In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

1. Background
2. Problem statement
3. Purpose of the change proposal
4. PICOT
5. Literature search strategy employed
6. Evaluation of the literature
7. Applicable change or nursing theory utilized
8. Proposed implementation plan with outcome measures
9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is not required.

This assignment uses a rubric. 

You are required to submit this assignment to LopesWrite.

RUBRIC

1. Background section is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
2. Problem statement is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
3. Purpose of change proposal is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
4. PICOT is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
5. Literature search strategy is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
6. Literature evaluation is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
7. Theory utilization content is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
8. Implementation plan is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
9. Identification of potential barriers to plan implementation with a discussion component is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
10. Appendices are present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
11. Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed.
12. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
13. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
14. Writer is clearly in command of standard, written, academic English.
15. All format elements are correct.
16. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

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 Assignment: Change Paper Assignment Overview In this assignment, you will assess a current semi-direct or indirect nursing situation that is in need of change. Observe a healthcare environment, focusing on areas of the nursing process that are inefficient, unsafe, or problematic in nature. Diagnose the problem and choose a nursing change theory that suits the change(s) you want to make. Propose a detailed plan based on your chosen change theory, explaining how to implement change. Develop criteria to evaluate the effectiveness of the plan and include a timeline for your change proposal. Finally, reflect on how your change affects the nursing profession. Assignment Details: Perform the following tasks:  Complete the reading assignment and the interactive lesson before attempting this assignment.  Assess a current semi-direct or indirect nursing situation that is in need of change. o Observe your healthcare environment, focusing on areas of nursing process that are inefficient, unsafe, or problematic in nature. o Diagnose the problem and choose a nursing change theory that suits the change you want to make. o Propose a detailed plan based on your chosen change theory, explaining how to implement change. o Develop criteria to evaluate the effectiveness of the plan and include a timeline for your change proposal. o Reflect on how your change affects the nursing profession.  Write a 3-5 page paper following the criteria below: o Your paper should include primary sources and include at least two peerreviewed nursing journal articles. o Citations should be in your own words and not direct quotes. o Include a title page, running head, appropriate headings, and reference page. o The paper should be double spaced, written in Times New Roman, 12-point font, follow APA style format, and cite all sources correctly.  Include the proper file naming convention: NUR204_wk9_assn_jsmith_mmddyyy. Grading: Criteria Excellent (3pts) Good (2pts) Needs Improvement (1pt) Pts. Research – Cited 4 or more reliable sources. – Sufficient information provided to support topic. – Research in-depth, revealing new insight. – Cited 4 or more reliable sources. – Adequate information provided to support topic. – Research is superficial. – Missing citations or unreliable sources used. – Information does not support research topic. – Research is not relevant to paper. NUR204: Week 9 Assignment Page 2 ` Content – Appropriate topic is chosen that relates directly to the nursing process. – Proposed plan contains specific ideas for change. – Change theory is included and proposal follows theory. – Timeline is included for change proposal. – Reflection is provided. – Appropriate topic is chosen that relates directly to the nursing process. – Proposed plan is included but missing specifics. – Change theory is included and proposal follows theory. – Timeline is incomplete – Reflection is not relevant to nursing process. – Inappropriate topic is chosen that is unrelated to nursing process. – Proposed plan is inconsistent and missing specifics. – Change theory is missing or inappropriate. Plan does not follow theory. – Timeline is missing. – Reflection is missing. Grammar/Spelling – Consistent and appropriate writing style. – No spelling/grammar errors. – Length is 3-5 pages using Times New Roman, 12-point font – Writing is consistent and appropriate. – Grammar/spelling errors are minor. – Length is less than 3 pages or Times New Roman, 12-point font not used. – Writing is inconsistent and inappropriate. – Significant grammar/spelling errors. – Length less than 3 pages or Times New Roman, 12-point font not used. References/APA – All sources properly cited using APA format. – Includes title page, running head, page numbers, proper paragraphs, and reference page. – All sources properly cited using APA format with minor errors (punctuation). – Includes title page, running head, page numbers, and reference page with minor errors in paragraph format. – Sources not cited correctly. – Missing elements such as title page, running head, and reference page. 

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support Use of Research Findings and other evidence in Clinical Decision Making

Choose 2 EBP resources influencing the care provided to your client. Discuss the similarities and differences that you read for those two EBP peer reviewed articles.

Submit scholarly paper, with writing style at the graduate level, including all of the following:

• Reviews topic and explains rationale for its selection in the context of client care.
• Evaluates key concepts related to the topic.
• Describes multiple viewpoints if this is a controversial issue or one for which there are no clear guidelines.
• Assesses the merit of evidence found on this topic i.e. soundness of research
• Evaluates current EBM guidelines, if available. Or, recommends what these guidelines should be based on available research.  Discuss the Standardized Procedure for this diagnosis.
• Discusses how the evidence did impact/would impact practice.  What should be done differently based on the knowledge gained?
• Consider cultural, spiritual, and socioeconomic issues as applicable

I selected type 1 Hypertesion, plz see attached soap note. 

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   NOTE: INTEXT CITATION REQUIRED 

Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Provide an overview of the problem and discuss why the problem should be studied. Provide rational and support for your answer. 

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