Description
The Integrative Literature Review.
Much effort should be devoted to this section as it is a key component of your work. This should be a synthesis of the literature, not a catalog of studies or simply an analysis of the research you discover.
Perform a literature review using a minimum of seven (7) peer-reviewed articles and books, as well as non-research literature such as evidence-based guidelines, toolkits, standardized procedures, etc.
Review of areas in relationship to medicine, nursing, public health, etc.
The review should be critical and synthesize rather than just being a catalog of studies.
Summarize the key findings of the research and its relevancy to your project that point out the scientific status of the phenomenon under question. Such a statement includes:
What we know and how well we know it.
What we do not know.
Describe any gaps in knowledge that you found and the effects this may have on advanced practice nursing as it relates to your project topic.
Your integrative literature review should be 5–6 pages in length, not including the cover or reference pages. You must reference a minimum of 7 scholarly articles published within the past 5–7 years.
Use current APA format to style your paper and to cite your sources. Review the rubric for more information on how the assignment will be graded.
Points: 80
Due: Sunday, 11:59 p.m. (Pacific time)
Rubric
NURS_691A_DE – NURS 691-A Rubric Week 3: Integrative Literature Review
NURS_691A_DE – NURS 691-A Rubric Week 3: Integrative Literature Review
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeCritical Analysis
44 to >36.08 pts
Meets Expectations
Presents a thorough and insightful analysis of significant findings related to the change project topic. Ideas are synthesized and professionally sound and creative. Insightful and comprehensive conclusions and solutions are present. Knowledge gaps are identified and the implications on nursing are expertly explored.
36.08 to >33.0 pts
Approaches Expectations
Presents an accurate analysis of significant findings related to the change project topic. Ideas are sound and creative, but are not well synthesized. Conclusions and solutions may be general or unconnected. Knowledge gaps are identified but the implications on nursing may be general or lacking insight.
33 to >25.96 pts
Falls Below Expectations
Provides insufficient analysis of significant findings related to the change project topic. Ideas are not professionally sound and creative. Ideas are in a list format rather than synthesized. Few if any knowledge gaps are identified and the implications on nursing may be erroneous or missing.
25.96 to >0 pts
Does Not Meet Expectations
The literature is listed, but it is neither analyzed nor synthesized.
44 pts
This criterion is linked to a Learning OutcomeContent
20 to >16.4 pts
Meets Expectations
A minimum of 7 peer-reviewed articles, books, or limited non-research literature (tool kits or standardized procedures) are present. Literature is supported by scientific evidence that is credible and timely. Subtopics are used to support the main topic. All in-text citations are present and correctly formatted.
16.4 to >15.0 pts
Approaches Expectations
There are between 5–6 peer-reviewed articles, books, or limited non-research literature (tool kits or standardized procedures) are present. Literature is supported by scientific evidence that is credible and timely. Only a few subtopics are used to support the main topic and/or subtopics are inappropriate. Most in-text citations are present, but might be improperly formatted.
15 to >11.8 pts
Falls Below Expectations
There are between 2–4 peer-reviewed articles, books, or limited non-research literature (tool kits or standardized procedures) are present. Some of the literature is not supported by scientific evidence that is credible and timely. Subtopics are not used to support the main topic. In-text citations are missing or several are improperly formatted.
11.8 to >0 pts
Does Not Meet Expectations
Most literature included is not supported by scientific evidence that is credible and timely, or there are between 0–1 sources identified. Subtopics are not used to support the main topic. In-text citations are incorrect or missing.
20 pts
This criterion is linked to a Learning OutcomeOrganization
8 to >6.56 pts
Meets Expectations
Content is well written throughout. Information is well organized and clearly communicated.
6.56 to >6.0 pts
Approaches Expectations
Content is overly wordy or lacking in specific language. Information is reasonably organized and communicated.
6 to >4.72 pts
Falls Below Expectations
Content is disorganized in many places and it lacks clarity.
4.72 to >0 pts
Does Not Meet Expectations
Content lacks clarity and information is disorganized, or may be a list or a catalog of ideas.
8 pts
This criterion is linked to a Learning OutcomeAPA Format/Mechanics
8 to >6.56 pts
Meets Expectations
Follows all the requirements related to format, length, source citations, and layout. Assignment is free of spelling and grammatical errors.
6.56 to >6.0 pts
Approaches Expectations
Follows length requirement and most of the requirements related to format, source citations, and layout. Assignment is mostly free of spelling and grammatical errors.
6 to >4.72 pts
Falls Below Expectations
Follows most of the requirements related to format, length, source citations, and layout. Assignment contains some spelling and grammatical errors.
4.72 to >0 pts
Does Not Meet Expectations
Does not follow format, length, source citations, and layout requirements. Assignment contains many spelling and grammatical errors.
8 pts
SOAP rubric. FOR this assignment the patient is a 68 year old patient with schizophrenia. Uploaded documents are for SOAP paper.
