Description

This is a multipart assignment.

Part 1

NUR 500 Discussion 1. For this assignment, I will need an initial response with 250-300 words and 1 reference and 2 peer responses with 100 words and 1 reference each.

Evidence-based practice (EBP) is an important topic in healthcare organizations. How could you apply EBP in your current nursing practice? Please provide examples.

Part 2

Nur 500 Assignment (Please see case study attached)

Complete the Sociologic Sciences Interactive Case Study following the readings and presentation for this week. Associate what you have learned about the theories to this case study, and then see the instructions below to complete a journal entry about your experience.

During this week, you will complete interactive case studies and be asked to associate what you have learned about theory in comparison to the case study and reflect on it.

Each time you have completed a case study, submit your reflection. Each reflection should include the following:

A comparison of what you have learned from the case study to related theories you have studied. Make sure to cite these theories in APA format.
A comparison of the case study to your nursing practice, giving one or two examples from your nursing experience in which you might have applied a particular theory covered.

Your reflection should be a minimum of five to six paragraphs.

Please find also instructions from my instructor. (Journal entry. Remember these are Journals, not a formal paper, no cover page or reference page needed.

They each have 2 sections:

Discuss a related theory from this weeks readings and/or presentation to the scenario
Relate this theory to your nursing practice/ work arena!)
Rubric

NURS_500_DE – Case Study Rubric

Criteria Ratings Pts

This criterion is linked to a Learning OutcomeCritical Analysis

20 to >16.4 pts

Meets Expectations

Presents an exemplary articulation and insightful analysis of significant concepts and/or theories presented in the case. Offers detailed and specific examples for all questions. Makes keen observations, making note of essential information provided in the case. Ideas are professionally sound and creative; they are supported by scientific evidence that is credible and timely. Draws insightful and comprehensive conclusions and solutions.

16.4 to >15.0 pts

Approaches Expectations

Presents an accurate analysis of significant concepts and/or theories presented in the case. Offers some detail and some examples for most questions. Makes occasional note of essential information provided in the case. Ideas are mostly supported by scientific evidence that is credible and timely. Makes some attempt to draw conclusions and solutions.

15 to >11.8 pts

Falls Below Expectations

Provides insufficient explanations of significant concepts. Offers little or insignificant detail and no examples for most questions. Fails to address essential information provided in the case. Ideas are generally unsupported by scientific evidence, but some attempt has been made. Fails to draw conclusion.

11.8 to >0 pts

Does Not Meet Expectations

Does not, or incorrectly, answers with insufficient explanations. Information is not scientifically sound.

20 pts

This criterion is linked to a Learning OutcomeContent

20 to >16.4 pts

Meets Expectations

Makes insightful, clear and accurate connections to key concepts and relevant theories. Response indicates a comprehensive, high-level understanding of the concepts presented in the case.

16.4 to >15.0 pts

Approaches Expectations

Makes mostly accurate connections to key concepts and relevant theories. Response indicates a general understanding of the concepts presented in the case.

15 to >11.8 pts

Falls Below Expectations

Provides several insufficient or inaccurate explanations, although attempts are made to address some key concepts. Response indicates an introductory understanding of the concepts presented in the case.

11.8 to >0 pts

Does Not Meet Expectations

Information is inaccurate or inadequate. Response indicates little or no understanding of the concepts presented in the case.

20 pts

This criterion is linked to a Learning OutcomeMechanics

7.5 to >6.15 pts

Meets Expectations

Answers are well written throughout. Information is well organized and clearly communicated. Assignment is free of spelling and grammatical errors.

6.15 to >5.63 pts

Approaches Expectations

Answers are well written throughout and the information is reasonably organized and communicated. Assignment is mostly free of spelling and grammatical errors.

5.63 to >4.43 pts

Falls Below Expectations

Answers are somewhat organized and lacks some clarity. Contains some spelling and grammatical errors.

4.43 to >0 pts

Does Not Meet Expectations

Answers are not well written and lack clarity. Information is poorly organized. Assignment contains many spelling and grammatical errors.

7.5 pts

This criterion is linked to a Learning OutcomeAPA Format

2.5 to >2.05 pts

Meets Expectations

Follows all the requirements related to format, length, source citations, and layout.

2.05 to >1.88 pts

Approaches Expectations

Follows length requirement and most of the requirements related to format, source citations, and layout.

