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Special Considerations for Patient Populations

Utilize the case study assigned to you by faculty for a patient population for special consideration during prescribing practices. You will consider the specific patient and determine the appropriate medication to prescribe, based on the patient specifics and medication attributes in various case studies. You will construct a 4 pgs.

    DISCUSSION: THE DNP-PREPARED NURSE AND THEIR COMMUNITIES OF PRACTICE

    • Review this week’s Learning Resources, paying special attention to the various examples communities of practice you encounter.
    • Use the Communities of Practice template, located in this week’s Learning Resources, to help you identify the various communities of practice with which you are currently involved and those you may want to become involved with in the future.
    • Select one of these communities of practice on which to focus for this Discussion.
    • Consider the most important needs, challenges, or issues facing the community of practice you selected.
    • Select one of these needs, challenges, or issues on which to focus for this Discussion.
    • Using Walden Library and the internet, search for and identify three scholarly, peer-reviewed articles (within the last 5 years) that address the need, challenge, or issue you selected.
    • Consider the kinds of practice changes you might recommend to address this need, challenge, or issue.
    • Consider how your recommendations align with specific Domains from The Essentials.

    Journal of Professional Nursing

    Volume 49, November–December 2023, Pages 21-25

    Journal of Professional Nursing

    Research, Practice and Teaching United: Implementing AACN Academic Guidelines in a Community Based Behavioral Health Setting

    Author links open overlay panelRachel H. Adler PhD, APRN, PMHNP-BC, AGNP-C, Cindy Sickora DNP, MS, RN, FAAN

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    Highlights

    · •

    The achievement of nursing student competencies and nursing faculty development are complementary endeavors.

    · •

    The Boyer Model undergirds faculty and student work by bridging the academic pillars of education, practice and research.

    · •

    Faculty research can enhance student learning when students are provided an opportunity to participate.

    · •

    Community engaged scholarship facilitates student learning.

    Abstract

    The Essentials: Core Competencies for Professional  Nursing Education  (2021) published by the American Association of Colleges of Nursing encourages bridging the gap between education and practice and continues to support the importance of providing clinical educational experiences in diverse settings. Another AACN document,  Defining Scholarship for Academic Nursing Task Force Consensus Position Statement (2018), strongly encourages nursing faculty to engage in scholarship, a tradition that is integral to academic positions. This article demonstrates how these two important documents, one aimed at student competencies and curriculum and the other at nursing faculty development, can be connected to the mutual benefit of faculty and students alike. By revisiting Boyer's model of scholarship, the authors offer a new look at the integration of experiential learning that includes clinical practice, research, and competency-based education. The case study demonstrates that students and faculty can meet the tripartite mission of nursing education by creatively engaging in a community-based setting where they actively participate in all three pillars of academic nursing.

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    Introduction

    The Essentials: Core Competencies for Professional  Nursing Education  (2021) published by the American Association of Colleges of Nursing (American Association of Colleges of Nursing, 2021) defines domains and competencies that embody nursing as a  profession . The document is key for building curricula that effectively prepare student nurses to be competent nursing professionals. Another AACN document,  Defining Scholarship for Academic Nursing Task Force Consensus Position Statement (2018), strongly encourages nursing faculty to engage in scholarship, which it defines as, “the generation, synthesis, translation, application, and dissemination of knowledge that aims to improve health and transform health care (American Association of Colleges of Nursing, 2018, pg. 2),” recognizing that this is a tradition that is integral to academic positions in most other fields. This article shows how these two important documents, one aimed at student competencies and curriculum and the other at nursing faculty development, can be connected to the mutual benefit of faculty and students alike.

    As an art and science (Chen, 2022; Palos, 2014; Weaver, 2021; Younas & Parsons, 2019) nursing has spent decades working towards integration of education, research, and practice in the academic setting to develop the profession (Burns & Foley, 2005; Camiah, 1997; Francis-Baldesari & Williamson, 2008). Since the 1970's nursing has put a great deal of effort into nursing science contributions and evidence-based practice initiatives (Patelarou et al., 2020). Engagement in scholarship is critical both for the continuous development of the professional science and to educate the next generation of nurses to provide evidence-based  nursing care . Integration of education, research and practice is becoming the required norm in nursing education. As far back as the AACN 2008  The Essentials of Baccalaureate Education for Professional Nursing Practice, integration of education, practice and research/scholarship was identified as critical to enable graduates to practice within complex healthcare systems and “assume the roles: provider of care; designer/manager/coordinator of care; and member of a profession” (American Association of Colleges of Nursing, 2008, pg. 1).