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeS (Subjective)
10 pts
Accomplished
Symptom analysis is well organized, with C/C, OLD CART, pertinent negatives, and pertinent positives. All data needed to support the diagnosis & differential are present. Is complete, concise, and relevant with no extraneous data.
5 pts
Satisfactory
Symptom analysis well organized with C/C, OLD CART, pertinent negatives, and pertinent positives. Some extraneous data is present and/or one minor data point missing.
2.5 pts
Needs Improvement
Symptom analysis is not well organized. Data is missing. There is too much extraneous data and/or 2-3 minor data points missing
0 pts
Unsatisfactory
Symptom analysis is inadequate, is not organized. Objective or other data is mixed into the subjective data. Important data is missing.
10 pts
This criterion is linked to a Learning OutcomeO (Objective)
10 pts
Accomplished
Complete, concise, well organized, well written, and includes pertinent positive and pertinent negative physical findings. Organized by body system in list format. No extraneous data.
5 pts
Satisfactory
All relevant exams were done thoroughly but extraneous exams were also done. It is somewhat organized in list format.
2.5 pts
Needs Improvement
Symptom analysis is not well organized. Data is missing. There is too much extraneous data and/or 2-3 minor data points missing.
0 pts
Unsatisfactory
Omitted important relevant exams and/or subjective data are included. Lacking organization.
10 pts
This criterion is linked to a Learning OutcomeA (Assessment)
10 pts
Accomplished
Diagnosis and differential dx are correct, include ICD code, and are supported by subjective and objective data.
5 pts
Satisfactory
Diagnosis is correct with ICD codes and is supported by subjective and objective data. Differential diagnosis was inaccurate based on subjective and objective data.
2.5 pts
Needs Improvement
Diagnosis is correct but either does not include ICD code or is missing two or more important differential diagnoses according to the subjective and objective data provided.
0 pts
Unsatisfactory
Diagnosis is not correct, is not provided or is not reflective of the subjective and objective data provided.
10 pts
This criterion is linked to a Learning OutcomeP (Plan)
10 pts
Accomplished
Plan is organized, complete and supported with 2 evidence-based references. Addresses each diagnosis and is individualized to the specific patient and includes medication teaching and all 5 components: (Dx plan, Tx plan, patient education, referral/follow-up, health maintenance).
5 pts
Satisfactory
Plan is organized, complete and evidence-based according to National Standards of Care. Addresses each diagnosis and is individualized to the specific patient and includes medication teaching but may be missing 1-2 minor points.
2.5 pts
Needs Improvement
Plan is less organized and not based on evidence according to the National Standards of Care. Does not address each diagnosis or may not be individualized to the specific patient. Missing medication teaching or one of the 5 components.
0 pts
Unsatisfactory
No Plan provided or is not organized. Does not address all diagnoses identified and/or does not include all 5 components of plan, including medication teaching.
10 pts
Unformatted Attachment Preview
PMHNP– SOAP Note Rubric
Criteria
S
(Subjective)
O
(Objective)
A
(Assessment)
Ratings
10 points
Accomplished
6 points
Satisfactory
4 points
Needs Improvement
0 points
Unsatisfactory
Symptom analysis is
well organized in a
SOAP format, with
C/C, Past Psychiatric
Hx, Social Hx, and
other pertinent past
and current
diagnostic details.
Symptom analysis is
well organized in a
SOAP format, with
C/C, Past Psychiatric
Hx, Social Hx, and
other pertinent past
and current
diagnostic details.
Symptom analysis is
not well organized or
presented in a varied
format. Required data
is missing.
Symptom analysis is
inadequate and is
not organized.
Objective or other
data is mixed into
the subjective data.
SOAP Note is
complete, concise,
relevant with no
extraneous data.
10 points
Accomplished
Some extraneous
data present with 1
minor data point
missing.
6 points
Satisfactory
Mental Status Exam is
complete, concise,
well-organized, and
well-written. Includes
pertinent psychiatric
information.
Organized by MSE list
format.
Mental Status Exam
is partially
incomplete,
organized, and
satisfactorily written.
Includes pertinent
psychiatric
information with
additional extraneous
information included.
Important data is
missing.
4 points
Needs Improvement
0 points
Unsatisfactory
Mental Status Exam is
incomplete, loosely
organized with
improvements
required. Relevant
psychiatric information
is omitted.
Mental Status Exam
is absent,
disorganized in
presentation,
adheres to no
specific format, or
grossly omits
relevant or pertinent
psychiatric
information.
No extraneous
information is
included.
Somewhat organized
in MSE list format.
10 points
Accomplished
6 points
Satisfactory
4 points
Needs Improvement
0 points
Unsatisfactory
Diagnosis and
Differential Dx are
correct with DSM-5
code(s) and supported
by subjective and
objective data.
Diagnosis and
Differential Dx are
correct with DSM-5
code(s) and mostly
supported by
subjective and
objective data.
