s death, Wiesel says he will never forgive himself, but he also says he will not forgive the world for putting him in such a horrible position. Form an argument about the memoir’s message regarding forgiveness and reconciliation.

  • Assignment 1: Background/Significance, Purpose and PICO

    Assignment 1: Background/Significance, Purpose and PICO

    Content

    This is the first assignment where you are starting to write your project paper. Here are some hints towards a successful background, significance, purpose and PICO question.

    Background and Significance

    This is the beginning of the paper when the author (you) have to sell the problem to the reader (faculty). A nice strategy is to begin with some statistics that demonstrate the seriousness of the problem. This grabs the reader’s attention right from the start. Then go into some definitions of clinical terms.

    Describe the clinical nature of the problem, Including physiology and pathophysiology. Remember, you are clinical experts and here is where that can be displayed. Assignment 1: Background/Significance, Purpose and PICO

    Purpose

    Address current practice and what is the gap between current practice and best evidence. Be concise in your purpose statement. Imagine riding in the elevator and you are asked to explain your project.

    PICO

    What is the population, intervention, comparison, and outcome? Who is your population of focus? What is the intervention? The comparison is best evidence to current practice, for example. What is the outcome?

    GENERAL CLASS INSTRUCTIONS

    Please refer to the DNP Project Templates in this Module. Here is the link to the DNP paper template DNP Paper Template 1.24[3]-2-1.docx

    Your proposal must be written using APA format. The template has been prepared with basic APA formatting. Please pay particular attention to headers, spacing, in-text citation format, and reference list citations. Refer to you APA Manual (7th edition) and/or the Purdue OWL (Online Writing Lab) resource for details. https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.htmlLinks to an external site.

    ASSIGNMENT 1 INSTRUCTIONS

    Using the DNP Paper Template 1.24[3]-2-2.docx, write a brief introduction to your proposed project. See the template for more information and description of the specific components. Include the following:

    Create a Title and complete the Title Page (add running head in the document header)

    Write the Background and Significance of the Problem.

    Write the Purpose of the Project.

    Write the Clinical Question. You may write this as (1) a PICO question or (2) as SMART objectives for your Project: Specific, Measurable, Achievable, Relevant, and Time-oriented (stated timeline for project/outcome)

    Assignment 1: Background/Significance, Purpose and PICO

     

    Assignment 1: Background/Significance, Purpose, and PICO Student Name

     

    Faculty Member:

    Practice Mentor:

    Date of Submission:

     
     

    INTRODUCTION   

    Introduction/Background Knowledge/Significance

                Background and Significance of the Problem

    Missed medical appointments or no-shows continue to pose a considerable challenge to the quality healthcare delivery in the outpatient environment. They lead to inefficiency, lost revenue, long waiting periods, and lost continuity of care (Marbouh et al., 2020). The country-wide no-show rates in the specialty clinics are between 15 and 30 percent, which means that providers have to spend time on futile cases, patients have limited access to services, and health care is more expensive (Reza et al., 2024). Late visits and missed visits increase the risk of disjointed care, late diagnosis, and poor health outcomes, especially in the case of specialty services. No-shows in otolaryngology (ENT) practice have special implications. Conditions such as chronic sinusitis, hearing loss, balance disorders, and tumors of the head and neck need to be evaluated and managed as soon as possible (Kwon & O’Rourke, 2023). Delayed care not only influences the quality of life but, on certain occasions, it may escalate morbidity. Locally, the ENT outpatient clinic attached to this project has monitored a consistent no-show rate of about 20, which is reflective of the national averages, but still is a considerable clinical and operational issue. This rate corresponds to a range of vacant appointment slots in a day, which consumes provider schedules and restricts the access of other patients who may require specialty services.

    ORDER HERE

    The importance of solving this problem is twofold. Considering the patient-centered approach, minimization of no-shows will increase access to high-quality ENT services, promote better health outcomes, and patient satisfaction (Ewunetu et al., 2023). Systemically, the minimization of no-show rates streamlines the time of the provider, minimizes losses, and maximizes the performance of the clinic. Predictive analytics has become one of the evidence-based solutions to this problem, enabling healthcare organizations to recognize patients at risk and implement specific interventions, including reminders with personalized messages or an opportunity to reschedule (Dixon et al., 2024). The project has parallel national priorities to incorporate data-driven solutions in healthcare to enhance efficiency and outcomes, and also responds to a local urgent issue of the need to increase appointment adherence in the ENT clinic.

    Specific AIMS:

    Project Purpose

    The purpose of this Doctor of Nursing Practice (DNP) project is to reduce no-show rates in an outpatient ENT clinic through the implementation of a predictive analytics tool integrated into the electronic medical record (EMR). Through the identification of patients at high risk of missed appointments and applying enhanced reminder strategies, including phone calls and text reminders, the project seeks to:

    Improve appointment adherence among ENT patients.

    Optimize provider utilization and reduce wasted appointment slots.

    Enhance patient access to specialty ENT services by lowering wait times.

