Tag: Nursing

  • [Solved] Discussion P W7 Reply to Peer 1-1

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    **Gastric Acid Secretion and Its Regulation** Gastric acid secretion is regulated by a complex interplay of neural, hormonal, and paracrine pathways. The primary stimuli include acetylcholine (ACh), gastrin, and histamine. Acetylcholine, released by the vagus nerve, directly stimulates parietal cell…

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    **Gastric Acid Secretion and Its Regulation**

          Gastric acid secretion is regulated by a complex interplay of neural, hormonal, and paracrine pathways. The primary stimuli include acetylcholine (ACh), gastrin, and histamine. Acetylcholine, released by the vagus nerve, directly stimulates parietal cells to secrete hydrochloric acid (HCl). Gastrin, produced by G cells in the antrum of the stomach, binds to CCK2 receptors on parietal cells and enterochromaffin-like (ECL) cells, prompting histamine release. Histamine, secreted by ECL cells, activates H2 receptors on parietal cells, enhancing acid production via the cyclic AMP pathway (Niv & Dickman, 2020). While gastric acidity is crucial for digestion and microbial defense, excessive acidity poses significant risks. Strong acidity can lead to mucosal injury, increasing the likelihood of gastritis, peptic ulcer disease (PUD), and gastroesophageal reflux disease (GERD). Chronic acid exposure can also contribute to Barrett’s esophagus, a precancerous condition. Furthermore, excessive acid can impair pancreatic enzyme function and nutrient absorption, exacerbating deficiencies in iron, calcium, and vitamin B12 (Feldman et al., 2022).

    **Pathophysiology of Helicobacter pylori**

          Helicobacter pylori (H. pylori) is a Gram-negative, spiral-shaped bacterium that colonizes the gastric mucosa, primarily in the antral region. It produces urease, an enzyme that hydrolyzes urea into ammonia and carbon dioxide, creating a local buffering environment that allows the bacteria to survive in the highly acidic stomach. Additionally, H. pylori adheres to gastric epithelial cells and induces an inflammatory response by releasing virulence factors such as cytotoxin-associated gene A (CagA) and vacuolating cytotoxin A (VacA), leading to mucosal damage (Malfertheiner et al., 2021). The persistent inflammation can disrupt normal gastric physiology, increasing acid secretion in duodenal ulcers or leading to gastric atrophy and hypochlorhydria in chronic gastritis, increasing the risk for gastric cancer.

    **References**

    Feldman, M., Friedman, L. S., & Brandt, L. J. (2022). _Sleisenger and Fordtran’s Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management_. Elsevier.

    Malfertheiner, P., Megraud, F., Rokkas, T., Gisbert, J. P., Liou, J. M., Schulz, C., & Wauters, T. (2021). Management of Helicobacter pylori infection: The Maastricht VI/Florence consensus report. _Gut, 70_(12), 2114-2132.

    Niv, Y., & Dickman, R. (2020). Gastric acid secretion and its clinical implications: The role of histamine and gastrin. _World Journal of Gastroenterology, 26_(45), 7287-7301.

    – 2 years ago

  • [Solved] Discussion NT W7 Reply to Peer 2

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    **The Transition of Conceptual Models to Research Proposals** Conceptual models serve as the foundational framework that guides research proposals by providing structure, clarity, and direction for inquiry. In nursing research, conceptual models help define key variables, establish relationships bet…

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    **The Transition of Conceptual Models to Research Proposals**

          Conceptual models serve as the foundational framework that guides research proposals by providing structure, clarity, and direction for inquiry. In nursing research, conceptual models help define key variables, establish relationships between concepts, and justify the significance of a study. Chapter 21 explores the role of conceptual models in research, emphasizing their transition from abstract frameworks to structured proposals that drive evidence-based practice. A conceptual model provides a lens through which a researcher views a phenomenon, offering a theoretical foundation that informs research questions, hypotheses, and study design. For instance, a model like Meleis’ Transitions Theory can guide studies on patient adaptation to chronic illness by outlining key transition points and influencing factors (Meleis, 2010). Once a model is chosen, researchers align it with their problem statement, ensuring that study variables and interventions reflect the theoretical underpinnings. This alignment is crucial in shaping the research methodology, as it dictates the selection of qualitative or quantitative approaches and determines measurement tools that accurately capture the concepts under study (Polit & Beck, 2021).

          Furthermore, conceptual models facilitate the interpretation of findings by providing a structured explanation of observed relationships. The use of models enhances the rigor of research by ensuring consistency in data collection and analysis, ultimately leading to more meaningful conclusions that contribute to nursing knowledge. For example, Orem’s Self-Care Deficit Nursing Theory has been widely applied to research on patient self-management, influencing nursing interventions that promote autonomy and improved health outcomes (Taylor, Renpenning, & Geden, 2022). In summary, transitioning from a conceptual model to a research proposal involves integrating theoretical perspectives with methodological rigor. This process strengthens the study’s foundation, ensuring that research remains systematic, relevant, and impactful in advancing nursing practice.

    **References**

    Meleis, A. I. (2010). _Transitions theory: Middle range and situation-specific theories in nursing research and practice_. Springer Publishing Company.

    Polit, D. F., & Beck, C. T. (2021). _Nursing research: Generating and assessing evidence for nursing practice_ (11th ed.). Wolters Kluwer.

    Taylor, S. G., Renpenning, K., & Geden, E. (2022). _Self-care theory in nursing: Selected works of Orem’s self-care deficit nursing theory_. Springer.

