Tag: Model Answer

  • [Solved] NUR 691 A week7

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    – 2 years ago **files (1)** – ## NUR691Aweek7.docx **## NUR691Aweek7.docx** You are designing an executable population-based change project addressing identified practice-related problems or questions. This strongly emphasizes collaboration between advanced practice nurses and community agencies and…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## NUR691Aweek7.docx

    **## NUR691Aweek7.docx**

    You are designing an executable population-based change project addressing identified practice-related problems or questions. This strongly emphasizes collaboration between advanced practice nurses and community agencies and includes working with an agency using practice data to provide answers, which are responsive to the needs of clinicians, administrators, and policy makers for improvement of programs or practices.

    This section of the change project should include a discussion of key concepts.

    1. Clarify the issue under study.

    2. Propose solutions or interventions based on the literature review.

    3. Compare other views on the problem and solutions.

    4. Address the APRN role in the intervention and discuss implications for clinical practice.

    5. Discuss the implications of your change project.

    Some important things to consider and address:

    1. Does your intervention have a clear connection to your research problem?

    2. What are the specific methods of data collection you are going to use, such as surveys, interviews, questionnaires, or protocols?

    3. How do you intend to analyze your results?

    4. Provide a justification for subject selection and sampling procedure.

    5. Describe potential limitations. Are there any practical limitations that could affect your data collection? How will you attempt to control the limitations?

    6. How will your change project help fill gaps in understanding the research problem?

    This section should be 6–7 pages in length, not including the cover or reference page. You must reference a minimum of 5 scholarly articles.

    Use current APA format to style your paper and to cite your sources. Review the rubric for more information on how the assignment will be graded.

    **## NUR691Aweek7.docx**

    You are designing an executable population-based change project addressing identified practice-related problems or questions. This strongly emphasizes collaboration between advanced practice nurses and community agencies and includes working with an agency using practice data to provide answers, which are responsive to the needs of clinicians, administrators, and policy makers for improvement of programs or practices.

    This section of the change project should include a discussion of key concepts.

    1. Clarify the issue under study.

    2. Propose solutions or interventions based on the literature review.

    3. Compare other views on the problem and solutions.

    4. Address the APRN role in the intervention and discuss implications for clinical practice.

    5. Discuss the implications of your change project.

    Some important things to consider and address:

    1. Does your intervention have a clear connection to your research problem?

    2. What are the specific methods of data collection you are going to use, such as surveys, interviews, questionnaires, or protocols?

    3. How do you intend to analyze your results?

    4. Provide a justification for subject selection and sampling procedure.

    5. Describe potential limitations. Are there any practical limitations that could affect your data collection? How will you attempt to control the limitations?

    6. How will your change project help fill gaps in understanding the research problem?

    This section should be 6–7 pages in length, not including the cover or reference page. You must reference a minimum of 5 scholarly articles.

    Use current APA format to style your paper and to cite your sources. Review the rubric for more information on how the assignment will be graded.

  • [Solved] Week 5 Discussion- Organizational Development

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    [>Operations Management homework help](https://www.sweetstudy.com/fields/business-finance-operations-management) **Conduct internet research and give examples, support, and explain your answers and positions.** 1. What is the power structure in your organization? 2. Does the power structure match th…

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    Assignment Prompt & Instructions

    [>Operations Management homework help](https://www.sweetstudy.com/fields/business-finance-operations-management)

    **Conduct internet research and give examples, support, and explain your answers and positions.**

    1. What is the power structure in your organization?
    2. Does the power structure match the organizational structure? (Who really has the power?)
    3. How is conflict handled within the organization?
    4. Is conflict viewed as a growth opportunity or as a nuisance?
    5. Does conflict lead to change? If not, what initiates change in your organization?

    **References**

    Meadows, D. H. (2008). _Thinking in systems: A primer_ (D. Wright, Ed.). Chelsea Green Publishing.

    Senge, P. M. (2006). _The fifth discipline: The art and practice of the learning organization_ (Revised and updated). Doubleday/Currency.

    – 2 years ago

  • [Solved] week 1 assist

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    In-depth study guidance and analytical solution covering week 1 assist.

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    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] W2Responses

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    – 2 years ago **files (1)** – ## W2Reply.docx **## W2Reply.docx** **Directions:** For each discussion below, you will individually post two replies to the posts of others of at least 150 words each. Each reply must incorporate at least one scholarly research article in current APA format. The source…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## W2Reply.docx

    **## W2Reply.docx**

    **Directions:** For each discussion below, you will individually post two replies to the posts of others of at least 150 words each. Each reply must incorporate at least one scholarly research article in current APA format. The source cited must have been published within the last five years.

    As you participate in the Discussions in this course, remember to support your arguments with relevant research and evidence. Also, engage with your peers’ ideas by asking clarifying questions and offering constructive feedback.

    **Classmate One (Amy):**

    Digital badges support and recognize professional development within my current school division. In 2020, Google Certifications became available for all staff as the division required each member to take the Google Level 1 certification test. This initiative was implemented division-wide, and while staff were not required to pass the test, everyone was encouraged to take it and to pursue Levels 2 and 3. Additionally, we have monthly KnowB4 training that focuses on online safety for both staff and employees. A badge or certificate is awarded at the end of each quiz. Most of our professional development occurs through in-person training and a sign-in sheet since we are a small rural division emphasizing in-person PLC/PD sessions, with limited opportunities to pursue digital badges and stacked credentials. As Quigley (2023) noted, stacked credentials concentrate on digital open badges and certifications that allow professionals to enhance their portfolios—for instance, utilizing Google certifications or Instructure to gain credentials.

    There are challenges associated with implementing digital badges in the public education sector. Many rural divisions struggle to adopt online certificates and prefer physical copies (Quigley, 2023).  For instance, staff members may favor both digital and paper options or choose one over the other. Divisions are hesitant to change their internal systems due to costs and the need to revamp the current systems. Additionally, staff may not see the value in micro-credentials because of a lack of understanding, leading them to perceive little or no worth in digital badging. The security of online badging is limited, and data breaches may occur, making many feel uneasy about using the online credential system.

    Moreover, staff unfamiliar with the purpose, process, and learning outcomes might not grasp the importance of completing the training. They may prefer in-person professional development, where they can ask questions and get face-to-face answers. Additionally, transferring badges could diminish motivation for staff and divisions to implement their online badging systems. Lastly, a notable drawback of obtaining online certifications is the risk of duplicating invalid certifications, such as fraudulent badges or unethical badging (Quigley, 2023).

    Digital badges provide opportunities for lifelong learning within school districts. As Quigley (2023) noted, micro-credentialing can enhance skill and content development, help maintain current knowledge, motivate staff to improve their skills and grow professionally, and assist in building professional and personal portfolios. Furthermore, applying skills in competitive environments promotes professional growth. A platform that interests me, Instructure (2025), could be utilized by my current school district, as we use Canvas to store and share information and instruction. While we emphasize in-person instructional strategies with resources supported by online platforms, adopting the Instructure platform would support ongoing professional development.