    Nursing, unlike liberal arts and other science disciplines, is a practice profession and has relied heavily on the clinical component of education as opposed to scholarly endeavors. In the liberal arts, there is less often an applied or professional aspect to a discipline. In nursing, there has been a blurring between practice and academic nursing scholarship. Some have defined the relationship of scholarship and practice in nursing as a contentious one (Nahm et al., 2023) and integrating the pillars of academic nursing has long been a challenge (Letcher, Massey, Nelson, & Elverson, 2020; Mittelman, 2010). This problem is compounded by the national nursing faculty crisis and the lack of doctorally prepared  nurse educators  who understand the importance of ongoing creation of new knowledge (American Association of College of Nursing, 2022). Findings regarding the importance of practice and research integration are robust (Curtis, Fry, Shaban, & Considine, 2017; Hansen et al., 2022; Jones, 2015; Menzies, Emms, & Valler, 2021) with a body of literature describing teaching methods as they relate to practice, especially in the community (e.g., Adams, 2020; Dexter, 2021; Fong, Yee, Ng, Chow, & Lo, 2022; Mumba, Kaylor, Townsend, Barron, & Andrabi, 2022; Yoong, Liao, Goh, & Zhang, 2022). The current shortcoming is integration of all three pillars of academic nursing which is basic to the implementation of both the  Defining Scholarship for Academic Nursing Task Force Consensus Position Statement and  The Essentials: Core Competencies for Professional Nursing Education. The authors contend that employing the Boyer (1990) model of scholarship as described herein, supports both documents and provides a unique opportunity for faculty to meet the goal of integrating practice, research and education. This approach provides a robust learning opportunity for students, meeting competency-based nursing education metrics, and allows both students and faculty to actively participate in the tripartite mission of nursing academia.

    ACCN Vision and the Boyer Model.

    AACN's  The Essentials: Core Competencies for Professional Nursing Educationstrongly encourages  bridging the gap between education and practice ( American Association of Colleges of Nursing, 2021, p. 1) with all 10 domains addressing integration of practice into diverse clinical settings, applying evidence to nursing care across settings and evaluating nursing education outcomes through competencies that reflect an understanding of scientific inquiry. The domains are broad categories that identify areas where student nurses must demonstrate competency in the art and science of the profession. Bridging the scholarship gap between education, research and practice can often be a challenge for faculty to model for students. At the same time, the AACN's  Defining Scholarship for Academic Nursing Task Force Consensus Position Statement sets a high mark for nursing faculty, as they are encouraged to broadly envision their scholarship by engaging in activities that encompass all three pillars. Yet, it is not often that faculty can participate, and showcase for students, all three pillars simultaneously.

    Ernest  Boyer's, 1990 work provides a segue and a bridge between academic pillars, contending that there is an environment that transforms the definition of productivity in the academic setting. Boyer's model states that scholarship takes place in each of the academic missions: teaching; practice; and research. The model provides exceptional relevance to  The Essentials: Core Competencies for Professional Nursing Education which recommends weaving the academic pillars through nursing curricula. It is also significant to  Defining Scholarship for Academic Nursing Task Force Consensus Position Statement, as faculty are provided an opportunity to integrate the pillars demonstrating the “scholarship of discovery” (see Fig. 1) through teaching, practice, and research. Although Boyer's model has been used to professionally reward academic faculty for work outside of traditional research (Crow et al., 2018) in the case described here, the model also demonstrates its impact as a prototype for teaching undergraduate student nurses how to integrate the pillars by providing care to an  underserved population  and for implementing a study that contributes to what we know about the mental health needs of homeless veterans. This case study offers nurse educators the opportunity to cultivate clinical opportunities that demonstrate the breadth of nursing education. In this case, the undergraduate students participated in most aspects of the early stage of the research project experiencing, firsthand, the influence of an integrated education model.

    Fig. 1

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    Fig. 1. The Boyer model of faculty scholarship in nursing.

    Background

    Case study: Nursing scholarship at a local non-profit agency

    As faculty members at the University of Texas Health Science Center at San Antonio School of Nursing (SON) the authors are expected to contribute to the tripartite mission of the SON making contributions to either education, practice, or research. Boyer's model supports the success of the nurse-teacher-scholar to achieve success moving through academic ranks by scholarship productivity in any one of the pillars. The authors contend that it is possible to achieve multiple scholarly endeavors simultaneously through research, education and practice activities while achieving outstanding outcomes for students, patients, and the science of nursing.