    – 2 years ago

  • [Solved] ROLES WEEK 7

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    – 2 years ago **files (1)** – ## Discussion7Module7ROLESINLEADERSHIP.docx **## Discussion7Module7ROLESINLEADERSHIP.docx** ![A screenshot of a web page AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/roles-week-7) ![A screenshot of a white sheet Description automatically …

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    – 2 years ago

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  • [Solved] PATHO WEEK 7

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    – 2 years ago **files (1)** – ## DISCUSSION7Module7PATHO.docx **## DISCUSSION7Module7PATHO.docx** ![A screenshot of a medical discussion AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/patho-week-7) ![A white paper with text AI-generated content may be incorrect.](https:…

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    – 2 years ago

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  • [Solved] NUR 514 Clinical Soap note 3

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    #### **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. – [\ \ SoapNoterubric.docx](https:/…

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    #### **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.

    – [\
    \
    SoapNoterubric.docx](https://www.sweetstudy.com/files/soapnoterubric-docx-10201467 "SoapNoterubric.docx")
    – [\
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    SOAPNoteTemplate.docx](https://www.sweetstudy.com/files/soapnotetemplate-docx-10201469 "SOAPNoteTemplate.docx")

    – 2 years ago

  • [Solved] week 7.1

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    In-depth study guidance and analytical solution covering week 7.1.

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

  • [Solved] Replies

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    – 2 years ago

  • [Solved] Asssigment

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    – 2 years ago **files (1)** – ## EthicalandLegalAspectofNursingPractice-.docx **## EthicalandLegalAspectofNursingPractice-.docx** Florida National University Course Reflection Guidelines ## Purpose The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN …

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    – 2 years ago

    **files (1)**

    – ## EthicalandLegalAspectofNursingPractice-.docx

    **## EthicalandLegalAspectofNursingPractice-.docx**

    Florida National University

    Course Reflection

    Guidelines

    ## Purpose

    The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the course.

    ## Course Outcomes

    This assignment provides documentation of student ability to meet the following course outcomes:

    · Identify the different legal and ethical aspects in the nursing practice (ACCN Essential V; QSEN: patient-centered care, teamwork and collaboration).

    · Analyze the legal impact of the different ethical decisions in the nursing practice (ACCN Essential V; QSEN: patient- centered care, teamwork and collaboration).

    · Understand the essential of the nursing law and ethics (ACCN Essential V; QSEN: patient-centered care, teamwork and collaboration).

    **Points**

    This assignment is worth a total of 200 points (20%).

    **Due Date**

    Submit your completed assignment under the Assignment tab by
    **Monday** 11:59 p.m. EST of
    **Week 8** as directed.

    ## Requirements

    1. The
    **Course Reflection** is worth 200 points (10%) and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

    2. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A forum under the Discussions tab.

    3.
    **The length of the reflection is to be within three to six pages excluding title page and reference pages.**

    4. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):

    Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the
    _Publication manual of the American Psychological Association_(2010, p. 63).

    a. Course Reflection

    b. Conclusion

    ## Preparing Your Reflection

    The
    _BSN Essentials_ (AACN, 2008) outline a number of healthcare policy and advocacy competencies for the BSN-prepared nurse. Reflect on the course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to (choose 4):

    1. “Demonstrate the professional standards of moral, ethical, and legal conduct.

    2. Assume accountability for personal and professional behaviors.

    3. Promote the image of nursing by modeling the values and articulating the knowledge, skills, and attitudes of the nursing profession.

    4. Demonstrate professionalism, including attention to appearance, demeanor, respect for self and others, and attention to professional boundaries with patients and families as well as among caregivers.

    5. Demonstrate an appreciation of the history of and contemporary issues in nursing and their impact on current nursing practice.

    6. Reflect on one’s own beliefs and values as they relate to professional practice.

    7. Identify personal, professional, and environmental risks that impact personal and professional choices, and behaviors.

    8. Communicate to the healthcare team one’s personal bias on difficult healthcare decisions that impact one’s ability to provide care.

    9. Recognize the impact of attitudes, values, and expectations on the care of the very young, frail older adults, and other vulnerable populations.

    10. Protect patient privacy and confidentiality of patient records and other privileged communications.

    11. Access interprofessional and intra-professional resources to resolve ethical and other practice dilemmas.

    12. Act to prevent unsafe, illegal, or unethical care practices.

    13. Articulate the value of pursuing practice excellence, lifelong learning, and professional engagement to foster professional growth and development.

    14. Recognize the relationship between personal health, self-renewal, and the ability to deliver sustained quality care.” (p. 28).

    Reference:

    American Association of Colleges of Nursing [AACN]. (2008).
    _The essentials of baccalaureate education for professional nursing practice._ Washington, DC: Author.

    ## Directions and Grading Criteria

    | | | | |
    | — | — | — | — |
    | Category | Points | % | Description |
    | (Introduction – see note under requirement #4 above) | 8 | 8 | Introduces the purpose of the reflection and addresses BSN Essentials (AACN, 2008) pertinent to healthcare policy and advocacy. |
    | You Decide Reflection | 80 | 80 | Include a self-assessment regarding learning that you believe represents your skills, knowledge, and integrative abilities to meet the pertinent BSN Essential and sub-competencies (AACN, 2008) as a result of active learning throughout this course. Be sure to use examples from selected readings, threaded discussions, and/or applications to support your assertions to address each of the following sub-competencies:<br>(a) “Demonstrate the professional standards of moral, ethical, and legal conduct.<br>(b) Assume accountability for personal and professional behaviors.<br>(c) Promote the image of nursing by modeling the values and articulating the knowledge, skills, and attitudes of the nursing profession.<br>(d) Demonstrate professionalism, including attention to appearance, demeanor, respect for self and others, and attention to professional boundaries with patients and families as well as among caregivers.<br>(e) Demonstrate an appreciation of the history of and contemporary issues in nursing and their impact on current nursing practice.<br>(f) Reflect on one’s own beliefs and values as they relate to professional practice.<br>(g) Identify personal, professional, and environmental risks that impact personal and professional choices, and behaviors.<br>(h) Communicate to the healthcare team one’s personal bias on difficult healthcare decisions that impact one’s ability to provide care.<br>(i) Recognize the impact of attitudes, values, and expectations on the care of the very young, frail older adults, and other vulnerable populations.<br>(j) Protect patient privacy and confidentiality of patient records and other privileged communications.<br>(k) Access interprofessional and intra-professional resources to resolve ethical and other practice dilemmas.<br>(l) Act to prevent unsafe, illegal, or unethical care practices.<br>(m) Articulate the value of pursuing practice excellence, lifelong learning, and professional engagement to foster professional growth and development.<br>(n) Recognize the relationship between personal health, self-renewal, and the ability to deliver sustained quality care.” (p. 28). |
    | Conclusion | 4 | 4 | An effective conclusion identifies the main ideas and major conclusions from the body of your essay. Minor details are left out. Summarize the benefits of the pertinent BSN Essential and sub-competencies (AACN, 2008) <br>_pertaining to scholarship for evidence-based practice._ |
    | Clarity of writing | 6 | 6 | Use of standard English grammar and sentence structure. No spelling errors or typographical errors. Organized around the required components using appropriate headers. Writing should demonstrate original thought without an over-reliance on the works of others. |
    | APA format | 2 | 2 | All information taken from another source, even if summarized, must be appropriately cited in the manuscript and listed in the references using APA (6th ed.) format:<br>1. Document setup<br>2. Title and reference pages<br>3. Citations in the text and references. |
    | Total: | 100 | 100 | A quality essay will meet or exceed all of the above requirements. |