1.88 to >1.48 pts

Falls Below Expectations

Follows most of the requirements related to format, length, source citations, and layout.

1.48 to >0 pts

Does Not Meet Expectations

Does not follow format, length, source citations, and layout requirements.

2.5 pts

Total Points: 50

Part 3

NUR 510 Discussion. On this part, I will need initial discussion with 250-300 words and peer reviewed journals as a reference and 2 peer responses with 100 words each and1 reference

Identify three major components of the Medicare and Medicaid programs and, based on these components, identify at least two patient coverage gaps for each of the programs. Be clear when you describe the coverage and the gaps as they may relate to specific ages, patient populations, or disease entities. Use primary sources to identify the components and the gaps. Additionally, discuss your stand (criticize or defend) regarding the relevance of the Social Security program to the American public. Should the program be left alone, modified, drastically changed, or eliminated? Provide the rationale and use facts to defend your position.

Please see my instructor instructions for this assignment. I need this to be addressed as instructed.
Some of you may point out that several states opted out of Medicaid expansion. This is a critical thinking point. Dig a bit further than the media talking points. WHY did those states opt out? There may be different reasons, so select one state for your critical assessment and share your findings in your post.

Note that there are two parts to the Discussion Board thread! Students who address both parts in their initial post and include primary sources will qualify for full creditPreviousNext

Unformatted Attachment Preview

Case Study: Natalie Kazakova
Meet Natalie Kazakova, a Russian who has recently graduated with a master’s degree
in nursing, originally having a bachelor’s in engineering back home. She now works at a
local community hospital in the ICU.
A few weeks after orientation ends at her new place of employment, Natalie finds herself
questioning her choice to become a nurse. She finds it hard to go into work because
she is feeling insecure and has self-doubt.
Also meet Susan and Pam, two nurses that have 10 years of experience, but only have
ADN degrees. Click on the two nurses to read examples of what they have been saying
to Natalie and each other.
Meet Natalie Kazakova.




Russian immigrant
Recently graduated with master’s degree in nursing
Bachelor’s in engineering back home
Works at a local community hospital in ICU
Any of these theories from the chapter explain what Natalie is experiencing. Select each theory to
learn more about how each applies to her situation.
Role theory, role behavior: As a new graduate and new nurse, Natalie needs to negotiate
appropriate role behaviors with patients, coworkers, and medical staff. Role strain or stress,
including role incongruity, can occur when the individual’s expectations (her view of the caring role of
the nurse) conflicts with the requirements to learn to manage complicated equipment and
medications.
Conflict Theory: As noted in the text, conflict is often grounded in issues of power/authority and
domination/subjugation. The two nurse colleagues are struggling to hold on to their position of power
related to their experience because they are probably threatened by Natalie’s advanced degree.
Social theory Exchange: Natalie has noted that reciprocity is lacking in her relationships with the two
experienced ADN nurses. As a result, she feels like resigning (withdrawing from the situation).
Natalie discusses this issue with one of her professors. Her professor offers the following
recommendations:



Don’t do anything at this point. This is normal behavior for other nurses dealing with a novice. Time will
prove your readiness.
Review the conflict and try to think of the other experienced nurses’ perspectives. Again, time will prove your
readiness.
Speak up now and remind the other nurses that you are a brand new RN and will have a learning period.
Reflect on which option you think would be best for you. Then select the Review button below to see
why Natalie’s professor offered the options she did.
Natalie recognizes the issues of role behavior and role incongruity and seeks out one of her
professors to discuss these. The professor reminds her that this is a normal process and that she
needs to give herself some time to learn her position (the professor might refer her to Benner’s
Novice to Expert, discussed in a later chapter). She tells her that as she becomes more comfortable
with the technical requirements of her position, she will find she is able to again put the caring aspect
of nursing in the forefront.
As Natalie reviewed her information on conflict and individualistic social exchange framework, as
well as recognizing that the other nurses were struggling to maintain their own power (and self-
concept), she was able to change her approach. She praised the other nurses for their knowledge
and experience. She remained humble and quiet as she gained more experience and knowledge.
She quietly reminded them that, despite her degree, she was still a new RN and so she appreciated
having knowledgeable nurses like them around. She hoped that this would make them feel less
threatened.
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