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MSN6021 – Biopsychosocial Concepts for Advanced Nursing Practice I

Unit3 Assignment

Concept Map

Professional Context

The purpose of a concept map is to visualize connections between ideas, connect new ideas to previous ideas, and to organize ideas logically. Concept maps can be an extremely useful tool to help organize and plan care decisions. This is especially true in the context of the biopsychosocial model, which takes into account factors beyond just the biochemical aspects of health. By utilizing a concept map, a nurse can simplify the connection between disease pathways, drug interactions, and symptoms, as well as between the emotional, personality, cultural, and socioeconomic considerations that impact health.

Scenario

You have already learned about evidence-based practice and quality improvement initiatives in previous courses. You will use this information to guide your assessments, while also implementing new concepts introduced in this course. For this assignment, you will develop a concept map and provide supporting evidence and explanations.

You may use any of the following as case studies to provide the context for which you are creating your concept map:

Case studies presented in the Unit 2 presentation, Vila Health: Concept Maps as Diagnostic Tools.

If you are using the media piece as your basis, you can download the information you entered into a Microsoft Word document. You can use this text to help build your concept map using either the Concept Map Template, linked in the Resources, or in a concept map format of your choosing. Do not just turn in the document you download from the media piece. You must put this information into a concept map format.

The case study you developed for your Creating a Disorder-Specific Case Study discussion in Unit 1.

A case study from the literature or your practice that is relevant to the list of conditions below.

Another relevant case study you have developed previously.

You may also use the practice context from the case study or extrapolate the case study information and data into your own practice setting. Think carefully when you are selecting the case study you are going to use, as you may choose to build upon it for the Unit 6 Change Strategy and Implementation assignment as well.

Some example conditions, diseases, and disorders that are relevant to metabolic balance and glucose regulation considerations are:

Cancer.

Diabetes (type 2).

HIV/AIDS.

Hyperthyroidism.

Hypothyroidism.

Metabolic syndrome.

Obesity.

Polycystic ovary syndrome.

Prediabetes.

Pregnancy.

Instructions

For this assignment you will develop a concept map and a short narrative that supports and further explains how the concept map is constructed. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your evidence-based plan addresses all of the bullet points. You may also want to read the Concept Map scoring guide and Guiding Questions: Concept Map to better understand how each grading criterion will be assessed.

Part 1: Concept Map

Develop an evidence-based concept map that illustrates a plan for achieving high-quality outcomes for a patient with a condition that has impaired glucose or metabolic imbalance as related aspects.

Part 2: Additional Evidence (Narrative)

Justify the value and relevance of the evidence you used as the basis for your concept map.

Analyze how interprofessional strategies applied to the concept map can lead to achievement of desired outcomes.

Construct concept map and linkage to additional evidence in a way that facilitates a reader's understanding of key information and links.

Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

Submission Requirements

Length of submission: Your concept map should be on a single page, if at all possible. You can submit the concept map as a separate file, if you need to. Your additional evidence narrative should be 2–3 double-spaced, typed pages. Your narrative should be succinct yet substantive.

Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that supports your concept map, decisions made regarding care, and interprofessional strategies. Resources should be no more than five years old.

APA formatting:

For the concept map portion of this assignment, format resources and citations according to current APA style. Please include references both in-text and in the reference page that follows your narrative.

For the narrative portion of this assignment: use the APA Paper Template linked in the Resources. An APA Template Tutorial is also provided to help you in writing and formatting your analysis. You do not need to include an abstract for this assignment.

Resources

Concept Map Scoring Guide.

Vila Health: Concept Maps as Diagnostic Tools | Transcript.

APA Style Paper Tutorial [DOCX].

APA Style Paper Template [DOCX].

How to Make a Concept Map.

Guiding Questions: Concept Map [DOC].

Concept Map Template [DOCX].

MSN6021 – Biopsychosocial Concepts for Advanced Nursing Practice I

Unit6 Assignment

Change Strategy and Implementation

Professional Context

One area in health care that it is necessary to consider is the environment in which nurses work. It is important that this environment evolves and changes so that all patients are adequately supported. For this assignment, you will develop a change strategy to improve the health care environment. These changes can be rooted in a desire to improve clinical outcomes and data related to assessment accuracy, drug administration, or disease recovery rates. A key skill for master's-level nurses is to be able to evaluate clinical data and create a change plan to help drive improvements in the data to reach set goals.

Scenario

Consider a current environment. This could be your current care setting, the care settings presented in the Vila Health scenarios Using Evidence to Drive Improvement or Concept Maps as Diagnostic Tools, or a care setting in which you are interested in working. For the setting that you choose you will need to have a data set that depicts sub-optimal outcomes related to a clinical issue. This data could be from existing sources in the course (Vila Health: Using Evidence to Drive Improvement), a relevant data set that already exists (a data set from the case study you used as a basis for your Unit 3 Concept Map assignment, or from your current place of practice), or an appropriate data set that you have created yourself. (Note: if you choose to create your own data set, check with your instructor first for approval and guidance.)

After you have selected an appropriate data set, use your understanding of the data to create at least one realistic goal (though you may create more) that will be driven by a change strategy appropriate for the environment and goal.

Potential topics for this assignment could be:

Consider ways to help minimize the rate of secondary infections related to the condition, disease, or disorder that you focused on for your Unit 3 Concept Map assignment. As a starting point you could ask yourself, "What could be changed to facilitate safety and minimize risks of infection?"

Consider how to help a patient experiencing traumatic stress or anxiety over hospitalization. As a starting point you could ask yourself, "How could the care environment be changed to enhance coping?"