    The Gartner Hype Cycle (2025) notes that adopting the knowledge and investment in technology is key to understanding technology application to one’s profession or personal relevance. One key cycle from Gartner’s Hype Cycle that depicts badging as an innovation is the Slope of Enlightenment. This cycle highlights the conservative attitude, especially in rural reservations, towards accepting technology or digital badging in this context. As technology develops, it becomes pertinent to their profession. Once they recognize its significance and applications, buy-in is achieved, and staff are more likely to engage with available opportunities. From my observations, staff tend to wait until they see others complete the tasks before they fully buy in. There are challenges and vulnerabilities associated with every innovation, and in a rural district setting, staff prefer to observe how it functions in other divisions before they become receptive.

    **References:**

    Gartner (2025, February 10). Gartner Hype Cycle. https://www.gartner.com/en/research/methodologies/gartner-hype-cycle?

    Instructure (2025, February 10). The all-in-one digital badging for higher education. https://www.instructure.com/higher-education/products/canvas/canvas-credentials?domain=badgr

    Quigley, J. (2023, June, 13). What are digital credentials, and are they used? Accredible.
    [https://www.accredible.com/blog/what-are-digital-credentials#choosing-a-digital-credential-platform](https://www.accredible.com/blog/what-are-digital-credentials#choosing-a-digital-credential-platform)

    **Classmate Two (Tanika):**

    To best accurately define digital badges, a look into older publication revealed a definition from Mozilla which states that a digital badge is “a symbol or indicator of an accomplishment, skill, quality or interest […] used to set goals, motivate behavior, represent achievements, and communicate success in many contexts” (Mozilla Foundation, 2012).   A more recent publication by Felton states digital badging “is a growing movement, attractive for its flexibility and efficiency in connecting students with careers and jobs” (Felton, 2023). In my current role as the Interpersonal Skills Course Director for the Civilian Leadership Development School (CLDS), Maxwell Air Force Base, Alabama, the organization began offering Performance Management Coaching (PMC) digital badges in 2024 to help maintain our culture of continual training, growth and development.  The badges were awarded to students who successfully completed the 3-course Performance Management Coaching curriculum designed and taught by the CLDS, and is an excellent way to motivate and encourage students to continue and finalize training.  The information for the course can be found here under the PMC Digital Badge Link:
    [https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/\
    Links to an external site.](https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/).

    As the Civilian Leadership Development School provides training for Air Force civilians worldwide, it is imperative that we can both validate and document for professional development training, promotions, and annual training required by the Department of the Air Force for civilian personnel.   At first glance the badging process seems quite complex; however, I have provided an overview that is also available online at
    [https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/Students/\
    Links to an external site.](https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/Students/) to assist with a thorough understanding of the multi-step process (https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/Students/):

    Earning the PMC Badge is a three-step process.

    Step 1: Complete
    **Introduction to Performance Management Coaching**.

    Note 1: Schedules and enrollment links for all coaching courses are available on the CLDS website:
    [https://www.airuniversity.af.edu/Eaker-Center/CLDS/Schedule-of-Classes-and-Enrollment-Links/#coaching-coursesLinks to an external site.](https://www.airuniversity.af.edu/Eaker-Center/CLDS/Schedule-of-Classes-and-Enrollment-Links/)

    Note 2: PMC courses are completed in the CAC and Mobile Connect enabled
    myLearning platformLinks to an external site.

    MAFHRMS 426 –
    [**Introduction to Performance Management Coaching (IPMC)**\
    **Links to an external site.**](https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/)

    IPMC is a foundational course open to all levels of employees within the Department of the Air Force and is a pre-requisite for all other Civilian Leadership Development School (CLDS) coaching courses. During the online 4-module, self-paced, asynchronous course, students are introduced to coaching fundamentals, competencies, and principles that are key to becoming a leader who fosters a coaching culture, leading to improved individual and organizational performance.

    Step 2: Complete
    **Performance Management Coaching for Supervisors and Leaders** AND
    **Performance Management Coaching for Organizations** in either order you choose.

    MAFHRMS 427 –
    [**Performance Management Coaching for Supervisors and Leaders (PMCS)**\
    **Links to an external site.**](https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/)

    PMCS is designed for DAF GS-12 and below civilian employees who are current supervisors or in the process of becoming supervisors or leaders in their organizations. Students will participate in three synchronous, online webinars with both instructor-led content and facilitated group discussions. Each student’s knowledge and use of performance coaching skills will be evaluated in a final coaching session with one other student and an instructor upon completion of the two-week session.

    MAFHRMS 429 –
    [**Performance Management Coaching for USAF Organizations (PMCO)**\
    **Links to an external site.**](https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/)

    PMCO is designed for GS-13 and above DAF employees who are current leaders or future leaders in their organizations. Students will accomplish assigned readings, videos, and group discussion posts before joining live, instructor facilitated webinars at designated times during a two-week period. Each webinar will conclude with breakout sessions wherein students will participate in small group discussions.

    Step 3: Upon completion of the three PMC courses, the student must notify the Coaching Student Support Team. The Badge Reviewer will verify in myLearning that all course requirements are complete and recommend the Earner for award of the badge (https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/Students/):

    For my own personal growth and development, digital badges are essential to accurately tracking the numerous training opportunities that are offered each year to Department of Defense civilians.   My annual Individual Development Plan requires the completion of both mandatory and elective training programs and courses that are all currently tracked through digital badges.  It has become the preferred method for documentation within the organization as the record is easy to navigate and very user-friendly; however, one consideration of note has been the resistance to change from some users as well as the inability of the organization to accurately ensure standardization.  Within in our own organization it is quite easy to monitor and ensure the content of the training, but it becomes much harder to regulate training from outside organization when trying to incorporate badges from outside entities.

    An evaluation of Gartner’s Hype Cycle, which helps to chart the path of innovation, most accurately includes the utilization of digital badging in the “Slope of Enlightment” phase.  Some organizations have adapted the system while others are still resistant to the idea of having all training tracked digitally for the organization.  (
    [https://www.gartner.com/en/research/methodologies/gartner-hype-cycle\
    Links to an external site.](https://www.gartner.com/en/research/methodologies/gartner-hype-cycle)).  The technology surrounding digital badges has been present for years and the badges have been used for well over a decade. (https://wwps.microsoft.com/blog/digital-identity-gartner)

    **References**

    Air University, Civilian Leadership Development School website.
    [https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/\
    Links to an external site.](https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/)

    Air University, Civilian Leadership Development School website.
    [https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/Students\
    Links to an external site.](https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/Students)

    Felton, S. D., Whitehouse, G., Motley, C., Jaeger, D., & Timur, A. (2023). How I stopped fearing micro-credentials and began to love digital badging – a pilot project. Industry &

    Higher Education., 37(2), 309–317.
    [https://doi.org/10.1177/09504222221117951\
    Links to an external site.](https://doi.org/10.1177/09504222221117951)

    Hype Cycle for Digital Identity.
    [https://wwps.microsoft.com/blog/digital-identity-gartner\
    Links to an external site.](https://wwps.microsoft.com/blog/digital-identity-gartner)

    The Mozilla Foundation, Peer 2 Peer University & The MacArthur Foundation. (2012).

    Open Badges for Lifelong Learning: Exploring an open badge ecosystem to support skill development and lifelong learning for real results such as jobs and advancement. Retrieved from https://wiki.mozilla.org/images/b/b1/OpenBadges-Working-Paper_092011.pdf

    **## W2Reply.docx**

    **Directions:** For each discussion below, you will individually post two replies to the posts of others of at least 150 words each. Each reply must incorporate at least one scholarly research article in current APA format. The source cited must have been published within the last five years.