    The principal investigator (PI) for this project is a psychiatric  mental health nurse practitioner (PMHNP) with a doctorate in cultural anthropology. The PI's research interest and expertise is in men's mental health, especially suicide prevention. The PI's teaching assignments include  psychiatric nursing  and population health, each of which can be taught in community-based settings. In addition to teaching and performing research, the PI maintains a clinical practice as a psychiatric mental health nurse practitioner (PMHNP). The clinical practice opportunity is part of the SON Faculty Practice, Clinical Enterprise. The practice site is located within a community organization that has multiple programs serving men, including a halfway house for former federal prison inmates, a residential rehabilitation program for homeless veterans, and an  outpatient clinic  that serves the residents (both federal bureau of prisons inmates and veterans). Practice occurs one day per week, providing an opportunity to become familiar with the organization, community resources, and the patient population. Learning early in the partnership that the suicide death of a homeless veteran created program set-backs the PI, an expert in men's suicide, set-out to design a research project focused on suicide prevention. Engaging students at the site as part of their population health clinical experience provided the final academic nursing opportunity to educate students at a site where one is practicing and performing research. The experience meets several domains in  The Essentials: Core Competencies for Professional  Nursing Education , specifically: Knowledge for Nursing Practice (Domain 1); Person-Centered Care (Domain2); Population Health (Domain 3); Scholarship for Nursing Practice (Domain 4); Inter-Professional Partnerships (Domain 6) and Professionalism (Domain 9). Importantly, it meets these domains while demonstrating the integration of the tripartite academic mission of nursing scholarship as embodied in  Defining Scholarship for Academic Nursing Task Force Consensus Position Statement.

    Method

    The course

    The course is the clinical component of Population Focused Health, a senior level community health course offered to both traditional and accelerated BSN students. It is worth two semester hours of credit. Students must complete ninety hours in the clinical setting. The course itself is designed to embody  The Essentials: Core Competencies for Professional Nursing Education as course outcomes are linked to domains within the syllabus. Table 1 lists relevant course outcomes with the specific domains from  The Essentials: Core Competencies for Professional Nursing.

    Table 1. Course outcomes and essentials domains.

    Population focused health: relevant course outcomes

    Essentials domains

    Adapt approaches to providing nursing care to groups and populations related to their cultural differences, genomics, spirituality, knowledge level, and preferred language.

    Domain II: Person-Centered Care; Domain VI: Interprofessional Partnerships

    Apply evidence from research and other credible information sources as a basis for nursing practice with populations.

    Domain III: Population Health

    Apply ethical principles to the collection, maintenance, use, and dissemination of data and information.

    Domain IV: Scholarship for the Nursing Discipline

    Demonstrate professional nursing skills, knowledge, and attitudes in all interprofessional and client interactions.

    Domain IX: Professionalism

    What is unique about the course, and what makes it possible for faculty to deliver  The Essentials: Core Competencies for Professional Nursing Educationcompetencies to their students while advancing their own scholarship as set forth in  Defining Scholarship for Academic Nursing Task Force Consensus Position Statement, is the flexibility and independence afforded faculty to choose their own clinical settings. There is one set of course outcomes for all clinical sections, and there are some commonalities, such as assignments and grading rubrics, for all clinical groups. Individual faculty choose their own main clinical sites, and may even opt to select multiple other sites, affording students a varied and rich set of clinical learning opportunities.

    There are set assignments for all clinical sections, and these are completed outside of clinical time. How students spend their time while in the clinical setting is determined by each instructor. Some instructors have students take vital signs, provide  vaccinations  or conduct health screenings, for example. As long as the activities are directly related to course outcomes, there is great flexibility in how instructors can structure student clinical experiences.

    In the case presented here, the professor selected as the main clinical site a location where she both practices and was initiating a research study, and the clinical activities involved students participating in planning and executing early stages of the research. While this was one site among many (another clinical site that semester was an emergency homeless shelter), the ability of individual faculty to choose the clinical experiences that enable students to meet course outcomes is key to the success of this enterprise, as faculty can opt for sites that will enhance their own scholarship.