    ## Grading Rubric

    | | | | |
    | — | — | — | — |
    | Assignment Criteria | Meets Criteria | Partially Meets Criteria | Does Not Meet Criteria |
    | (Introduction – see note under requirement #4 above)<br>(8 pts) | Short introduction of selected BSN sub-competencies (AACN, 2008) pertinent to <br>_scholarship for evidence-based practice_. Rationale is well presented, and purpose fully developed. <br> <br>**7 – 8 points** | Basic understanding and/or limited use of original explanation and/or inappropriate emphasis on an area.<br>**5 – 6 points** | Little or very general introduction of selected BSN sub-competencies (AACN, 2008). Little to no original explanation; inappropriate emphasis on an area.<br>**0 – 4 points** |
    | You Decide Reflection<br>(80 pts) | Excellent self-assessment of skills, knowledge, and integrative abilities pertinent to healthcare policy and advocacy. Reflection on pertinent BSN sub-competencies (AACN, 2008) supported with examples.<br>**70 – 80 points** | Basic self-assessment of skills, knowledge, and integrative abilities pertinent to healthcare policy and advocacy. Reflection on pertinent BSN sub-competencies (AACN, 2008) not supported with examples.<br>**59 – 69 points** | Little or very general self-assessment of skills, knowledge, and integrative abilities pertinent to healthcare policy and advocacy. Little or no reflection on pertinent BSN sub-competencies (AACN, 2008) or reflection not supported with examples.<br>**0 – 58 points** |
    | Conclusion<br>(4 pts) | Excellent understanding of pertinent BSN sub- competencies (AACN, 2008). Conclusions are well evidenced and fully developed.<br>**3 – 4 points** | Basic understanding and/or limited use of original explanation and/or inappropriate emphasis on an area.<br>**2 points** | Little understanding of pertinent BSN sub-competencies (AACN, 2008). Little to no original explanation; inappropriate emphasis on an area.<br>**0 – 1 point** |
    | Clarity of writing<br>(6 pts) | Excellent use of standard English showing original thought with minimal reliance on the works of others. No spelling or grammar errors. Well organized with proper flow of meaning. <br>**5 – 6 points** | Some evidence of own expression and competent use of language. No more than three spelling or grammar errors. Well organized thoughts and concepts.<br>**3 – 4 points** | Language needs development or there is an over-reliance on the works of others. Four or more spelling and/or grammar errors. Poorly organized thoughts and concepts.<br>**0 – 2 points** |
    | APA format<br>(2 pts) | APA format correct with no more than 1-2 minor errors. <br>**2 points** | 3-5 errors in APA format and/or 1-2 citations are missing.<br>**1 point** | APA formatting contains multiple errors and/or several citations are missing.<br>**0 points** |
    | Total Points Possible = 100 points |

    ## | | | | — | — | | NUR3826 Course Reflection Guidelines.docx 08/21/19 | 2 |

    **## EthicalandLegalAspectofNursingPractice-.docx**

    Florida National University

    Course Reflection

    Guidelines

    ## Purpose

    The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the course.

    ## Course Outcomes

    This assignment provides documentation of student ability to meet the following course outcomes:

    · Identify the different legal and ethical aspects in the nursing practice (ACCN Essential V; QSEN: patient-centered care, teamwork and collaboration).

    · Analyze the legal impact of the different ethical decisions in the nursing practice (ACCN Essential V; QSEN: patient- centered care, teamwork and collaboration).

    · Understand the essential of the nursing law and ethics (ACCN Essential V; QSEN: patient-centered care, teamwork and collaboration).

    **Points**

    This assignment is worth a total of 200 points (20%).

    **Due Date**

    Submit your completed assignment under the Assignment tab by
    **Monday** 11:59 p.m. EST of
    **Week 8** as directed.

    ## Requirements

    1. The
    **Course Reflection** is worth 200 points (10%) and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

    2. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A forum under the Discussions tab.

    3.
    **The length of the reflection is to be within three to six pages excluding title page and reference pages.**

    4. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):

    Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the
    _Publication manual of the American Psychological Association_(2010, p. 63).

    a. Course Reflection

    b. Conclusion

    ## Preparing Your Reflection

    The
    _BSN Essentials_ (AACN, 2008) outline a number of healthcare policy and advocacy competencies for the BSN-prepared nurse. Reflect on the course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to (choose 4):

    1. “Demonstrate the professional standards of moral, ethical, and legal conduct.

    2. Assume accountability for personal and professional behaviors.

    3. Promote the image of nursing by modeling the values and articulating the knowledge, skills, and attitudes of the nursing profession.