Diagnosis and
Differential Dx are
correct with DSM-5
code(s) and mostly
supported by
subjective and
objective data.
Missing at least one
(1) pertinent
differential diagnosis
not listed according
to subjective and
objective data.
Working diagnosis is
correct.
All diagnoses
(working diagnosis
and differential
diagnoses) are
incorrect or is
missing based on
the subjective and
objective data
presented.
Includes: 1 working
Dx and 2 Differential
Dx.
P
(Plan)
There is too much
extraneous data
present or 2-3 minor
data points are
missing.
10 points
Accomplished
6 points
Satisfactory
Missing up to two (2)
pertinent differential
diagnoses based on
subjective and
objective data
presented. Or
differential diagnoses
are adequate with an
incorrect working
diagnosis.
4 points
Needs Improvement
Plan is well-organized,
complete, evidence-
Plan is organized,
complete, evidencebased and patient-
Plan is less organized,
is not based on
evidence. Fails to
Pts
10
pts
0 points
Unsatisfactory
Plan is disorganized,
absent, or is missing
10
pts
10
pts
10
pts
based, and patientcentric. Fully
addresses each
diagnosis and is
individualized to the
specific patient.
*Plan requirements:
prescribed
medications, if any;
explanation of offlabel medication use,
if prescribed; risks
and benefits of
medications
identified; therapy
recommendations;
patient education;
referral/follow-up;
and health
maintenance.
Total
centric. Fully
addresses each
diagnosis and is
individualized to the
specific patient.
Plan is missing 1-2 of
the required items.
address each diagnosis
sufficiently or is not
individualized or
patient-centric
all the required
items.
Plan is missing more
than 2 of the required
items.
40
pts
PMHNP Problem-Focused SOAP Note
(Use this template for this Assignment)
Demographic Data
o
o
Patient age and Patient’s gender identity
MUST BE HIPAA compliant.
Subjective
Chief Complaint (CC):
o
Place the patient’s CC complaint in Quotes
History of Present Illness (HPI):
o Reason for an appointment today.
o The events that led to hospitalization or clinic visits today.
o Include symptoms, relieving factors, and past compliance or noncompliance with medications
o Any adverse effects from past medication use
o Sleep patterns – number of hours of sleep per day, early wakefulness, not
being able to initiate sleep, not able to stay asleep, etc.
o Suicide or homicide thoughts present
o Any self-care or Activity of Daily Living (ADL) such as eating, drinking
liquids, self-care deficits or issues noted?
o Presence/description of psychosis (if psychosis, command or noncommand)
Past Psychiatric History (PSH):
o Past psychiatric diagnoses
o Past hospitalizations
o Past psychiatric medications use
o Any non-compliance issues in the past?
o Any meds that didn’t work for this patient?
Family History of Psychiatric Conditions or Diagnoses:
o Mother/father, siblings, grandparents, or direct relatives
Social History:
o Include nutrition, exercise, substance use (details of use), sexual
history/preference, occupation (type), highest school achievement,
financial problems, legal issues, children, history of personal abuse
(including sexual, emotional, or physical).
Allergies:
o
to medications, foods, chemicals, and other.
Review of Systems (ROS) (Physical Complaints):
o Any physical complaints by body system? (Respiratory, Cardiac, Renal, etc.)
Objective
Mental Status Exam:
o This is not physical exam.
o Mini-Mental Status Exam (MMSE) – Full exam
Assessment (Diagnosis)
Differentials
o
o
o
Two (2) differential diagnoses with ICD-10 codes.
Must include rationale using DSM-5 Criteria (Required)
Why didn’t you pick these as a major diagnosis?
Working Diagnosis
o
o
Final or working diagnosis (1), with ICD-10 code.
Must include rationale using DSM-5 criteria required – Which symptoms/signs
in the DSM-5 the patient matches mostly)
Plan
Treatment Plan (Tx Plan):
o Pharmacologic: Include full information for each medication(s) prescribed
o Refill Provided: Include full information for each medication(s) refilled
Patient Education:
o including specific medication teaching points
o Was risk versus benefit of current treatment plan addressed for meds or
treatment
o Risk versus benefit of non-FDA approved for working diagnosis – Off-label use
of medication education to patient addressed?
Prognosis:
o Make Decision for prognosis: Good, Fair, Poor
o Provide brief statement lending support for or against the decided prognosis.
Therapy Recommendations:
o Type(s) of therapy recommended.
Referral/Follow-up:
o Did you recommend follow-up with Psychiatrist, PCP, or other specialist or
healthcare professionals?
o When is the subsequent follow-up?
o Include rationale for the F/U recommendation or referral.
Reference(s):
o
o
o
Include American Psychological Association (APA) formatted references.
Include a reference from the American Psychiatric Association’s Diagnostic
and Statistical Manual of Mental Health Disorders (DSM-5) or the
accompanying Desk Reference of Diagnostic Criteria from DSM-5.
Minimum 2 references are required.
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