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1. Synthesize the different elements of the overall project into one paper. The synthesis should reflect the main concepts for each section, connect ideas or overreaching concepts, and be rewritten to include the critical aspects (do not copy and paste the assignments).
2. Contain supporting research for the evidence-based practice project proposal.
Main Body of the Paper
The main body of your paper should include the following sections:
1. Problem Statement
2. Organizational Culture and Readiness
3. Literature Review
4. Change Model, or Framework
5. Implementation Plan
5. Evaluation Plan
Appendices
EBP PICOT question:
In substance use disorder patients, is the effect of the implementation of streamlining communication have an increase in enhancing coordination of care compared to poor communication, within a six-month period.
references used:
AHRQ. (2018). Care coordination. Agency for Healthcare Research and Quality. https://www.ahrq.gov/ncepcr/care/coordination.html
Davies, A., & Nyunt, S. (2019). Streamlining communication between nursing staff and medical teams regarding patients who are “medical outliers.” Future Healthcare Journal, 6(Suppl 2), 76. https://doi.org/10.7861/futurehosp.6-2s-s76
Dingley, C. (2022). (PDF) Improving Patient Safety Through Provider Communication Strategy Enhancements. ResearchGate. https://www.researchgate.net/publication/49769618_Improving_Patient_Safety_Through_Provider_Communication_Strategy_Enhancements
Klein, M. (2020, October 14). How to create a internal communications strategy in 10 steps. Blink. https://joinblink.com/intelligence/internal-communication-strategy/#7-how-to-create-an-internal-communication-plan
Smemark, H. (2021, September 27). The healthcare communication gap – and how to close it. Blink. https://joinblink.com/intelligence/healthcare-communication/
Granados-Gámez, G., Sáez-Ruiz, I. M., Márquez-Hernández, V. V., Rodríguez-García, M., Aguilera-Manrique, G., Cibanal-Juan, M. L., & Gutiérrez-Puertas, L. (2022). Development and validation of the questionnaire to analyze the communication of nurses in nurse-patient therapeutic communication. Patient Education and Counseling, 105(1), 145-150. https://doi.org/10.1016/j.pec.2021.05.008
Debois, S. (2022, March 8). 10 Advantages and disadvantages of questionnaires. Pointerpro. https://pointerpro.com/blog/questionnaire-pros-and-cons/
Hannigan, B., Simpson, A., Coffey, M., Barlow, S., & Jones, A. (2018). Care Coordination as Imagined, Care Coordination as Done: Findings from a Cross-national Mental Health Systems Study. International Journal of Integrated Care, 18(3). https://doi.org/10.5334/ijic.3978
Kim, H. (2019). Statistical notes for clinical researchers: The independent samples t-test. Restorative Dentistry & Endodontics, 44(3). https://doi.org/10.5395/rde.2019.44.e26
Quanbeck, A., Gustafson, D. H., Marsch, L. A., Chih, M. Y., Kornfield, R., McTavish, F., … & Shah, D. V. (2018). Implementing a mobile health system to integrate addiction treatment into primary care: a hybrid implementation-effectiveness study. Journal of medical Internet research, 20(1), e8928. doi:10.2196/jmir.8928
Setia, M. (2017). Methodology series module 9: Designing questionnaires and clinical record forms – Part II. Indian Journal of Dermatology, 62(3), 258. https://doi.org/10.4103/ijd.ijd_200_17
Williams, T. (2021, June 14). Why is quantitative research important? Grand Canyon University. https://www.gcu.edu/blog/doctoral-journey/why-quantitative-research-important

(2) scholarly references, one may be the course textbook, properly cited in the current APA format. Topic
There are four major concepts that are frequently interrelated and fundamental to nursing theory: person, environment, health, and nursing. These four are collectively referred to as metaparadigm for nursing.
1-What are your personal definitions of person, environment, health, and nursing?
2- Which nursing theory from Table 2-2, “Selected Theorists and Theories of
Nursing” most closely match your definitions and why?
(2) scholarly references, properly cited in the current APA format.

I want each response with two 7 th apa style references link’s should b open total 4 references each one 2 references under bottom reference should b documentation separately not together

Through an organized and guided review of the literature, you will begin to develop an understanding of the various types of literature that is causal, biased, and/or peer reviewed. As you progress in your professional education, you will need to learn how to successfully identify peer-reviewed articles within scholarly journals.
Assignment Instructions
For this assignment, you will create an annotated bibliography on a topic related to nursing.
Please locate the CNI Library and conduct a comprehensive search the scholarly literature for at least 3 peer-reviewed articles published within 5 years. This annotated bibliography should provide sufficient background on your topic with current relevance to nursing practice.
Each article in your annotated bibliography should be referenced according to current APA format. After the reference, you will include a summary, assessment, and a reflection.
Summary: Your summary should focus on an analysis of the information within the article. Please avoid simply repeating the article content. Question the main purpose of the article, main arguments, main points, and main focus. Include the type of research was used in the article and the findings or results.
Assessment: The next step after your summary will be your assessment or evaluation. Question the reliability of the information and if the delivery was objective or biased. Question any limitations, strengths, and weaknesses. How was this content relevant to your topic of interest?
Reflection: The last step is your reflection on how this article aligns with your topic interest. How can you use this article to support or show a contrast on your topic? Describe how the information in the article added to your understanding of your topic. Question if the article influenced your perspective on your topic.
Include 3 scholarly, peer-reviewed resources.