    As you participate in the Discussions in this course, remember to support your arguments with relevant research and evidence. Also, engage with your peers’ ideas by asking clarifying questions and offering constructive feedback.

    **Classmate One (Amy):**

    Digital badges support and recognize professional development within my current school division. In 2020, Google Certifications became available for all staff as the division required each member to take the Google Level 1 certification test. This initiative was implemented division-wide, and while staff were not required to pass the test, everyone was encouraged to take it and to pursue Levels 2 and 3. Additionally, we have monthly KnowB4 training that focuses on online safety for both staff and employees. A badge or certificate is awarded at the end of each quiz. Most of our professional development occurs through in-person training and a sign-in sheet since we are a small rural division emphasizing in-person PLC/PD sessions, with limited opportunities to pursue digital badges and stacked credentials. As Quigley (2023) noted, stacked credentials concentrate on digital open badges and certifications that allow professionals to enhance their portfolios—for instance, utilizing Google certifications or Instructure to gain credentials.

    There are challenges associated with implementing digital badges in the public education sector. Many rural divisions struggle to adopt online certificates and prefer physical copies (Quigley, 2023).  For instance, staff members may favor both digital and paper options or choose one over the other. Divisions are hesitant to change their internal systems due to costs and the need to revamp the current systems. Additionally, staff may not see the value in micro-credentials because of a lack of understanding, leading them to perceive little or no worth in digital badging. The security of online badging is limited, and data breaches may occur, making many feel uneasy about using the online credential system.

    Moreover, staff unfamiliar with the purpose, process, and learning outcomes might not grasp the importance of completing the training. They may prefer in-person professional development, where they can ask questions and get face-to-face answers. Additionally, transferring badges could diminish motivation for staff and divisions to implement their online badging systems. Lastly, a notable drawback of obtaining online certifications is the risk of duplicating invalid certifications, such as fraudulent badges or unethical badging (Quigley, 2023).

    Digital badges provide opportunities for lifelong learning within school districts. As Quigley (2023) noted, micro-credentialing can enhance skill and content development, help maintain current knowledge, motivate staff to improve their skills and grow professionally, and assist in building professional and personal portfolios. Furthermore, applying skills in competitive environments promotes professional growth. A platform that interests me, Instructure (2025), could be utilized by my current school district, as we use Canvas to store and share information and instruction. While we emphasize in-person instructional strategies with resources supported by online platforms, adopting the Instructure platform would support ongoing professional development.

    The Gartner Hype Cycle (2025) notes that adopting the knowledge and investment in technology is key to understanding technology application to one’s profession or personal relevance. One key cycle from Gartner’s Hype Cycle that depicts badging as an innovation is the Slope of Enlightenment. This cycle highlights the conservative attitude, especially in rural reservations, towards accepting technology or digital badging in this context. As technology develops, it becomes pertinent to their profession. Once they recognize its significance and applications, buy-in is achieved, and staff are more likely to engage with available opportunities. From my observations, staff tend to wait until they see others complete the tasks before they fully buy in. There are challenges and vulnerabilities associated with every innovation, and in a rural district setting, staff prefer to observe how it functions in other divisions before they become receptive.

    **References:**

    Gartner (2025, February 10). Gartner Hype Cycle. https://www.gartner.com/en/research/methodologies/gartner-hype-cycle?

    Instructure (2025, February 10). The all-in-one digital badging for higher education. https://www.instructure.com/higher-education/products/canvas/canvas-credentials?domain=badgr

    Quigley, J. (2023, June, 13). What are digital credentials, and are they used? Accredible.
    [https://www.accredible.com/blog/what-are-digital-credentials#choosing-a-digital-credential-platform](https://www.accredible.com/blog/what-are-digital-credentials#choosing-a-digital-credential-platform)

    **Classmate Two (Tanika):**

    To best accurately define digital badges, a look into older publication revealed a definition from Mozilla which states that a digital badge is “a symbol or indicator of an accomplishment, skill, quality or interest […] used to set goals, motivate behavior, represent achievements, and communicate success in many contexts” (Mozilla Foundation, 2012).   A more recent publication by Felton states digital badging “is a growing movement, attractive for its flexibility and efficiency in connecting students with careers and jobs” (Felton, 2023). In my current role as the Interpersonal Skills Course Director for the Civilian Leadership Development School (CLDS), Maxwell Air Force Base, Alabama, the organization began offering Performance Management Coaching (PMC) digital badges in 2024 to help maintain our culture of continual training, growth and development.  The badges were awarded to students who successfully completed the 3-course Performance Management Coaching curriculum designed and taught by the CLDS, and is an excellent way to motivate and encourage students to continue and finalize training.  The information for the course can be found here under the PMC Digital Badge Link:
    [https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/\
    Links to an external site.](https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/).

    As the Civilian Leadership Development School provides training for Air Force civilians worldwide, it is imperative that we can both validate and document for professional development training, promotions, and annual training required by the Department of the Air Force for civilian personnel.   At first glance the badging process seems quite complex; however, I have provided an overview that is also available online at
    [https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/Students/\
    Links to an external site.](https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/Students/) to assist with a thorough understanding of the multi-step process (https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/Students/):

    Earning the PMC Badge is a three-step process.

    Step 1: Complete
    **Introduction to Performance Management Coaching**.

    Note 1: Schedules and enrollment links for all coaching courses are available on the CLDS website:
    [https://www.airuniversity.af.edu/Eaker-Center/CLDS/Schedule-of-Classes-and-Enrollment-Links/#coaching-coursesLinks to an external site.](https://www.airuniversity.af.edu/Eaker-Center/CLDS/Schedule-of-Classes-and-Enrollment-Links/)

    Note 2: PMC courses are completed in the CAC and Mobile Connect enabled
    myLearning platformLinks to an external site.

    MAFHRMS 426 –
    [**Introduction to Performance Management Coaching (IPMC)**\
    **Links to an external site.**](https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/)

    IPMC is a foundational course open to all levels of employees within the Department of the Air Force and is a pre-requisite for all other Civilian Leadership Development School (CLDS) coaching courses. During the online 4-module, self-paced, asynchronous course, students are introduced to coaching fundamentals, competencies, and principles that are key to becoming a leader who fosters a coaching culture, leading to improved individual and organizational performance.

    Step 2: Complete
    **Performance Management Coaching for Supervisors and Leaders** AND
    **Performance Management Coaching for Organizations** in either order you choose.

    MAFHRMS 427 –
    [**Performance Management Coaching for Supervisors and Leaders (PMCS)**\
    **Links to an external site.**](https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/)

    PMCS is designed for DAF GS-12 and below civilian employees who are current supervisors or in the process of becoming supervisors or leaders in their organizations. Students will participate in three synchronous, online webinars with both instructor-led content and facilitated group discussions. Each student’s knowledge and use of performance coaching skills will be evaluated in a final coaching session with one other student and an instructor upon completion of the two-week session.

    MAFHRMS 429 –
    [**Performance Management Coaching for USAF Organizations (PMCO)**\
    **Links to an external site.**](https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/)

    PMCO is designed for GS-13 and above DAF employees who are current leaders or future leaders in their organizations. Students will accomplish assigned readings, videos, and group discussion posts before joining live, instructor facilitated webinars at designated times during a two-week period. Each webinar will conclude with breakout sessions wherein students will participate in small group discussions.