Once you determine the change you would like to make, consider the following:

What data will you use to justify the change?

How can the team achieve this change with a reasonable cost?

What are the effects on the workplace?

What other implementation considerations do you need to consider to ensure that the change strategy is successful?

How does your change strategy address all aspects of the Quadruple Aim, especially the well-being of health care professionals?

Once the change strategy is implemented, how would you evaluate the efficiency and effectiveness of the care system if the desired outcomes are met?

Instructions

Your assignment submission should include a data table that illustrates the current and desired states of the clinical issue you are attempting to improve through your application of change strategies. Additionally, you will need to explain the rationale for your decisions around your chosen change strategies, as well as how the change strategies will be successfully implemented. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your change strategy addresses all of them. You may also want to read the Change Strategy and Implementation scoring guide and Guiding Questions: Change Strategy and Implementation to better understand how each grading criterion will be assessed.

Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.

Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.

Justify the specific change strategies used to achieve desired outcomes.

Explain how change strategies will lead to quality improvement with regard to safety and equitable care.

Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.

Communicate the change plan in a way that makes the data and rationale easily understood and compelling.

Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

Submission Requirements

Length of submission: 3–5 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive.

Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that supports your goal setting, proposed change strategies, quality improvement, and interprofessional considerations. Resources should be no more than five years old.

APA formatting: Use the APA Paper Template linked in the Resources. An APA Template Tutorial is also provided to help you in writing and formatting your analysis. No abstract is required.

Resources

Change Strategy and Implementation Scoring Guide.

APA Style Paper Tutorial [DOCX].

Vila Health: Concept Maps as Diagnostic Tools | Transcript.

Vila Health: Using Evidence to Drive Improvement | Transcript.

Guiding Questions: Change Strategy and Implementation [DOC].

APA Style Paper Template [DOCX].

MSN6021 – Biopsychosocial Concepts for Advanced Nursing Practice I

Unit9 Assignment

Quality Improvement Presentation Poster

Professional Context

As a master's-level nurse you will be responsible for promoting equitable quality of care. In the biopsychosocial (BPS) model of care, there are a number of areas where you can have an impact on improving the quality, safety, and equitability of care. One example area where equitable quality of care is an issue is with medications, especially considering the cost of various medications to treat the same condition versus the effectiveness and potential side-effects of the medications. A further pharmacological concern for safe and quality care is medication errors. This could include considerations like a patient getting the wrong medication or a dangerous interaction due to other aspects of a patient's health and treatment situation. An example could be vitamin or herbal supplements the patient has not disclosed as part of the medication reconciliation process.

Scenario

For this assignment, you may take any number of approaches. Two suggestions are:

Build upon the clinical issue that was the focus of your Unit 6 Change Strategy and Implementation assignment, and turn it into a full, organization- or community-wide quality improvement (QI) initiative.

Or, identify a new issue related to a BPS clinical issue, or a clinical issue related to one of the conditions, disorders, or diseases from the Review of Evidence for Treating Specific Disorders? discussion in Unit 1. The focus here should be on a community rather than on a specific patient or health care setting.

As a master's-level nurse, your specific focus is on reviewing the implications of the data relevant to the clinical issue you are trying to address. Once you research this, review the aggregate data, and understand the BPS considerations relevant to the clinical issue, you can suggest strategies for improving the quality, equitability, and safety of care around the issue. You should act as an advocate for the value and need to pursue quality improvements to leadership and executives, as well as be able to present potential projects to a wide range of colleagues and community stakeholders.

Instructions

Create an abstract and a poster for a presentation to executive-level leadership of the organization, to the community, or to your colleagues that will sell them on your quality improvement plan.

Abstract Requirements

?Your abstract should be 100–250 words.

It should summarize the key information in your poster.

Do not put your abstract on the poster itself; submit it as a separate document. Or, if you are using PowerPoint to help create your poster, create a new slide that is clearly labeled as your abstract.

Poster Requirements

?Your poster should include the following sections:

Quality Improvement Methods.

Evidence Supporting QI Methods.

Change Strategy Foundation.

Interprofessional Team Benefits.

Overall Project Benefits.

There are templates in PowerPoint or on the Internet that can help you get a start designing your poster.

The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your presentation addresses all of the bullets below. You may also want to read the Quality Improvement Presentation Poster scoring guide and Guiding Questions: Quality Improvement Presentation Poster to better understand how each grading criterion will be assessed.

Propose quality improvement methods to promote continuous improvement related to a specific biopsychosocial consideration.

Evaluate specific evidence that supports the quality improvement methods proposed.

Explain how the project is grounded in successful change strategies.

Analyze the way in which interprofessional teamwork will improve the effectiveness or efficiency of the quality improvement project.

Communicate quality improvement considerations to relevant stakeholders in a way that is clear, concise, and compelling for the audience.

Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

Submission Requirements

Length of submission:

Abstract: 100–250 words. Your abstract should be succinct and precise.

Poster: Make sure your poster fits entirely onto a single poster template page (or slide) and contains all of the sections described in the assignment instructions.

Number of references: Cite a minimum of 5–7 sources of scholarly or professional evidence that support your considerations and plans. Resources should be no more than five years old.

APA formatting: Resources and citations are formatted according to current APA style.

Resources

Quality Improvement Presentation Poster Scoring Guide.

Guiding Questions: Quality Improvement Presentation Poster [DOC].

APA Style Paper Tutorial [DOCX].

APA Style Paper Template [DOCX].

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