reply to post below response to peer below
Part 1 .Scope Creep . This week’s discussion on scope creep has been very interesting and fitting for our intervention class. Articles that discuss scope creep have discussed real problems with the outcome of practice implementation. As we prepare to implement a new project, we must ensure that the scope of the project must be clearly articulated as there is a significant risk of about 50% of project failure which is a result of scope creep (Komal et al., 2020). The DNP student is expected to implement their project within 8-10 weeks, so all steps must be taken to prevent scope creep for the successful completion of the implementation process. As healthcare needs change so rapidly, from day to day, and can negatively impact my proposed project. I will implement methods such as 1. effective communication with participants staff and stakeholders, 2. Involvement of the office staff (end-users of the project), and 3. Provide a continuous supportive environment for the project staff and participants. (Mian, Khan & Al-Yafei, 2020).
Stakeholder Communication
Stakeholder communication is an important attribute for the success of the project. The communication proposed within the project will be ongoing while allowing a two-way forum. This will entail the effective flow of communication between the DNP nurse, project staff, and participants where questions can be asked and answered, and uncertainties clarified Rajhans, 2018). The DNP student must ensure that the stakeholders are engaged and that their input and needs are managed appropriately (Rajhans, 2018). The DNP student must be cognizant of their responsibility to the stakeholders so all efforts can be made to uphold effective communication for the success of the project.

Read the following case study and answer the reflective questions. Please provide evidence-based rationales for your answers. APA, 7th ed. must be followed.
CASE STUDY: An Older Immigrant Couple: Mr. and Mrs. Arahan
Mr. and Mrs. Arahan, an older couple in their seventies, have been living with their oldest daughter,
her husband of 15 years, and their two children, ages 12 and 14. They all live in a middle-income
neighborhood in a suburb of a metropolitan city. Mr. and Mrs. Arahan are both college educated and
worked full-time while they were in their native country. In addition, Mr. Arahan, the only offspring
of wealthy parents, inherited a substantial amount of money and real estate. Their daughter came to
the United States as a registered nurse and met her husband, a drug company representative. The
older couple moved to the United States when their daughter became a U.S. citizen and petitioned
them as immigrants. Since the couple was facing retirement, they welcomed the opportunity to come
to the United States.
The Arahans found life in the United States different from that in their home country, but their
adjustment was not as difficult because both were healthy and spoke English fluently. Most of their
time was spent taking care of their two grandchildren and the house. As the grandchildren grew older,
the older couple found that they had more spare time. The daughter and her husband advanced in
their careers and spent a great deal more time at their jobs. There were few family dinners during
the week. On weekends, the daughter, her husband, and their children socialized with their own
friends. The couple began to feel isolated and longed for a more active life.
Mr. and Mrs. Arahan began to think that perhaps they should return to the home country, where
they still had relatives and friends. However, political and economic issues would have made it
difficult for them to live there. Besides, they had become accustomed to the way of life in the United
States with all the modern conveniences and abundance of goods that were difficult to obtain in their
country. However, they also became concerned that they might not be able to tolerate the winter
months and that minor health problems might worsen as they aged. They wondered who would take
care of them if they became very frail and where they would live, knowing that their daughter had
only saved money for their grandchildren’s college education. They expressed their sentiments to
their daughter, who became very concerned about how her parents were feeling.
This older couple had been attending church on a regular basis, but had never been active in other
church-related activities. The church bulletin announced the establishment of parish nursing with
two retired registered nurses as volunteers. The couple attended the first opening of the parish clinic.
Here, they met one of the registered nurses, who had a short discussion with them about the services
offered. The registered nurse had spent a great deal of her working years as a community health
nurse. She informed Mr. and Mrs. Arahan of her availability to help them resolve any health-related
issues.
Reflective Questions
1. What strategies could be suggested for this older adult couple to enhance their quality of life?
2. What community resources can they utilize?
3. What can the daughter and her family do to address the feelings of isolation of the older couple?
4. What health promotion activities can ensure a healthy lifestyle for them?