    Step 3: Upon completion of the three PMC courses, the student must notify the Coaching Student Support Team. The Badge Reviewer will verify in myLearning that all course requirements are complete and recommend the Earner for award of the badge (https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/Students/):

    For my own personal growth and development, digital badges are essential to accurately tracking the numerous training opportunities that are offered each year to Department of Defense civilians.   My annual Individual Development Plan requires the completion of both mandatory and elective training programs and courses that are all currently tracked through digital badges.  It has become the preferred method for documentation within the organization as the record is easy to navigate and very user-friendly; however, one consideration of note has been the resistance to change from some users as well as the inability of the organization to accurately ensure standardization.  Within in our own organization it is quite easy to monitor and ensure the content of the training, but it becomes much harder to regulate training from outside organization when trying to incorporate badges from outside entities.

    An evaluation of Gartner’s Hype Cycle, which helps to chart the path of innovation, most accurately includes the utilization of digital badging in the “Slope of Enlightment” phase.  Some organizations have adapted the system while others are still resistant to the idea of having all training tracked digitally for the organization.  (
    [https://www.gartner.com/en/research/methodologies/gartner-hype-cycle\
    Links to an external site.](https://www.gartner.com/en/research/methodologies/gartner-hype-cycle)).  The technology surrounding digital badges has been present for years and the badges have been used for well over a decade. (https://wwps.microsoft.com/blog/digital-identity-gartner)

    **References**

    Air University, Civilian Leadership Development School website.
    [https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/\
    Links to an external site.](https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/)

    Air University, Civilian Leadership Development School website.
    [https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/Students\
    Links to an external site.](https://www.airuniversity.af.edu/Eaker-Center/CLDS/Coaching/Students)

    Felton, S. D., Whitehouse, G., Motley, C., Jaeger, D., & Timur, A. (2023). How I stopped fearing micro-credentials and began to love digital badging – a pilot project. Industry &

    Higher Education., 37(2), 309–317.
    [https://doi.org/10.1177/09504222221117951\
    Links to an external site.](https://doi.org/10.1177/09504222221117951)

    Hype Cycle for Digital Identity.
    [https://wwps.microsoft.com/blog/digital-identity-gartner\
    Links to an external site.](https://wwps.microsoft.com/blog/digital-identity-gartner)

    The Mozilla Foundation, Peer 2 Peer University & The MacArthur Foundation. (2012).

    Open Badges for Lifelong Learning: Exploring an open badge ecosystem to support skill development and lifelong learning for real results such as jobs and advancement. Retrieved from https://wiki.mozilla.org/images/b/b1/OpenBadges-Working-Paper_092011.pdf

  • [Solved] Unit IV StratP

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    see attachment – 2 years ago **files (1)** – ## UnitIVJStratPl.docx **## UnitIVJStratPl.docx** 2 Assignment Instructions: You have just been named director of emergency medical services for a hospital-based emergency medical services (EMS) program. Your program is housed in a 250-bed acute care hosp…

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    Assignment Prompt & Instructions

    see attachment

    – 2 years ago

    **files (1)**

    – ## UnitIVJStratPl.docx

    **## UnitIVJStratPl.docx**

    2

    Assignment Instructions:

    You have just been named director of emergency medical services for a hospital-based emergency medical services (EMS) program. Your program is housed in a 250-bed acute care hospital in a town of 35,000 people. You are employed by the hospital itself, reporting to the chief executive officer (CEO). Formal strategic planning has never been done for the EMS program before, and the physician medical director is not very involved at this time.

    How will you proceed to prepare a strategic plan for this program? What steps will you take, and who will you involve in the process? Explain.

    Your journal entry must be at least 200 words in length. No references or citations are necessary.

    **## UnitIVJStratPl.docx**

    2

    Assignment Instructions:

    You have just been named director of emergency medical services for a hospital-based emergency medical services (EMS) program. Your program is housed in a 250-bed acute care hospital in a town of 35,000 people. You are employed by the hospital itself, reporting to the chief executive officer (CEO). Formal strategic planning has never been done for the EMS program before, and the physician medical director is not very involved at this time.

    How will you proceed to prepare a strategic plan for this program? What steps will you take, and who will you involve in the process? Explain.

    Your journal entry must be at least 200 words in length. No references or citations are necessary.

  • [Solved] Unit IV RM

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    see attached – 2 years ago **files (2)** – ## UnitIVJRM.docx – Transparentpractices.pdf **## UnitIVJRM.docx** 2 This journal measures your mastery of ULOs 2.5, 2.6, and 6.1. When confronted with the utilization of secondary data and the inherent lack of direct engagement with study participants, how…

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    see attached

    – 2 years ago

    **files (2)**

    – ## UnitIVJRM.docx

    – Transparentpractices.pdf

    **## UnitIVJRM.docx**

    2

    This journal measures your mastery of ULOs 2.5, 2.6, and 6.1.

    When confronted with the utilization of secondary data and the inherent lack of direct engagement with study participants, how might we navigate the intricate landscape of participant protection, considering both ethical imperatives and the potential implications of this limited interaction? What are the advantages and disadvantages of using secondary data? What opportunities for replication can occur with secondary data? How might these opportunities adversely impact participant protection?

    Your response must be at least 300 words in length. No references or citations are necessary.

    **Transparentpractices.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/transparentpractices-pdf)

    **Transparentpractices.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/transparentpractices-pdf)

    **## UnitIVJRM.docx**

    2

    This journal measures your mastery of ULOs 2.5, 2.6, and 6.1.

    When confronted with the utilization of secondary data and the inherent lack of direct engagement with study participants, how might we navigate the intricate landscape of participant protection, considering both ethical imperatives and the potential implications of this limited interaction? What are the advantages and disadvantages of using secondary data? What opportunities for replication can occur with secondary data? How might these opportunities adversely impact participant protection?

    Your response must be at least 300 words in length. No references or citations are necessary.

    **Transparentpractices.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/transparentpractices-pdf)

    **## UnitIVJRM.docx**

    2

    This journal measures your mastery of ULOs 2.5, 2.6, and 6.1.

    When confronted with the utilization of secondary data and the inherent lack of direct engagement with study participants, how might we navigate the intricate landscape of participant protection, considering both ethical imperatives and the potential implications of this limited interaction? What are the advantages and disadvantages of using secondary data? What opportunities for replication can occur with secondary data? How might these opportunities adversely impact participant protection?

    Your response must be at least 300 words in length. No references or citations are necessary.

    **Transparentpractices.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/transparentpractices-pdf)

  • [Solved] Transocean and Russia & Japan

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    [>Management homework help](https://www.sweetstudy.com/fields/business-finance-management) Technological, Political-Legal, Socio-Cultural, and Economic – 2 years ago

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    Assignment Prompt & Instructions

    [>Management homework help](https://www.sweetstudy.com/fields/business-finance-management)

    Technological, Political-Legal, Socio-Cultural, and Economic

    – 2 years ago

  • [Solved] SOAP NOTE 3 OBGYN OFFICE

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    A SOAP note is a method of documentation employed by healthcare providers to record and communicate patient information in a clear, structured, and in an organized manner. This assignment will provide students with the necessary tools to document patient care effectively, enhance their clinical skil…

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    Assignment Prompt & Instructions

    A SOAP note is a method of documentation employed by healthcare providers to record and communicate patient information in a clear, structured, and in an organized manner. This assignment will provide students with the necessary tools to document patient care effectively, enhance their clinical skills, and prepare them for their roles as competent healthcare providers.