    4. Demonstrate professionalism, including attention to appearance, demeanor, respect for self and others, and attention to professional boundaries with patients and families as well as among caregivers.

    5. Demonstrate an appreciation of the history of and contemporary issues in nursing and their impact on current nursing practice.

    6. Reflect on one’s own beliefs and values as they relate to professional practice.

    7. Identify personal, professional, and environmental risks that impact personal and professional choices, and behaviors.

    8. Communicate to the healthcare team one’s personal bias on difficult healthcare decisions that impact one’s ability to provide care.

    9. Recognize the impact of attitudes, values, and expectations on the care of the very young, frail older adults, and other vulnerable populations.

    10. Protect patient privacy and confidentiality of patient records and other privileged communications.

    11. Access interprofessional and intra-professional resources to resolve ethical and other practice dilemmas.

    12. Act to prevent unsafe, illegal, or unethical care practices.

    13. Articulate the value of pursuing practice excellence, lifelong learning, and professional engagement to foster professional growth and development.

    14. Recognize the relationship between personal health, self-renewal, and the ability to deliver sustained quality care.” (p. 28).

    Reference:

    American Association of Colleges of Nursing [AACN]. (2008).
    _The essentials of baccalaureate education for professional nursing practice._ Washington, DC: Author.

    ## Directions and Grading Criteria

    | | | | |
    | — | — | — | — |
    | Category | Points | % | Description |
    | (Introduction – see note under requirement #4 above) | 8 | 8 | Introduces the purpose of the reflection and addresses BSN Essentials (AACN, 2008) pertinent to healthcare policy and advocacy. |
    | You Decide Reflection | 80 | 80 | Include a self-assessment regarding learning that you believe represents your skills, knowledge, and integrative abilities to meet the pertinent BSN Essential and sub-competencies (AACN, 2008) as a result of active learning throughout this course. Be sure to use examples from selected readings, threaded discussions, and/or applications to support your assertions to address each of the following sub-competencies:<br>(a) “Demonstrate the professional standards of moral, ethical, and legal conduct.<br>(b) Assume accountability for personal and professional behaviors.<br>(c) Promote the image of nursing by modeling the values and articulating the knowledge, skills, and attitudes of the nursing profession.<br>(d) Demonstrate professionalism, including attention to appearance, demeanor, respect for self and others, and attention to professional boundaries with patients and families as well as among caregivers.<br>(e) Demonstrate an appreciation of the history of and contemporary issues in nursing and their impact on current nursing practice.<br>(f) Reflect on one’s own beliefs and values as they relate to professional practice.<br>(g) Identify personal, professional, and environmental risks that impact personal and professional choices, and behaviors.<br>(h) Communicate to the healthcare team one’s personal bias on difficult healthcare decisions that impact one’s ability to provide care.<br>(i) Recognize the impact of attitudes, values, and expectations on the care of the very young, frail older adults, and other vulnerable populations.<br>(j) Protect patient privacy and confidentiality of patient records and other privileged communications.<br>(k) Access interprofessional and intra-professional resources to resolve ethical and other practice dilemmas.<br>(l) Act to prevent unsafe, illegal, or unethical care practices.<br>(m) Articulate the value of pursuing practice excellence, lifelong learning, and professional engagement to foster professional growth and development.<br>(n) Recognize the relationship between personal health, self-renewal, and the ability to deliver sustained quality care.” (p. 28). |
    | Conclusion | 4 | 4 | An effective conclusion identifies the main ideas and major conclusions from the body of your essay. Minor details are left out. Summarize the benefits of the pertinent BSN Essential and sub-competencies (AACN, 2008) <br>_pertaining to scholarship for evidence-based practice._ |
    | Clarity of writing | 6 | 6 | Use of standard English grammar and sentence structure. No spelling errors or typographical errors. Organized around the required components using appropriate headers. Writing should demonstrate original thought without an over-reliance on the works of others. |
    | APA format | 2 | 2 | All information taken from another source, even if summarized, must be appropriately cited in the manuscript and listed in the references using APA (6th ed.) format:<br>1. Document setup<br>2. Title and reference pages<br>3. Citations in the text and references. |
    | Total: | 100 | 100 | A quality essay will meet or exceed all of the above requirements. |

    ## Grading Rubric

    | | | | |
    | — | — | — | — |
    | Assignment Criteria | Meets Criteria | Partially Meets Criteria | Does Not Meet Criteria |
    | (Introduction – see note under requirement #4 above)<br>(8 pts) | Short introduction of selected BSN sub-competencies (AACN, 2008) pertinent to <br>_scholarship for evidence-based practice_. Rationale is well presented, and purpose fully developed. <br> <br>**7 – 8 points** | Basic understanding and/or limited use of original explanation and/or inappropriate emphasis on an area.<br>**5 – 6 points** | Little or very general introduction of selected BSN sub-competencies (AACN, 2008). Little to no original explanation; inappropriate emphasis on an area.<br>**0 – 4 points** |
    | You Decide Reflection<br>(80 pts) | Excellent self-assessment of skills, knowledge, and integrative abilities pertinent to healthcare policy and advocacy. Reflection on pertinent BSN sub-competencies (AACN, 2008) supported with examples.<br>**70 – 80 points** | Basic self-assessment of skills, knowledge, and integrative abilities pertinent to healthcare policy and advocacy. Reflection on pertinent BSN sub-competencies (AACN, 2008) not supported with examples.<br>**59 – 69 points** | Little or very general self-assessment of skills, knowledge, and integrative abilities pertinent to healthcare policy and advocacy. Little or no reflection on pertinent BSN sub-competencies (AACN, 2008) or reflection not supported with examples.<br>**0 – 58 points** |
    | Conclusion<br>(4 pts) | Excellent understanding of pertinent BSN sub- competencies (AACN, 2008). Conclusions are well evidenced and fully developed.<br>**3 – 4 points** | Basic understanding and/or limited use of original explanation and/or inappropriate emphasis on an area.<br>**2 points** | Little understanding of pertinent BSN sub-competencies (AACN, 2008). Little to no original explanation; inappropriate emphasis on an area.<br>**0 – 1 point** |
    | Clarity of writing<br>(6 pts) | Excellent use of standard English showing original thought with minimal reliance on the works of others. No spelling or grammar errors. Well organized with proper flow of meaning. <br>**5 – 6 points** | Some evidence of own expression and competent use of language. No more than three spelling or grammar errors. Well organized thoughts and concepts.<br>**3 – 4 points** | Language needs development or there is an over-reliance on the works of others. Four or more spelling and/or grammar errors. Poorly organized thoughts and concepts.<br>**0 – 2 points** |
    | APA format<br>(2 pts) | APA format correct with no more than 1-2 minor errors. <br>**2 points** | 3-5 errors in APA format and/or 1-2 citations are missing.<br>**1 point** | APA formatting contains multiple errors and/or several citations are missing.<br>**0 points** |
    | Total Points Possible = 100 points |