    The study

    The purpose of the study, which was approved by the university's Institutional Review Board (IRB), was to assess the needs of the homeless veterans' program at a local non-profit organization, with the intention of developing future research that will translate findings into clinical practices that improve services and health outcomes for their clients. The study also contributed new knowledge about suicide and veterans. Homeless veteran clients are particularly vulnerable because not only are they encountering housing insecurity, but they are also at high risk for suicide as most embody multiple risk factors such as male gender, veteran status, unemployment, family dysfunction, a history of substance abuse and  psychiatric diagnoses  that may involve post-traumatic stress disorder (PTSD) and depression. The first phase of the research was a needs assessment, whereby the partner organization staff were interviewed to find out their perspectives about the existing program and how it could be improved or otherwise changed. In the second phase, veteran consumers were interviewed. The research project was designed with direction from the Population Focused Health course objectives, as the students would be engaged in clinical hours at the facility and assist and observe the first phase of the research.

    The research proposal, which was successfully funded by the Nursing Advisory Council of the School of Nursing at the University of Texas Health Science Center at San Antonio listed the following objectives:

    1. To establish a more comprehensive collaboration between the veterans program and the university's SON, that includes research as well as practice and teaching.

    2. To involve the university's SON undergraduate students in the development of a community engaged research project as part of their senior year experience and include  SON graduate students  in faculty-initiated research.

    3. To assess the needs of the veterans program with the goal of developing translational research projects to address these needs. The research will add to nursing science to improve nursing practice and provide the organization with effective solutions to programmatic problems with which they have identified.

    The project brought the classroom to the community by allowing population health students to actively participate in phase one. The research endeavor created a rich learning environment for students and made course content relevant to them as they engaged in active learning about both population health and research methods. In this work the PI was acting not only as researcher, but also as teacher and provider. This integration of  nurse educator  roles allowed students and the community to benefit from nursing scholarship meeting the requirements of  The Essentials: Core Competencies for Professional Nursing Education and establishing a fresh new look at the Boyer model for academic scholarship.

    There were ten students in the clinical section. To prepare the students for their clinical experience at the non-profit organization, the professor (PI) organized an onsite orientation, in which staff presented the goals and mission of their various programs. The research proposal was also made available for students to read, so that they understood the project and how they would be participating. Students reacted positively and were excited by the prospect of observing and participating in research firsthand. Finally, students were taught about qualitative methods, including ethical principles such as maintaining confidentiality, data collection techniques and analysis.

    Findings.

    During several visits to the organization, four staff members were interviewed. For each interview, two to three students observed. Students were asked to formulate follow up questions, and at the end of each interview they were afforded the opportunity to ask their own questions of the interviewee. Immediately following each interview, the faculty and students discussed the highlights. Students were remarkably perceptive and shared important insights about the interviews.

    The interview guide included the following questions:

    1. What are the goals of the veterans Program?

    2. How is the organization meeting those goals?

    3. How is the organization not meeting those goals?

    4. What are your personal goals for the program?

    5. What recommendations do you have for improving services here?

    6. In what ways is the veterans program addressing suicide risk?

    7. In what ways can the veterans program improve its services as it pertains to suicide risk?

    Students who were not attending interviews, conducted participant observation with the veterans in the common area where residents can play games, eat snacks and participate in community activities. Students sat and conversed with the veterans, with the goal of finding out their thoughts about the program. During the post-conference, students shared their observations with the professor and the rest of the class. This provided them with another opportunity to practice research skills by presenting the data that they collected and helped the nurse-scholar better understand the perspective of the veteran residents. The veterans genuinely enjoyed interacting with students which made the intervention a positive experience for all.

    At the conclusion of the course students evaluated their experiences. Students shared that they enjoyed and valued the opportunity to observe and participate in faculty research. These students were in the accelerated BSN program and earn a second bachelor's degree. A few expressed a desire to pursue graduate work in the future.

    Discussion

    The Essentials: Core Competencies for Professional Nursing Education is a competency-based education model recently implemented by schools of nursing around the country. Students are expected to demonstrate competencies to complete curricular requirements. The course highlighted here provided students the opportunity to demonstrate core competencies meeting five domains of the document. First, the students observed and engaged with a vulnerable population of veterans experiencing multiple levels of mental health disorders addressing the  Population Health Domain (III). Next, students had the opportunity to interact on an individual level with the clients in a non-acute setting, alongside other health professionals, addressing  the Person-Centered Care (I), Interprofessional Partnerships (VI) and Professionalism Domains (IX). Finally, students learned firsthand about conducting research with vulnerable populations by actively participating in the research process, addressing the  Scholarship for the Nursing Discipline (IV).