    #### **Instructions:**

    SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The episodic SOAP note is to be written using the attached template below.

    For all the SOAP note assignments, you will write a SOAP note about one of your patients and use the following acronym:

    **S** =Subjective data: Patient’s Chief Complaint (CC). **O** =Objective data: Including client behavior, physical assessment, vital signs, and meds. **A** =Assessment: Diagnosis of the patient's condition. Include differential diagnosis. **P** =Plan: Treatment, diagnostic testing, and follow up

    #### **Submission Instructions:**

    – Your SOAP note should be clear and concise and students will lose points for improper grammar, punctuation, and misspellings.
    – You must use the template provided. Turnitin will recognize the template and not score against it.
    – Your submission will be reviewed for plagiarism through Turnitin.

    SOAP Note Rubric **SOAP Note RubricCriteriaRatingsPts**

    Demographics

    **1 to >0.8 pts**

    **Begins with patient initials, age, race, ethnicity and gender (5 demographics)**

    **0.8 to >0.25 pts**

    **Begins with 4 of the 5 patient demographics (patient initials, age, race, ethnicity and gender)**

    **0.25 to >0 pts**

    **Begins with 3 or less patient demographics (patient initials, age, race, ethnicity and gender)**

    **0 pts**

    **Missing criteria and/or submission.**

    / 1 pts

    Chief Complaint (Reason for seeking health care)

    **4 to >3 pts**

    **Includes a direct quote from patient about presenting problem**

    **3 to >2 pts**

    **Includes a direct quote from patient and other unrelated information**

    **2 to >0 pts**

    **Includes information but information is NOT a direct quote**

    **0 pts**

    **Missing criteria and/or submission.**

    / 4 pts

    History of the Present Illness (HPI)

    **5 to >3 pts**

    **Includes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity)**

    **3 to >2 pts**

    **Includes the presenting problem and 7 of the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity)**

    **2 to >0 pts**

    **Includes the presenting problem and 6 of the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity)**

    **0 pts**

    **Missing criteria and/or submission.**

    / 5 pts

    Allergies

    **2 to >1.5 pts**

    **Includes NKA (including = Drug, Environmental, Food, Herbal, and/or Latex or if allergies are present (reports for each severity of allergy AND description of allergy)**

    **1.5 to >1 pts**

    **If allergies are present, students lists type Drug, environmental factor, herbal, food, latex name and includes severity of allergy OR description of allergy**

    **1 to >0 pts**

    **If allergies are present, students lists only the type of allergy name**

    **0 pts**

    **Missing criteria and/or submission.**

    / 2 pts

    Review of Systems (ROS)

    **15 to >8 pts**

    **Includes a minimum of 3 assessments for each body system and assesses at least 9 body systems directed to chief complaint AND uses the words “admits” and “denies”**

    **8 to >3 pts**

    **Includes 3 or fewer assessments for each body system and assesses 5-8 body systems directed to chief complaint AND uses the words “admits” and “denies”**

    **3 to >0 pts**

    **Includes 3 or fewer assessments for each body system and assesses less than 5 body systems directed to chief complaint OR student does not use the words “admits” and “denies”**

    **0 pts**

    **Missing criteria and/or submission.**

    / 15 pts

    Vital Signs

    **2 to >1.5 pts**

    **Includes all 8 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.)**

    **1.5 to >1 pts**

    **Includes 7 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.)**

    **1 to >0 pts**

    **Includes 6 or less vital signs, (BP (with patient position), HR, RR, temperature (with F or C and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.)**

    **0 pts**

    **Missing criteria and/or submission.**

    / 2 pts

    Labs

    **2 to >1.5 pts**

    **Includes a list of the labs reviewed at the visit, values of lab results and highlights abnormal values OR acknowledges no labs/diagnostic tests were reviewed.**

    **1.5 to >1 pts**

    **Includes a list of the labs reviewed at the visit, values of lab results but does not highlight abnormal values.**

    **1 to >0 pts**

    **Includes a list of the labs reviewed at the visit but does not include the values of lab results or highlight abnormal values.**

    **0 pts**

    **Missing criteria and/or submission.**

    / 2 pts

    Medications

    **4 to >2 pts**

    **Includes a list of all of the patient reported medications and the medical diagnosis for the medication (including name, dose, route, frequency)**

    **2 to >1 pts**

    **Includes a list of all of the patient reported medications and the medical diagnosis for the medication (including 3 of the 4: name, dose, medications route, frequency)**

    **1 to >0 pts**

    **Includes a list of all of the patient reported medications (including 2 of the 4: name, dose, route, frequency)**

    **0 pts**

    **Missing criteria and/or submission.**

    / 4 pts

    Past Medical History

    **3 to >2 pts**

    **Includes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, year of diagnosis and whether the diagnosis is active or current**

    **2 to >1 pts**

    **Includes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, either year of diagnosis OR whether the diagnosis is active or current**

    **1 to >0 pts**

    **Includes each medical diagnosis but does not include year of diagnosis or whether the diagnosis is active or current**

    **0 pts**

    **Missing criteria and/or submission.**

    / 3 pts

    Past Surgical History

    **3 to >2 pts**

    **Includes, for each surgical procedure, the year of procedure and the indication for the procedure**

    **2 to >1 pts**

    **Includes, for each surgical procedure, the year of procedure OR indication of the procedure**

    **1 to >0 pts**

    **Includes, for each surgical procedure but not the year of procedure or indication of the procedure**

    **0 pts**

    **Missing criteria and/or submission.**

    / 3 pts

    Family History

    **3 to >2 pts**

    **Includes an assessment of at least 4 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer.**

    **2 to >1 pts**

    **Includes an assessment of at least 3 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer.**

    **1 to >0 pts**

    **Includes an assessment of at least 2 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer.**

    **0 pts**

    **Missing criteria and/or submission.**

    / 3 pts

    Social History

    **3 to >2 pts**

    **Includes all of the required following: tobacco use, drug use, alcohol use, marital status, employment status, current/previous occupation, sexual orientation, sexually active, contraceptive use, and living situation.**

    **2 to >1 pts**

    **Includes 10 of the 11 required following: tobacco use, drug use, alcohol use, marital status, employment status, current/previous occupation, sexual orientation, sexually active, contraceptive use, and living situation.**

    **1 to >0 pts**

    **Includes 9 or less of the required information.**

    **0 pts**

    **Missing criteria and/or submission.**

    / 3 pts

    Health Maintenance / Screenings

    **3 to >2 pts**

    **Includes a detailed assessment of immunization status and other health maintenance needs such as age-appropriate screenings and preventive measures Includes an assessment of at least 5 screening tests**

    **2 to >1 pts**

    **Includes a partial assessment of immunization status and health maintenance needs, missing some key components. Includes an assessment of at least 4 screening tests**

    **1 to >0 pts**

    **Includes minimal assessment of immunization status and health maintenance needs, lacking detail. Includes an assessment of at least 3 screening tests**