    ## | | | | — | — | | NUR3826 Course Reflection Guidelines.docx 08/21/19 | 2 |

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## CourseReflectionNUR4636-8wks1.docx

    **## CourseReflectionNUR4636-8wks1.docx**

    Florida National University NUR4636

    Course Reflection

    Guidelines

    ## Purpose

    The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the NUR4636 course.

    ## Course Outcomes

    This assignment provides documentation of student ability to meet the following course outcomes:

    · The students will be able to recognize the different level of prevention and apply them in the community (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration, quality improvement, informatics, and patient-centered care).

    · This course will enable the student to place in practice methods of health prevention, promotion and restoration in the communities (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, and teamwork and collaboration, quality improvement, informatics, and patient.

    · The students will be able to educate the communities about the different ways to prevent illness and promote health (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, teamwork, and collaboration, quality improvement, informatics, and patient-centered care).

    · The student will understand the different tools available to put in place and in the hands of the communities in order to keep them healthy (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration, quality improvement, informatics, and patient-centered care).

    **Points**

    This assignment is worth a total of 100 points (10%).

    **Due Date**

    Submit your completed assignment under the Assignment tab by Monday at 11:59 p.m. EST of
    **Week 8** as directed.

    ## Requirements

    1. The
    **Course Reflection** is worth 100 points (10%) and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

    2. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A forum under the Discussions tab.

    3.
    **The length of the reflection is to be within three to six pages excluding title page and reference pages.**

    4. APA format is required with both a title page and reference page. Use the required components according
    **to APA 7th Edition formatting**.

    ## Preparing Your Reflection

    The
    _BSN Essentials_ (AACN, 2008) outline a number of healthcare policy and advocacy competencies for the BSN-prepared nurse. Reflect on the
    **NUR4636** course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to
    **(choose 4):**

    1. “Demonstrate basic knowledge of healthcare policy, finance, and regulatory environments, including local, state, national, and global healthcare trends.

    2. Describe how health care is organized and financed, including the implications of business principles, such as patient and system cost factors.

    3. Compare the benefits and limitations of the major forms of reimbursement on the delivery of healthcare services.

    4. Examine legislative and regulatory processes relevant to the provision of health care.

    5. Describe state and national statutes, rules, and regulations that authorize and define professional nursing practice.

    6. Explore the impact of sociocultural, economic, legal, and political factors influencing healthcare delivery and practice.

    7. Examine the roles and responsibilities of the regulatory agencies and their effect on patient care quality, workplace safety, and the scope of nursing and other health professionals’ practice.

    8. Discuss the implications of healthcare policy on issues of access, equity, affordability, and social justice in healthcare delivery.

    9. Use an ethical framework to evaluate the impact of social policies on health care, especially for vulnerable populations.

    10. Articulate, through a nursing perspective, issues concerning healthcare delivery to decision makers within healthcare organizations and other policy arenas.

    11. Participate as a nursing professional in political processes and grassroots legislative efforts to influence healthcare policy.

    12. Advocate for consumers and the nursing profession.

    13. Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations.

    14. Conduct a health history, including environmental exposure and a family history that recognizes genetic risks, to identify current and future health problems.

    15. Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations.

    16. Use behavioral change techniques to promote health and manage illness.

    17. Use evidence based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan.

    18. Use information and communication technologies in preventive care.

    19. Collaborate with other healthcare professionals and patients to provide spiritually and culturally appropriate health promotion and disease and injury prevention interventions.

    20. Assess the health, healthcare, and emergency preparedness needs of a defined population.

    21. Use clinical judgment and decision-making skills in appropriate, timely nursing care during disaster, mass casualty, and other emergency situations.

    22. Collaborate with others to develop an intervention plan that takes into account determinants of health, available resources, and the range of activities that contribute to health and the prevention of illness, injury, disability, and premature death.

    23. Participate in clinical prevention and population focused interventions with attention to effectiveness, efficiency, cost-effectiveness, and equity.

    24. Advocate for social justice, including a commitment to the health of vulnerable populations and the elimination of health disparities.

    25. Use evaluation results to influence the delivery of care, deployment of resources, and to provide input into the development of policies to promote health and prevent disease.” (pp. 20-21, 24-25).

    Reference:

    American Association of Colleges of Nursing [AACN]. (2008).
    _The essentials of baccalaureate education for professional nursing practice._ Washington, DC: Author.