    The students had the opportunity to be part of the creativity and hard science of research activities from IRB application through collection of data. They learned about research with vulnerable populations and the necessary protection that must take place in the process. Hence, this experiential learning opportunity provided students the ability to demonstrate competencies in the multiple domains of  The Essentials: Core Competencies for Professional Nursing Educationand provided the professor/PI to actively practice, teach and implement research. The specific competencies and sub-competencies met by students in the course are found in Table 2. These competencies were assessed and evaluated in the 

     Follow these guidelines when completing each component of the collaboration café. Contact your course faculty if you have questions. 

    General Instructions 

    During the past four weeks, you have examined conditions affecting the immune, hematologic, cardiovascular, pulmonary, and renal systems. Some conditions can affect all of these conditions, including autoimmune disorders like systemic lupus erythematosus (SLE) that cause inflammation in multiple body systems. Follow the steps below to analyze the effects of SLE on various body systems. 

    Step 1: Review your assigned body system from weeks 1-4. Your assignment is based on the first letter of your last name in the chart below.

    Last NameBody System

    A – F Immune System  

    G – K Hematologic System 

    L – P Cardiovascular System  

    Q – U Pulmonary System

    V – Z Renal System

    Step 2: Reflect on how SLE impacts your assigned body system. 

    Step 3: Answer the discussion prompts below with explanation and detail, providing complete references for all citations.

    Step 4: Reply to a peer with a different assigned body system. 

    Include the following sections: 

    1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail. 

    1. Describe the specific pathophysiological processes in SLE that lead to the manifestations observed in your assigned body system. How does SLE affect your assigned body system? 
    2. Discuss the symptoms and clinical manifestations of SLE on your assigned body system. How do these symptoms impact the client’s function and quality of life? Can changes in your assigned body system affect or be affected by other body systems in clients with SLE? 
    3. Discuss the diagnostic tests used to diagnose SLE-related complications in your body system. What challenges are associated with diagnosing SLE if only looking at your assigned body system? 
    4. Explore the current treatments for managing SLE symptoms associated with your assigned body system. What are the goals of these treatments and how effective are they in mitigating the impact of SLE on the body?  

    2. Engagement in Meaningful Dialogue: Engage peers by asking questions and offering new insights, applications, perspectives, information, or implications for practice: 

    1. Respond to at least one peer.  
    2. Respond to a second peer post.  
    3. Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice. 

    3. Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.  

      Review the steps of the Systems Development Life Cycle (SDLC)

       

      • Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
      • Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

      · Module 5: Week 10: Assignment

       

      · Points 100

       

      · Submitting a text entry box or a file upload

       

      · Attempts 0

       

      · Allowed Attempts 2

        Back to Module at a Glance

      The Role of the Nurse Informaticist in Systems Development and Implementation

      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.

      Resources

      Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources. 

      WEEKLY RESOURCES

      To Prepare:

      · Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.

      · Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

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

      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.

      · Use the Turnitin Drafts to check your match percentage before submitting your work.

      By Day 7 of Week 10

      Submit your completed Role Description.

       

      submission information

      Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the  Turnitin Drafts from the  Start Here area. 

      1. To submit your completed assignment, save your Assignment as  WK10Assgn_LastName_Firstinitial

      2. Then, click on  Start Assignment near the top of the page.

      3. Next, click on  Upload File and select  Submit Assignment for review.

      Rubric

      NURS_5051_Module05_Week10_Assignment_Rubric

      NURS_5051_Module05_Week10_Assignment_Rubric

      Criteria

      Ratings

      Pts

      This criterion is linked to a Learning OutcomeDevelop 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 Systems Development Life Cycle (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

      25 to >22.0 ptsExcellentUsing the literature and course resources:…An accurate and fully developed role description is provided that supports the role of the nurse informaticist on the Systems Development Life Cycle stages including how the individual will participate and impact each of these steps: definition of planning and requirements.

      22 to >19.0 ptsGoodUsing the literature and course resources:…A role description is provided that supports the role of the nurse informaticist on the Systems Development Life Cycle stages including how the individual will participate and impact each of these steps: definition of planning and requirements.

      19 to >17.0 ptsFairThe response elements are superficially addressed.

      17 to >0 ptsPoorThe response is incomplete, inaccurate, or missing.