    **0 pts**

    **Missing criteria and/or submission.**

    / 3 pts

    Physical Examination

    **15 to >8 pts**

    **Includes a minimum of 4 assessments for each body system and assesses at least 5 body systems directed to chief complaint**

    **8 to >3 pts**

    **Includes a minimum of 3 assessments for each body system and assesses at least 4 body systems directed to chief complaint**

    **3 to >0 pts**

    **Includes a minimum of 2 assessments for each body system and assesses at least 4 body systems directed to chief complaint**

    **0 pts**

    **Missing criteria and/or submission.**

    / 15 pts

    Diagnosis

    **5 to >3 pts**

    **Includes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority)**

    **3 to >1 pts**

    **Includes a clear outline of the accurate diagnoses addressed at the visit but does not list the diagnoses in descending order of priority**

    **1 to >0 pts**

    **Includes 1 differential diagnosis for the principal diagnosis**

    **0 pts**

    **Missing criteria and/or submission.**

    / 5 pts

    Differential Diagnosis

    **5 to >3 pts**

    **Includes at least 3 differential diagnoses for the principal diagnosis**

    **3 to >1 pts**

    **Includes at least 2 differential diagnoses for the principal diagnosis**

    **1 to >0 pts**

    **Includes at least 1 differential diagnoses for the principal diagnosis**

    **0 pts**

    **Missing criteria and/or submission.**

    / 5 pts

    ICD 10 Coding

    **3 to >2 pts**

    **Correctly includes all ICD-10 codes relevant to the diagnoses addressed at the visit**

    **2 to >1 pts**

    **Correctly includes most ICD-10 codes relevant to the diagnoses addressed at the visit**

    **1 to >0 pts**

    **Includes some ICD-10 codes relevant to the diagnoses addressed at the visit**

    **0 pts**

    **Missing criteria and/or submission.**

    / 3 pts

    Pharmacologic treatment plan

    **5 to >3 pts**

    **Includes a detailed pharmacologic treatment plan for each of the diagnoses listed under “assessment”. The plan includes ALL of the required following: drug name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above.**

    **3 to >1 pts**

    **Includes a detailed pharmacologic treatment plan for each of the diagnoses listed under “assessment”. The plan includes 4 of the required following 7: the drug name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above.**

    **1 to >0 pts**

    **Includes a detailed pharmacologic treatment plan for each of the diagnoses listed under “assessment”. The plan includes less than 4 of the information:**

    **0 pts**

    **Missing criteria and/or submission.**

    / 5 pts

    Diagnostic / Lab Testing

    **3 to >2 pts**

    **Includes appropriate diagnostic/lab testing 100% of the time OR acknowledges “no diagnostic testing clinically required at this time”**

    **2 to >1 pts**

    **Includes appropriate diagnostic/lab testing 50% of the time OR acknowledges “no diagnostic testing clinically required at this time”**

    **1 to >0 pts**

    **Includes appropriate diagnostic testing less than 50% of the time.**

    **0 pts**

    **Missing criteria and/or submission.**

    / 3 pts

    Education

    **3 to >2 pts**

    **Includes at least 3 strategies to promote and develop skills for managing their illness and at least 3 self-management methods on how to incorporate healthy behaviors into their lives.**

    **2 to >1 pts**

    **Includes at least 2 strategies to promote and develop skills for managing their illness and at least 2 self-management methods on how to incorporate healthy behaviors into their lives.**

    **1 to >0 pts**

    **Includes at least 1 strategies to promote and develop skills for managing their illness and at least 1 self-management methods on how to incorporate healthy behaviors into their lives**

    **0 pts**

    **Missing criteria and/or submission.**

    / 3 pts

    Anticipatory Guidance

    **3 to >2 pts**

    **Includes at least 3 primary prevention strategies (related to age/condition (i.e. immunizations, pediatric and pre-natal milestone anticipatory guidance)) and at least 2 secondary prevention strategies (related to age/condition (i.e. screening))**

    **2 to >1 pts**

    **Includes at least 2 primary prevention strategies (related to age/condition (i.e. immunizations, pediatric and pre-natal milestone anticipator guidance)) and at least 2 secondary prevention strategies (related to age/condition (i.e. screening))**

    **1 to >0 pts**

    **Includes at least 1 primary prevention strategies (related to age/condition (i.e. immunizations, pediatric and pre-natal milestone anticipatory guidance)) and at least 1 secondary prevention strategies (related to age/condition (i.e. screening))**

    **0 pts**

    **Missing criteria and/or submission.**

    / 3 pts

    Follow Up Plan

    **2 to >1 pts**

    **Includes recommendation for follow up, including time frame (i.e. x # of days/weeks/months)**

    **1 to >0 pts**

    **Includes recommendation for follow up, but does not include time frame (i.e. x # of days/weeks/months)**

    **0 pts**

    **Missing criteria and/or submission.**

    / 2 pts

    Prescription

    **3 to >2 pts**

    **Prescription includes all required components: patient information, date, drug name, dose, route, frequency, quantity to be dispensed, refills, and provider’s signature and credentials**

    **2 to >1 pts**

    **Prescription includes most required components, but is missing 1-2 elements such as quantity to be dispensed or refills**

    **1 to >0 pts**

    **Prescription is missing 3 or more required components such as patient information, date, or provider’s signature**

    **0 pts**

    **Missing criteria and/or submission.**

    / 3 pts

    Writing Mechanics, Citations, and APA Style

    **3 to >2 pts**

    **Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. APA style is correct, and writing is free of grammar and spelling errors.**

    **2 to >1 pts**

    **Moderately use the literature and other resources to inform their work. Moderately use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.**

    **1 to >0 pts**

    **Ineffectively uses the literature and other resources to inform their work. Ineffectively use of citations and extended referencing. APA style and writing mechanics need serious attention.**

    **0 pts**

    **Missing criteria and/or submission.**

    / 3 pts

    Total Points: 0

    FOLLOW RUBRIC

    – [\
    \
    SOAPNoteTemplate4.docx](https://www.sweetstudy.com/files/soapnotetemplate4-docx-10197219 "SOAPNoteTemplate4.docx")

    – 2 years ago

  • [Solved] secarcMOD7

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    In-depth study guidance and analytical solution covering secarcMOD7.

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    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] research (evidence based project) project

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    – 2 years ago **files (2)** – ## EBPFormatandInstructions20252.docx – ## EXAMPLEEBPproject20252.docx **## EBPFormatandInstructions20252.docx** Evidence-Based Practice Project NURS 4033 #### Instructions: Keep answers brief. #### If you need assistance finding a RCT or systematic review, contact one …

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    – 2 years ago

    **files (2)**

    – ## EBPFormatandInstructions20252.docx

    – ## EXAMPLEEBPproject20252.docx

    **## EBPFormatandInstructions20252.docx**

    Evidence-Based Practice Project

    NURS 4033

    #### Instructions: Keep answers brief.

    #### If you need assistance finding a RCT or systematic review, contact one of the librarians at OC’s library. [askalibrarian@oc.edu](mailto:askalibrarian@oc.edu)

    #### Your instructor can also help you with finding an appropriate study or review. The example study was found through Google Scholar.

    Refer to the APA website or the Purdue OWL website for examples of correct citations.