    ## Directions and Grading Criteria

    | | | | |
    | — | — | — | — |
    | Category | Points | % | Description |
    | (Introduction – see note under requirement #4 above) | 8 | 8 | Introduces the purpose of the reflection and addresses BSN Essentials (AACN, 2008) pertinent to healthcare policy and advocacy. |
    | You Decide Reflection | 80 | 80 | Include a self-assessment regarding learning that you believe represents your skills, knowledge, and integrative abilities to meet the pertinent BSN Essential and sub-competencies (AACN, 2008) as a result of active learning throughout this course. Be sure to use examples from selected readings, threaded discussions, and/or applications to support your assertions to address each of the following sub-competencies:<br>(a) “Demonstrate basic knowledge of healthcare policy, finance, and regulatory environments, including local, state, national, and global healthcare trends.<br>(b) Describe how health care is organized and financed, including the implications of business principles, such as patient and system cost factors.<br>(c) Compare the benefits and limitations of the major forms of reimbursement on the delivery of healthcare services.<br>(d) Examine legislative and regulatory processes relevant to the provision of health care.<br>(e) Describe state and national statutes, rules, and regulations that authorize and define professional nursing practice.<br>(f) Explore the impact of sociocultural, economic, legal, and political factors influencing healthcare delivery and practice.<br>(g) Examine the roles and responsibilities of the regulatory agencies and their effect on patient care quality, workplace safety, and the scope of nursing and other health professionals’ practice.<br>(h) Discuss the implications of healthcare policy on issues of access, equity, affordability, and social justice in healthcare delivery.<br>(i) Use an ethical framework to evaluate the impact of social policies on health care, especially for vulnerable populations.<br>(j) Articulate, through a nursing perspective, issues concerning healthcare delivery to decision makers within healthcare organizations and other policy arenas.<br>(k) Participate as a nursing professional in political processes and grassroots legislative efforts to influence healthcare policy.<br>(l) Advocate for consumers and the nursing profession.<br>(m) Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations.<br>(n) Conduct a health history, including environmental exposure and a family history that recognizes genetic risks, to identify current and future health problems.<br>(o) Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations.<br>(p) Use behavioral change techniques to promote health and manage illness.<br>(q) Use evidence based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan.<br>(r) Use information and communication technologies in preventive care.<br>(s) Collaborate with other healthcare professionals and patients to provide spiritually and culturally appropriate health promotion and disease and injury prevention interventions.<br>(t) Assess the health, healthcare, and emergency preparedness needs of a defined population.<br>(u) Use clinical judgment and decision-making skills in appropriate, timely nursing care during disaster, mass casualty, and other emergency situations.<br>(v) Collaborate with others to develop an intervention plan that takes into account determinants of health, available resources, and the range of activities that contribute to health and the prevention of illness, injury, disability, and premature death.<br>(w) Participate in clinical prevention and population focused interventions with attention to effectiveness, efficiency, cost-effectiveness, and equity.<br>(x) Advocate for social justice, including a commitment to the health of vulnerable populations and the elimination of health disparities.<br>(y) Use evaluation results to influence the delivery of care, deployment of resources, and to provide input into the development of policies to promote health and prevent disease.” (pp. 20-21, 24-25). |
    | Conclusion | 4 | 4 | An effective conclusion identifies the main ideas and major conclusions from the body of your essay. Minor details are left out. Summarize the benefits of the pertinent BSN Essential and sub-competencies (AACN, 2008) <br>_pertaining to scholarship for evidence-based practice._ |
    | Clarity of writing | 6 | 6 | Use of standard English grammar and sentence structure. No spelling errors or typographical errors. Organized around the required components using appropriate headers. Writing should demonstrate original thought without an over-reliance on the works of others. |
    | APA format | 2 | 2 | All information taken from another source, even if summarized, must be appropriately cited in the manuscript and listed in the references using APA (6th ed.) format:<br>1. Document setup<br>2. Title and reference pages<br>3. Citations in the text and references. |
    | Total: | 100 | 100 | A quality essay will meet or exceed all of the above requirements. |

    ## Grading Rubric

    | | | | |
    | — | — | — | — |
    | Assignment Criteria | Meets Criteria | Partially Meets Criteria | Does Not Meet Criteria |
    | (Introduction – see note under requirement #4 above)<br>(8 pts) | Short introduction of selected BSN sub-competencies (AACN, 2008) pertinent to <br>_scholarship for evidence-based practice_. Rationale is well presented, and purpose fully developed. <br> <br>**7 – 8 points** | Basic understanding and/or limited use of original explanation and/or inappropriate emphasis on an area.<br>**5 – 6 points** | Little or very general introduction of selected BSN sub-competencies (AACN, 2008). Little to no original explanation; inappropriate emphasis on an area.<br>**0 – 4 points** |
    | You Decide Reflection<br>(80 pts) | Excellent self-assessment of skills, knowledge, and integrative abilities pertinent to healthcare policy and advocacy. Reflection on pertinent BSN sub-competencies (AACN, 2008) supported with examples.<br>**70 – 80 points** | Basic self-assessment of skills, knowledge, and integrative abilities pertinent to healthcare policy and advocacy. Reflection on pertinent BSN sub-competencies (AACN, 2008) not supported with examples.<br>**59 – 69 points** | Little or very general self-assessment of skills, knowledge, and integrative abilities pertinent to healthcare policy and advocacy. Little or no reflection on pertinent BSN sub-competencies (AACN, 2008) or reflection not supported with examples.<br>**0 – 58 points** |
    | Conclusion<br>(4 pts) | Excellent understanding of pertinent BSN sub- competencies (AACN, 2008). Conclusions are well evidenced and fully developed.<br>**3 – 4 points** | Basic understanding and/or limited use of original explanation and/or inappropriate emphasis on an area.<br>**2 points** | Little understanding of pertinent BSN sub-competencies (AACN, 2008). Little to no original explanation; inappropriate emphasis on an area.<br>**0 – 1 point** |
    | Clarity of writing<br>(6 pts) | Excellent use of standard English showing original thought with minimal reliance on the works of others. No spelling or grammar errors. Well organized with proper flow of meaning. <br>**5 – 6 points** | Some evidence of own expression and competent use of language. No more than three spelling or grammar errors. Well organized thoughts and concepts.<br>**3 – 4 points** | Language needs development or there is an over-reliance on the works of others. Four or more spelling and/or grammar errors. Poorly organized thoughts and concepts.<br>**0 – 2 points** |
    | APA format<br>(2 pts) | APA format correct with no more than 1-2 minor errors. <br>**2 points** | 3-5 errors in APA format and/or 1-2 citations are missing.<br>**1 point** | APA formatting contains multiple errors and/or several citations are missing.<br>**0 points** |
    | Total Points Possible = 100 points |

    ## | | | | — | — | | NUR4636 Course Reflection Guidelines.docx 08/21/19 | 2 |

    **## CourseReflectionNUR4636-8wks1.docx**

    Florida National University NUR4636

    Course Reflection

    Guidelines

    ## Purpose

    The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the NUR4636 course.