      25 pts

      This criterion is linked to a Learning Outcome· Analysis· Design of the new system

      25 to >22.0 ptsExcellentUsing the literature and course resources:…An accurate and fully developed role description is provided that supports the role of the nurse informaticist on the Systems Development Life Cycle stages including how the individual will participate and impact each of these steps: analysis and design of the new system.

      22 to >19.0 ptsGoodUsing the literature and course resources:…A role description is provided that supports the role of the nurse informaticist on the Systems Development Life Cycle stages including how the individual will participate and impact each of these steps: analysis and design of the new system.

      19 to >17.0 ptsFairThe response elements are superficially addressed.

      17 to >0 ptsPoorThe response is incomplete, inaccurate, or missing.

      25 pts

      This criterion is linked to a Learning Outcome· Implementation· Post-implementation support

      25 to >22.0 ptsExcellentUsing the literature and course resources:…An accurate and fully developed role description is provided that supports the role of the nurse informaticist on the Systems Development Life Cycle stages including how the individual will participate and impact each of these steps: implementation and post-implementation support.

      22 to >19.0 ptsGoodUsing the literature and course resources:…A role description is provided that supports the role of the nurse informaticist on the Systems Development Life Cycle stages including how the individual will participate and impact each of these steps: implementation and post-implementation support.

      19 to >17.0 ptsFairThe response elements are superficially addressed.

      17 to >0 ptsPoorThe response is incomplete, inaccurate, or missing

      25 pts

      This criterion is linked to a Learning OutcomeResources

      10 to >8.0 ptsExcellentAssignment includes: 3 or more peer-reviewed articles and 2 or more course resources.

      8 to >7.0 ptsGoodAssignment includes: 2 peer-reviewed articles and 2 course resources.

      7 to >6.0 ptsFairAssignment includes: 1 peer-reviewed article and 1 course resource.

      6 to >0 ptsPoorAssignment includes: 1 or no resources.

      10 pts

      This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization:Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.

      5 to >4.0 ptsExcellentParagraphs and sentences follow writing standards for flow, continuity, and clarity.

      4 to >3.0 ptsGoodParagraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

      3 to >2.0 ptsFairParagraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.

      2 to >0 ptsPoorParagraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

      5 pts

      This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards:Correct grammar, mechanics, and proper punctuation

      5 to >4.0 ptsExcellentUses correct grammar, spelling, and punctuation with no errors.

      4 to >3.0 ptsGoodContains a few (1-2) grammar, spelling, and punctuation errors.

      3 to >2.0 ptsFairContains several (3-4) grammar, spelling, and punctuation errors.

      2 to >0 ptsPoorContains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

      5 pts

      This criterion is linked to a Learning OutcomeWritten Expression and Formatting – APA:The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.

      5 to >4.0 ptsExcellentUses correct APA format with no errors.

      4 to >3.0 ptsGoodContains a few (1-2) APA format errors.

      3 to >2.0 ptsFairContains several (3-4) APA format errors.

      2 to >0 ptsPoorContains many (≥ 5) APA format errors.

      5 pts

      Total Points: 100

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      Weekly Resources

      Learning Resources

      Required Readings

      · McGonigle, D., & Mastrian, K. G. (2022).  Nursing informatics and the foundation of knowledge  (5th ed.). Jones & Bartlett Learning.

      · Chapter 9, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making” (pp. 191–204)

      · Chapter 12, “Electronic Security” (pp. 251–265)

      · Chapter 13, “Achieving Excellence by Managing Workflow and Initiating Quality Projects” 

      · Agency for Healthcare Research and Quality. (n.d.a).  Health IT evaluation toolkit and evaluation measures quick reference guide Links to an external site. . Retrieved January 26, 2022, from https://digital.ahrq.gov/health-it-evaluation-toolkit

      · Agency for Healthcare Research and Quality. (n.d.b).  Workflow assessment for health IT toolkit Links to an external site. . Retrieved January 26, 2022, from https://digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit

      Required Media

      · Louis, I. (2011, August 17).  Software development life cycleLinks to an external site.  (SDLC)  [Video file]. Retrieved from https://www.youtube.com/watch?v=xtpyjPrpyX8

      · Walden University, LLC. (Producer). (2018).  Interoperability, Standards, and Security  [Video file]. Baltimore, MD: Author.

      · Walden University, LLC. (Producer). (2018).  Managing Health Information Technology  [Video file]. Baltimore, MD: Author.

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