    Use the words in bold as your headings. This is NOT a formal paper.
    **No title page needed. No reference page needed.**

    Student’s name

    1.
    **Practice setting** (5 points)

    2.
    **Clinical problem** (5 points)

    3.
    **PICO question** (10 points) Include how each letter is represented in the question.

    4.
    **Reference** related to clinical problem or PICO question in APA format (10 points)

    5.
    **Description:** In your own words, describe the RCT or systematic review you selected in less than 200 words. Include study design, participants, intervention if there was one, and major conclusions. Description should be less than 200 words. (25 points)

    6.
    **Strengths of the study or systematic review** (15 points)

    7.
    **Limitations of the study or systematic review** (15 points)

    8.
    **Use in your practice** (15 points)

    **## EXAMPLEEBPproject20252.docx**

    EXAMPLE of Evidence-Based Project of Fictional Student

    **Student’s name**- Henry Studious

    **Practice setting**

    I work at Integris Baptist in critical care as a monitor technician.

    **Clinical problem**

    We have had 4 patients in the past month who developed pneumonia within a week of being intubated.

    **PICO Question**

    Among adults who are intubated, is comprehensive oral care (chlorhexidine, tooth brushing, moisturizing gel) more effective than chlorhexidine alone in preventing ventilator-associated pneumonia?

    P- Intubated adult

    I – Oral care interventions

    C – Prophylactic antibiotics

    O – VAP

    **Reference:** Provide the citation for the study in APA format. Include the DOI

    Singh, P., Arshad, Z., Srivastava, V., Singh, G., & Gangwar, R. (2022) Efficacy of oral care protocols in the prevention of ventilator-associated pneumonia in mechanically ventilated patients.
    _Cureus, 14_(4). Artcile e23750.
    [https://doi.org/10.7759/cureus.23750](https://doi.org/10.7759/cureus.23750)

    **Description:** In your own words, describe the study in less than 200 words. Include study design, participants, intervention if there was one, and major conclusions. Description should be less than 200 words.

    Singh et al. (2022) conducted a randomized control trial in India with 220 critically-ill patients receiving mechanical ventilation. No statistically significant differences were found in the demographic and clinical characteristics of the treatment and control groups at baseline. Routine oral care for intubated patients was the use of chlorhexidine in the oral cavity. In addition to the normal interventions used to prevent ventilator-associated pneumonia (VAP), the treatment group received toothbrushing and application of a mouth moisturizer. During the study, the frequency of oral care was determined by a standardized, scored oral assessment. Diagnosis of VAP was made based on fever, abnormal chest X-rays, and positive cultures of the endotracheal tube. The treatment group had lower prevalence of VAP, fewer days of mechanical ventilation, lower mortality, and shorter ICU stays. (129 words)

    **Strengths of the study** (15 points)

    The strengths of the study include the rigorous design with random assignment to groups, an adequate sample size, and a rigorous intervention. The study had no attrition.

    **Limitations of the study**(15 points)

    The study was conducted in one critical care unit in a different country. The researchers also noted that some patients were admitted from other hospitals and the care provided there was not known. Some of these patients may have received antibiotics. They also said that the diagnosis for VAP was non-invasive and thus possibly less accurate. The researchers did not discuss the fidelity of the intervention- was the intervention applied consistently with all patients in the treatment group.

    **How do you plan to use the study results in your practice?** (15 points)

    I plan to share the results of this study with the unit manager and one of the RNs I work with routinely. We already use chlorhexidine as part of the mouth care for intubated patients. Using the comprehensive oral care intervention would require additional nurse time and the purchase of toothbrushes, toothpaste, and moisturizer.

    **## EXAMPLEEBPproject20252.docx**

    EXAMPLE of Evidence-Based Project of Fictional Student

    **Student’s name**- Henry Studious

    **Practice setting**

    I work at Integris Baptist in critical care as a monitor technician.

    **Clinical problem**

    We have had 4 patients in the past month who developed pneumonia within a week of being intubated.

    **PICO Question**

    Among adults who are intubated, is comprehensive oral care (chlorhexidine, tooth brushing, moisturizing gel) more effective than chlorhexidine alone in preventing ventilator-associated pneumonia?

    P- Intubated adult

    I – Oral care interventions

    C – Prophylactic antibiotics

    O – VAP

    **Reference:** Provide the citation for the study in APA format. Include the DOI

    Singh, P., Arshad, Z., Srivastava, V., Singh, G., & Gangwar, R. (2022) Efficacy of oral care protocols in the prevention of ventilator-associated pneumonia in mechanically ventilated patients.
    _Cureus, 14_(4). Artcile e23750.
    [https://doi.org/10.7759/cureus.23750](https://doi.org/10.7759/cureus.23750)

    **Description:** In your own words, describe the study in less than 200 words. Include study design, participants, intervention if there was one, and major conclusions. Description should be less than 200 words.

    Singh et al. (2022) conducted a randomized control trial in India with 220 critically-ill patients receiving mechanical ventilation. No statistically significant differences were found in the demographic and clinical characteristics of the treatment and control groups at baseline. Routine oral care for intubated patients was the use of chlorhexidine in the oral cavity. In addition to the normal interventions used to prevent ventilator-associated pneumonia (VAP), the treatment group received toothbrushing and application of a mouth moisturizer. During the study, the frequency of oral care was determined by a standardized, scored oral assessment. Diagnosis of VAP was made based on fever, abnormal chest X-rays, and positive cultures of the endotracheal tube. The treatment group had lower prevalence of VAP, fewer days of mechanical ventilation, lower mortality, and shorter ICU stays. (129 words)

    **Strengths of the study** (15 points)

    The strengths of the study include the rigorous design with random assignment to groups, an adequate sample size, and a rigorous intervention. The study had no attrition.

    **Limitations of the study**(15 points)

    The study was conducted in one critical care unit in a different country. The researchers also noted that some patients were admitted from other hospitals and the care provided there was not known. Some of these patients may have received antibiotics. They also said that the diagnosis for VAP was non-invasive and thus possibly less accurate. The researchers did not discuss the fidelity of the intervention- was the intervention applied consistently with all patients in the treatment group.

    **How do you plan to use the study results in your practice?** (15 points)

    I plan to share the results of this study with the unit manager and one of the RNs I work with routinely. We already use chlorhexidine as part of the mouth care for intubated patients. Using the comprehensive oral care intervention would require additional nurse time and the purchase of toothbrushes, toothpaste, and moisturizer.

    **## EBPFormatandInstructions20252.docx**

    Evidence-Based Practice Project

    NURS 4033

    #### Instructions: Keep answers brief.

    #### If you need assistance finding a RCT or systematic review, contact one of the librarians at OC’s library. [askalibrarian@oc.edu](mailto:askalibrarian@oc.edu)

    #### Your instructor can also help you with finding an appropriate study or review. The example study was found through Google Scholar.

    Refer to the APA website or the Purdue OWL website for examples of correct citations.

    Use the words in bold as your headings. This is NOT a formal paper.
    **No title page needed. No reference page needed.**

    Student’s name

    1.
    **Practice setting** (5 points)

    2.
    **Clinical problem** (5 points)

    3.
    **PICO question** (10 points) Include how each letter is represented in the question.