    ## Course Outcomes

    This assignment provides documentation of student ability to meet the following course outcomes:

    · The students will be able to recognize the different level of prevention and apply them in the community (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration, quality improvement, informatics, and patient-centered care).

    · This course will enable the student to place in practice methods of health prevention, promotion and restoration in the communities (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, and teamwork and collaboration, quality improvement, informatics, and patient.

    · The students will be able to educate the communities about the different ways to prevent illness and promote health (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, teamwork, and collaboration, quality improvement, informatics, and patient-centered care).

    · The student will understand the different tools available to put in place and in the hands of the communities in order to keep them healthy (ACCN Essential I, II, IV, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration, quality improvement, informatics, and patient-centered care).

    **Points**

    This assignment is worth a total of 100 points (10%).

    **Due Date**

    Submit your completed assignment under the Assignment tab by Monday at 11:59 p.m. EST of
    **Week 8** as directed.

    ## Requirements

    1. The
    **Course Reflection** is worth 100 points (10%) and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

    2. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A forum under the Discussions tab.

    3.
    **The length of the reflection is to be within three to six pages excluding title page and reference pages.**

    4. APA format is required with both a title page and reference page. Use the required components according
    **to APA 7th Edition formatting**.

    ## Preparing Your Reflection

    The
    _BSN Essentials_ (AACN, 2008) outline a number of healthcare policy and advocacy competencies for the BSN-prepared nurse. Reflect on the
    **NUR4636** course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to
    **(choose 4):**

    1. “Demonstrate basic knowledge of healthcare policy, finance, and regulatory environments, including local, state, national, and global healthcare trends.

    2. Describe how health care is organized and financed, including the implications of business principles, such as patient and system cost factors.

    3. Compare the benefits and limitations of the major forms of reimbursement on the delivery of healthcare services.

    4. Examine legislative and regulatory processes relevant to the provision of health care.

    5. Describe state and national statutes, rules, and regulations that authorize and define professional nursing practice.

    6. Explore the impact of sociocultural, economic, legal, and political factors influencing healthcare delivery and practice.

    7. Examine the roles and responsibilities of the regulatory agencies and their effect on patient care quality, workplace safety, and the scope of nursing and other health professionals’ practice.

    8. Discuss the implications of healthcare policy on issues of access, equity, affordability, and social justice in healthcare delivery.

    9. Use an ethical framework to evaluate the impact of social policies on health care, especially for vulnerable populations.

    10. Articulate, through a nursing perspective, issues concerning healthcare delivery to decision makers within healthcare organizations and other policy arenas.

    11. Participate as a nursing professional in political processes and grassroots legislative efforts to influence healthcare policy.

    12. Advocate for consumers and the nursing profession.

    13. Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations.

    14. Conduct a health history, including environmental exposure and a family history that recognizes genetic risks, to identify current and future health problems.

    15. Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations.

    16. Use behavioral change techniques to promote health and manage illness.

    17. Use evidence based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan.

    18. Use information and communication technologies in preventive care.

    19. Collaborate with other healthcare professionals and patients to provide spiritually and culturally appropriate health promotion and disease and injury prevention interventions.

    20. Assess the health, healthcare, and emergency preparedness needs of a defined population.

    21. Use clinical judgment and decision-making skills in appropriate, timely nursing care during disaster, mass casualty, and other emergency situations.

    22. Collaborate with others to develop an intervention plan that takes into account determinants of health, available resources, and the range of activities that contribute to health and the prevention of illness, injury, disability, and premature death.

    23. Participate in clinical prevention and population focused interventions with attention to effectiveness, efficiency, cost-effectiveness, and equity.

    24. Advocate for social justice, including a commitment to the health of vulnerable populations and the elimination of health disparities.

    25. Use evaluation results to influence the delivery of care, deployment of resources, and to provide input into the development of policies to promote health and prevent disease.” (pp. 20-21, 24-25).

    Reference:

    American Association of Colleges of Nursing [AACN]. (2008).
    _The essentials of baccalaureate education for professional nursing practice._ Washington, DC: Author.