Topic
Nurses are well positioned for reforming health care in ways that promote a healthier public and reduce healthcare cost. Discuss the role nurse plays in COVID vaccination mandate, telemedicine, and prescription drug pricing as advocates in the healthcare system.
Rationale must be provided
May use examples from your nursing practice
150 words minimum (excluding the reference)
Minimum of two references in APA format within the last five years published
2 scholarly references. You must post two answers to your peers of 200 words to the same topic

Case Study
Mr. T is a 21-year-old man who is brought to the ER by his mother after he began talking about “aliens” who were trying to steal his soul. Mr. T reports that aliens left messages for him by arranging sticks outside his home and sometimes send thoughts into his mind.
On exam, he is guarded and often stops talking while in the middle of expressing a thought. Mr. T appears anxious and frequently scans the room for aliens, which he thinks may have followed him to the hospital. He denies any plan to harm himself but admits that the aliens sometimes want him to throw himself in front of a car, “as this will change the systems that belong under us.”
The patient’s mother reports that he began expressing these ideas a few months ago, but that they have become more severe in the last few weeks. She reports that during the past year, he has become isolated from his peers, frequently talks to himself, and has stopped going to community college. He has also spent most of his time reading science fiction books and creating devices that will prevent aliens from hurting him. She reports that she is concerned because the patient’s father, who left while the patient was a child, exhibited similar symptoms many years ago and has spent most of his life in a psychiatric hospital.
Questions:
Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers.
1. Summarize the clinical case including the significant subjective and objective data.
2. Generate a primary and two differential diagnoses. Use the DSM5 to support the assessment. Include the DSM5 and ICD 10 codes.
3. Discuss a pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
4. Discuss non-pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
5. Describe a health promotion intervention that would be appropriate for this patient.
Submission Instructions:
Your initial post should be at least 500 words, formatted, and cited in current APA 7 style with support from at least 5 academic sources.
– No Plagiarism
– Plagiarism report required
Fallow the Rubric
Please if you have any questions, do not hesitate in contact me

Please see Resume and based of my education and work expereince discuss the following question. Thank you.
Discuss reasons for applying to the BSN-to-DNP Nurse Anesthesia program at the University of Miami and how it fits into personal, educational, and professional goals.

Case Study
A 74-year-old African American woman, Ms. Richardson, was brought to the hospital emergency room by the police. She is unkempt, dirty, and foul-smelling. She does not look at the interviewer and is apparently confused and unresponsive to most of his questions. She knows her name and address, but not the day of the month. She is unable to describe the events that led to her admission.
The police reported that they were called by neighbors because Ms. Richardson had been wandering around the neighborhood and not taking care of herself. The medical center mobile crisis unit went to her house twice but could not get in and presumed she was not home. Finally, the police came and broke into the apartment, where they were met by a snarling German shepherd. They shot the dog with a tranquilizing gun and then found Ms. Richardson hiding in the corner, wearing nothing but a bra. The apartment was filthy, the floor littered with dog feces. The police found a gun, which they took into custody. The following day, while Ms. Richardson was awaiting transfer to a medical unit for treatment of her out-of-control diabetes, the psychiatric provider attempted to interview her. Her facial expression was still mostly unresponsive, and she still didn’t know the month and couldn’t say what hospital she was in. She reported that the neighbors had called the police because she was “sick,” and indeed she had felt sick and weak, with pains in her shoulder; in addition, she had not eaten for 3 days. She remembered that the police had shot her dog with a tranquilizer and said the dog was now in “the shop” and would be returned to her when she got home. She refused to give the name of a neighbor who was a friend, saying, “he’s got enough troubles of his own.” She denied ever being in a psychiatric hospital or hearing voices but acknowledged that she had at one point seen a psychiatrist “near downtown” because she couldn’t sleep. He had prescribed medication that was too strong, so she didn’t take it. She didn’t remember the name, so the interviewer asked if it was Thorazine. She said no, it was “allal.” ‘Haldol?”, ask the interviewer. She nodded.
The interviewer was convinced that was the drug, but other observers thought she might have said yes to anything that sounded remotely like it, such as “Elavil.” When asked about the gun, she denied, with some annoyance, that it was real and said it was a toy gun that had been brought to the house by her brother, who had died 8 years ago. She was still feeling weak and sick, complained of pain in her shoulder, and apparently had trouble swallowing. She did manage to smile as the team left her bedside.
Questions
Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers.
1. Summarize the clinical case including the significant subjective and objective data.
2. Generate a primary and two differential diagnoses. Use the DSM5 to support the assessment. Include the DSM5 and ICD 10 codes.
3. Discuss a pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
4. Discuss non-pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
5. Describe a health promotion intervention that would be appropriate for this patient.
Submission Instructions:
Your initial post should be at least 500 words, formatted, and cited in current APA 7 style with support from at least 5 academic sources.
– No Plagiarism
– Plagiarism report required
Fallow the Rubric
Please if you have any questions, do not hesitate in contact me