    4.
    **Reference** related to clinical problem or PICO question in APA format (10 points)

    5.
    **Description:** In your own words, describe the RCT or systematic review you selected in less than 200 words. Include study design, participants, intervention if there was one, and major conclusions. Description should be less than 200 words. (25 points)

    6.
    **Strengths of the study or systematic review** (15 points)

    7.
    **Limitations of the study or systematic review** (15 points)

    8.
    **Use in your practice** (15 points)

    **## EXAMPLEEBPproject20252.docx**

    EXAMPLE of Evidence-Based Project of Fictional Student

    **Student’s name**- Henry Studious

    **Practice setting**

    I work at Integris Baptist in critical care as a monitor technician.

    **Clinical problem**

    We have had 4 patients in the past month who developed pneumonia within a week of being intubated.

    **PICO Question**

    Among adults who are intubated, is comprehensive oral care (chlorhexidine, tooth brushing, moisturizing gel) more effective than chlorhexidine alone in preventing ventilator-associated pneumonia?

    P- Intubated adult

    I – Oral care interventions

    C – Prophylactic antibiotics

    O – VAP

    **Reference:** Provide the citation for the study in APA format. Include the DOI

    Singh, P., Arshad, Z., Srivastava, V., Singh, G., & Gangwar, R. (2022) Efficacy of oral care protocols in the prevention of ventilator-associated pneumonia in mechanically ventilated patients.
    _Cureus, 14_(4). Artcile e23750.
    [https://doi.org/10.7759/cureus.23750](https://doi.org/10.7759/cureus.23750)

    **Description:** In your own words, describe the study in less than 200 words. Include study design, participants, intervention if there was one, and major conclusions. Description should be less than 200 words.

    Singh et al. (2022) conducted a randomized control trial in India with 220 critically-ill patients receiving mechanical ventilation. No statistically significant differences were found in the demographic and clinical characteristics of the treatment and control groups at baseline. Routine oral care for intubated patients was the use of chlorhexidine in the oral cavity. In addition to the normal interventions used to prevent ventilator-associated pneumonia (VAP), the treatment group received toothbrushing and application of a mouth moisturizer. During the study, the frequency of oral care was determined by a standardized, scored oral assessment. Diagnosis of VAP was made based on fever, abnormal chest X-rays, and positive cultures of the endotracheal tube. The treatment group had lower prevalence of VAP, fewer days of mechanical ventilation, lower mortality, and shorter ICU stays. (129 words)

    **Strengths of the study** (15 points)

    The strengths of the study include the rigorous design with random assignment to groups, an adequate sample size, and a rigorous intervention. The study had no attrition.

    **Limitations of the study**(15 points)

    The study was conducted in one critical care unit in a different country. The researchers also noted that some patients were admitted from other hospitals and the care provided there was not known. Some of these patients may have received antibiotics. They also said that the diagnosis for VAP was non-invasive and thus possibly less accurate. The researchers did not discuss the fidelity of the intervention- was the intervention applied consistently with all patients in the treatment group.

    **How do you plan to use the study results in your practice?** (15 points)

    I plan to share the results of this study with the unit manager and one of the RNs I work with routinely. We already use chlorhexidine as part of the mouth care for intubated patients. Using the comprehensive oral care intervention would require additional nurse time and the purchase of toothbrushes, toothpaste, and moisturizer.

    **## EBPFormatandInstructions20252.docx**

    Evidence-Based Practice Project

    NURS 4033

    #### Instructions: Keep answers brief.

    #### If you need assistance finding a RCT or systematic review, contact one of the librarians at OC’s library. [askalibrarian@oc.edu](mailto:askalibrarian@oc.edu)

    #### Your instructor can also help you with finding an appropriate study or review. The example study was found through Google Scholar.

    Refer to the APA website or the Purdue OWL website for examples of correct citations.

    Use the words in bold as your headings. This is NOT a formal paper.
    **No title page needed. No reference page needed.**

    Student’s name

    1.
    **Practice setting** (5 points)

    2.
    **Clinical problem** (5 points)

    3.
    **PICO question** (10 points) Include how each letter is represented in the question.

    4.
    **Reference** related to clinical problem or PICO question in APA format (10 points)

    5.
    **Description:** In your own words, describe the RCT or systematic review you selected in less than 200 words. Include study design, participants, intervention if there was one, and major conclusions. Description should be less than 200 words. (25 points)

    6.
    **Strengths of the study or systematic review** (15 points)

    7.
    **Limitations of the study or systematic review** (15 points)

    8.
    **Use in your practice** (15 points)

    **## EXAMPLEEBPproject20252.docx**

    EXAMPLE of Evidence-Based Project of Fictional Student

    **Student’s name**- Henry Studious

    **Practice setting**

    I work at Integris Baptist in critical care as a monitor technician.

    **Clinical problem**

    We have had 4 patients in the past month who developed pneumonia within a week of being intubated.

    **PICO Question**

    Among adults who are intubated, is comprehensive oral care (chlorhexidine, tooth brushing, moisturizing gel) more effective than chlorhexidine alone in preventing ventilator-associated pneumonia?

    P- Intubated adult

    I – Oral care interventions

    C – Prophylactic antibiotics

    O – VAP

    **Reference:** Provide the citation for the study in APA format. Include the DOI

    Singh, P., Arshad, Z., Srivastava, V., Singh, G., & Gangwar, R. (2022) Efficacy of oral care protocols in the prevention of ventilator-associated pneumonia in mechanically ventilated patients.
    _Cureus, 14_(4). Artcile e23750.
    [https://doi.org/10.7759/cureus.23750](https://doi.org/10.7759/cureus.23750)

    **Description:** In your own words, describe the study in less than 200 words. Include study design, participants, intervention if there was one, and major conclusions. Description should be less than 200 words.

    Singh et al. (2022) conducted a randomized control trial in India with 220 critically-ill patients receiving mechanical ventilation. No statistically significant differences were found in the demographic and clinical characteristics of the treatment and control groups at baseline. Routine oral care for intubated patients was the use of chlorhexidine in the oral cavity. In addition to the normal interventions used to prevent ventilator-associated pneumonia (VAP), the treatment group received toothbrushing and application of a mouth moisturizer. During the study, the frequency of oral care was determined by a standardized, scored oral assessment. Diagnosis of VAP was made based on fever, abnormal chest X-rays, and positive cultures of the endotracheal tube. The treatment group had lower prevalence of VAP, fewer days of mechanical ventilation, lower mortality, and shorter ICU stays. (129 words)

    **Strengths of the study** (15 points)

    The strengths of the study include the rigorous design with random assignment to groups, an adequate sample size, and a rigorous intervention. The study had no attrition.

    **Limitations of the study**(15 points)

    The study was conducted in one critical care unit in a different country. The researchers also noted that some patients were admitted from other hospitals and the care provided there was not known. Some of these patients may have received antibiotics. They also said that the diagnosis for VAP was non-invasive and thus possibly less accurate. The researchers did not discuss the fidelity of the intervention- was the intervention applied consistently with all patients in the treatment group.

    **How do you plan to use the study results in your practice?** (15 points)

    I plan to share the results of this study with the unit manager and one of the RNs I work with routinely. We already use chlorhexidine as part of the mouth care for intubated patients. Using the comprehensive oral care intervention would require additional nurse time and the purchase of toothbrushes, toothpaste, and moisturizer.