    Demonstrate the feasibility and effectiveness of predictive analytics as a quality improvement strategy in clinical practice.

    Assignment 1: Background/Significance, Purpose and PICO

    This project is important for the clinical site because reducing no-show rates will directly improve patient outcomes, increase organizational efficiency, and support better health outcomes for individuals requiring ENT specialty care.

    What is the PICOT Question

    The PICOT question guiding this project is: In adult patients scheduled for outpatient ENT visits (P), how does implementing a predictive analytics tool with enhanced outreach (I), compared to standard reminders (C), affect no-show rates (O) over 6 months (T)?

    LITERATURE SYNTHESIS

    Search Method and Platforms-
    Use at least three platforms. Use all articles identified for the project (no need to limit manuscripts to certain number)

    Comprehensive Appraisal of Evidence
    (Consider using two-three themes identified in the literature). Provide a summary of literature and relevant information. Identify best practices or evidence based practice

    Strengths/Weaknesses/Gaps and Limitations of Evidence

    Conclusion-
    Summarize findings and identified gaps in care

    THEORY/FRAMEWORK AND CONCEPTS

    Introduce Theory/Framework that will guide the project

    Linking Concepts to project purpose, describe selection rationale

    METHODS

    Quality Improvement Project Design

    Approach used for assessing the impact of the intervention. Was this a QI Improvement Project that use the PDSA cycle from the IHI model?  Was this a retrospective/prospective examination of a systems change?
     
    Remember this is not a Research project but a Quality Improvement project

    Setting and Stakeholders

    Description of local setting to include an overview of the organization and patient.

    Participants and Recruitment

    Intervention
    – Describe the intervention in enough detail that other organziations could reproduce if so desired.  What considerations were taken into account to ensure that the implementation matched the plan?  (i.e. monitoring and auditing, rapid cycle evaluations?)

    Data Collection Measures-
    What was chosen for studying the process and outcomes and the rationale for choosing them and their validity and reliability

    Performance Measure (numerator/denominator)

    Type (Process, Outcome, or Structure/Cost)

    Data Source (chart review, observation, database – specify)

    Frequency of collection (daily, weekly, monthly)

     

     

     

     

     

    Project Approval if needed (IRB/QIPR/Committee)

    Implementation Timeline – Included in project proposal

    Data Analysis for Quality Improvement project design

    Ethical Considerations-
    Ethical aspects of conducting the project are addressed. Will there be personal health information collected? If so, how is it protected? If an IRB or QI committee approval is required, include the approval letter in the appendix

    Assignment 1: Background/Significance, Purpose and PICO

    RESULTS

    Describe Outcomes of Quality Improvement project-
    Stick to the facts! There is no interpretation of data in this section

    Tables and Figures are well designed and support the results

     

    DISCUSSION

    Impact of Results on practice
    – key findings based on the purpose and the question (specific aims). Brief recap of results which expands into the discussion. How does your outcomes compare with the findings in other publications Were there any variables that contributed to the success or failure of the project?

    Strengths/Limitations of project-

    Conclusions-
    Plan for dissemination and sustainability

    Future Implications and suggested next steps

     
     

    References

    Dixon, D., Sattar, H., Moros, N., Kesireddy, S. R., Ahsan, H., Lakkimsetti, M., Fatima, M., Doshi, D., Sadhu, K., & Hassan, M. J. (2024). Unveiling the influence of AI predictive analytics on patient outcomes: A comprehensive narrative review.
    Cureus
    ,
    16
    (5), 1–16.
    https://doi.org/10.7759/cureus.59954

    Ewunetu, M., Temesgen, W., Zewdu, D., Andargie, A., Kebede, M., & Lidetu, T. (2023). Patients’ perception of patient-centered care and associated factors among patients admitted in private and public hospitals: A comparative cross-sectional study.
    Patient Preference and Adherence
    ,
    Volume 17
    (17), 1035–1047.
    https://doi.org/10.2147/ppa.s402262

    Kwon, E., & O’Rourke, M. C. (2023).
    Chronic sinusitis
    . PubMed; StatPearls Publishing.
    https://www.ncbi.nlm.nih.gov/books/NBK441934/

    Marbouh, D., Khaleel, I., Al Shanqiti, K., Al Tamimi, M., Simsekler, M. C. E., Ellahham, S., Alibazoglu, D., & Alibazoglu, H. (2020). Evaluating the impact of patient no-shows on service quality.
    Risk Management and Healthcare Policy
    ,
    13
    , 509–517.
    https://doi.org/10.2147/RMHP.S232114

    Reza, M., Abadi, F. M., Tabesh, H., Vakili‐arki, H., Abu‐Hanna, A., Ghaddaripouri, K., & Eslami, S. (2024). Evaluation of no‐show rate in outpatient clinics with open access scheduling system: A systematic review.
    Health Science Reports
    ,
    7
    (7).
    https://doi.org/10.1002/hsr2.2160

     

    APA 7
    th
    Edition Formatting should be used throughout the paper

     

    Assignment 1: Background/Significance, Purpose and PICO APPENDIX