    ## Directions and Grading Criteria

    | | | | |
    | — | — | — | — |
    | Category | Points | % | Description |
    | (Introduction – see note under requirement #4 above) | 8 | 8 | Introduces the purpose of the reflection and addresses BSN Essentials (AACN, 2008) pertinent to healthcare policy and advocacy. |
    | You Decide Reflection | 80 | 80 | Include a self-assessment regarding learning that you believe represents your skills, knowledge, and integrative abilities to meet the pertinent BSN Essential and sub-competencies (AACN, 2008) as a result of active learning throughout this course. Be sure to use examples from selected readings, threaded discussions, and/or applications to support your assertions to address each of the following sub-competencies:<br>(a) “Demonstrate basic knowledge of healthcare policy, finance, and regulatory environments, including local, state, national, and global healthcare trends.<br>(b) Describe how health care is organized and financed, including the implications of business principles, such as patient and system cost factors.<br>(c) Compare the benefits and limitations of the major forms of reimbursement on the delivery of healthcare services.<br>(d) Examine legislative and regulatory processes relevant to the provision of health care.<br>(e) Describe state and national statutes, rules, and regulations that authorize and define professional nursing practice.<br>(f) Explore the impact of sociocultural, economic, legal, and political factors influencing healthcare delivery and practice.<br>(g) Examine the roles and responsibilities of the regulatory agencies and their effect on patient care quality, workplace safety, and the scope of nursing and other health professionals’ practice.<br>(h) Discuss the implications of healthcare policy on issues of access, equity, affordability, and social justice in healthcare delivery.<br>(i) Use an ethical framework to evaluate the impact of social policies on health care, especially for vulnerable populations.<br>(j) Articulate, through a nursing perspective, issues concerning healthcare delivery to decision makers within healthcare organizations and other policy arenas.<br>(k) Participate as a nursing professional in political processes and grassroots legislative efforts to influence healthcare policy.<br>(l) Advocate for consumers and the nursing profession.<br>(m) Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations.<br>(n) Conduct a health history, including environmental exposure and a family history that recognizes genetic risks, to identify current and future health problems.<br>(o) Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations.<br>(p) Use behavioral change techniques to promote health and manage illness.<br>(q) Use evidence based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan.<br>(r) Use information and communication technologies in preventive care.<br>(s) Collaborate with other healthcare professionals and patients to provide spiritually and culturally appropriate health promotion and disease and injury prevention interventions.<br>(t) Assess the health, healthcare, and emergency preparedness needs of a defined population.<br>(u) Use clinical judgment and decision-making skills in appropriate, timely nursing care during disaster, mass casualty, and other emergency situations.<br>(v) Collaborate with others to develop an intervention plan that takes into account determinants of health, available resources, and the range of activities that contribute to health and the prevention of illness, injury, disability, and premature death.<br>(w) Participate in clinical prevention and population focused interventions with attention to effectiveness, efficiency, cost-effectiveness, and equity.<br>(x) Advocate for social justice, including a commitment to the health of vulnerable populations and the elimination of health disparities.<br>(y) Use evaluation results to influence the delivery of care, deployment of resources, and to provide input into the development of policies to promote health and prevent disease.” (pp. 20-21, 24-25). |
    | Conclusion | 4 | 4 | An effective conclusion identifies the main ideas and major conclusions from the body of your essay. Minor details are left out. Summarize the benefits of the pertinent BSN Essential and sub-competencies (AACN, 2008) <br>_pertaining to scholarship for evidence-based practice._ |
    | Clarity of writing | 6 | 6 | Use of standard English grammar and sentence structure. No spelling errors or typographical errors. Organized around the required components using appropriate headers. Writing should demonstrate original thought without an over-reliance on the works of others. |
    | APA format | 2 | 2 | All information taken from another source, even if summarized, must be appropriately cited in the manuscript and listed in the references using APA (6th ed.) format:<br>1. Document setup<br>2. Title and reference pages<br>3. Citations in the text and references. |
    | Total: | 100 | 100 | A quality essay will meet or exceed all of the above requirements. |

    ## Grading Rubric

    | | | | |
    | — | — | — | — |
    | Assignment Criteria | Meets Criteria | Partially Meets Criteria | Does Not Meet Criteria |
    | (Introduction – see note under requirement #4 above)<br>(8 pts) | Short introduction of selected BSN sub-competencies (AACN, 2008) pertinent to <br>_scholarship for evidence-based practice_. Rationale is well presented, and purpose fully developed. <br> <br>**7 – 8 points** | Basic understanding and/or limited use of original explanation and/or inappropriate emphasis on an area.<br>**5 – 6 points** | Little or very general introduction of selected BSN sub-competencies (AACN, 2008). Little to no original explanation; inappropriate emphasis on an area.<br>**0 – 4 points** |
    | You Decide Reflection<br>(80 pts) | Excellent self-assessment of skills, knowledge, and integrative abilities pertinent to healthcare policy and advocacy. Reflection on pertinent BSN sub-competencies (AACN, 2008) supported with examples.<br>**70 – 80 points** | Basic self-assessment of skills, knowledge, and integrative abilities pertinent to healthcare policy and advocacy. Reflection on pertinent BSN sub-competencies (AACN, 2008) not supported with examples.<br>**59 – 69 points** | Little or very general self-assessment of skills, knowledge, and integrative abilities pertinent to healthcare policy and advocacy. Little or no reflection on pertinent BSN sub-competencies (AACN, 2008) or reflection not supported with examples.<br>**0 – 58 points** |
    | Conclusion<br>(4 pts) | Excellent understanding of pertinent BSN sub- competencies (AACN, 2008). Conclusions are well evidenced and fully developed.<br>**3 – 4 points** | Basic understanding and/or limited use of original explanation and/or inappropriate emphasis on an area.<br>**2 points** | Little understanding of pertinent BSN sub-competencies (AACN, 2008). Little to no original explanation; inappropriate emphasis on an area.<br>**0 – 1 point** |
    | Clarity of writing<br>(6 pts) | Excellent use of standard English showing original thought with minimal reliance on the works of others. No spelling or grammar errors. Well organized with proper flow of meaning. <br>**5 – 6 points** | Some evidence of own expression and competent use of language. No more than three spelling or grammar errors. Well organized thoughts and concepts.<br>**3 – 4 points** | Language needs development or there is an over-reliance on the works of others. Four or more spelling and/or grammar errors. Poorly organized thoughts and concepts.<br>**0 – 2 points** |
    | APA format<br>(2 pts) | APA format correct with no more than 1-2 minor errors. <br>**2 points** | 3-5 errors in APA format and/or 1-2 citations are missing.<br>**1 point** | APA formatting contains multiple errors and/or several citations are missing.<br>**0 points** |
    | Total Points Possible = 100 points |

    ## | | | | — | — | | NUR4636 Course Reflection Guidelines.docx 08/21/19 | 2 |

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