Day: May 14, 2018

Interim Assessment. Document of Case Based Precedence about Reinforced concrete Frame. 5 Case Study should be relevant to the project which is construction of six storey, two floors of RC Frame car park and the other floors is steel frame. my part focus in the 2 floors of RC frame car park, develop a study, analysis and review on why I choose a typical mixture of RC that have been used in the case study and it has been successful, buildings that used slabs concrete in their car park structure. Analysis the slabs (dimension, width, depth, thickness,..) same goes to the columns, beams…, trying to make the spice less column to fit more cars as possible.
1-must be in-situ reinforced concrete and the management of shell and core.
2- including calculations
3- mention the health and safety.
4- most important thing for the client is the time then cost the quality
inclding some picture(need the source beside it), should mention the time of every process, like how long they toke to finish construction the slabs,.., how many workers does it need, the budget of the materials and quality.
our building we used the columns as 0.45mx0.45m, the distance between every column is 7.5m x 10m.
dimension of the building 119.7m x 31.8m. so the space between column from 119.7m side is 7.5m, and from 31.8m side is 10m.

You have been provided with case studies in Week 4 and Week 5 that focused on genitourinary and musculoskeletal disorders. You will pick one of these cases to analyze and create a comprehensive plan of care for acute/chronic care, disease prevention, and health promotion for that patient and disorder. Your care plan should be based on current best practices and supported with citations from current literature, such as systematic reviews, published practice guidelines, standards of care from specialty organizations, and other research based resources. In addition, you will provide a detailed scientific rationale that justifies the inclusion of this evidence in your plan. Your paper should adhere to APA format for title page, headings, citations, and references. The paper should be no more than 3 pages typed excluding title page and references.
Criteria:
SOAP note
Evaluation of priority diagnosis
Facilitators and barriers to disorder management
Submit your document to the W4 Assignment 2 Dropbox by Tuesday, December 13, 2016.
Assignment 2 Grading Criteria
Maximum Points
Introduction
The submission included a general introduction to the priority diagnosis.
10
Subjective Data
The submission included the patient’s interpretation of current medical problem. It included chief complaint, history of present illness, current medications and reason prescribed, past medical history, family history, and review of systems.
15
Objective Data
The submission included the measurements and observations obtained by the nurse practitioner. It included head to toe physical examination, laboratory and diagnostic testing results.
15
Assessment
The submission included at least three priority diagnoses. Each diagnosis was supported by documentation in subjective and objective notes and free of essential omissions. All diagnoses were documented using acceptable terminologies and current ICD-10 codes.
20
Plan of Care
Plan included diagnostic and therapeutic (pharmacologic and non-pharmacologic) management as well as education and counseling provided. The plan was supported by evidence/guidelines, and the follow-up plans were noted.
25
Evaluation of Priority Diagnosis
The plan chose the priority diagnosis for the pt and differentiated the disorder from normal development. Discussed the physical and psychological demands the disorder places on the patient and family and key concepts to discuss with them. Identified key interdisciplinary team personnel needed and how this team will provide care to achieve optimal disorder management and outcomes.
25
Facilitators and Barriers
The submission interpreted facilitators and barriers to optimal disorder management and outcomes and strategies to overcome the identified barriers.
20
Conclusion
The submission included what should be taken away from this assignment.
10
APA/Style/Format
The submission was free of grammatical, spelling, or punctuation errors. Citations and references were written in correct APA Style.
Utilized proper format with coversheet, header.
10
Total
150

Pick any two chapters in the Stulberg-Fuhrman text that more or less address the same subjects. Explain the different perspectives of each author.

Adam N. Stulberg and Matthew Fuhrmann (Eds.): The Nuclear Renaissance and International Security: (Stanford, CA: Stanford University Press, 2013). ISBN 978-08047-8417 -7

PART I Drivers and Patterns of the Nuclear Renaissance

Adam N. Stulberg and Mathew Fuhrmann, Introduction: Understanding the Nuclear Renaissance, pp. 1-18
Chp. 1 Bernard Gourley and Adam N. Stulberg, “Correlates of Nuclear Energy: Back to the Future or Back to Basics, pp. 19-29
Chp. 2 Allison MacFarlane, Where, How and Will Nuclear Happen? Nuclear ‘Renaissance Discourses from Buyers and Suppliers”, pp. 50-72
Chp. 3 Mathew Fuhrmann, Nuclear Suppliers and the Renaissance in Nuclear Power, pp. 73-976

Chp. 4 Adam N. Stulberg, Internationalization of the Fuel Cycle and the Nuclear Energy Renaissance: Confronting the Credible Commitment Problem, pp. 97- 123

Chp. 5 Joshua William Busby, Vaunted Hopes: Climate Change and the Unlikely Nuclear Renaissance”, pp. 124-153

Chp. 6 Christopher Way, the Politics of the Nuclear Renaissance: A Comment, pp. 154-176

PART II the Nuclear Renaissance and Nuclear Weapons Proliferation

Chp. 7 Stop Helping Me: When Nuclear Assistance Impedes Nuclear Programs, pp. 177-202

Chp. 8 Mathew Kroenig, The Nuclear Renaissance, Sensitive Nuclear Assistance, and Nuclear Weapons Proliferation, pp. 203-222

Adam N. Stulberg and Matthew Fuhrmann (Eds.): The Nuclear Renaissance and International Security: (Stanford, CA: Stanford University Press, 2013). ISBN 978-08047-8417 -7 The Stulberg-Fuhrman text examines many possible future nuclear scenarios by focusing on the fundamental goal of the NPT: to prevent the transfer of fissile technologies from the civilian sector to the military sector. A shorter recent work by Henry D. Sokolsky, Underestimated: Our Not So Peaceful Nuclear Future (Arlington. VA: Nonproliferation Policy Center, 2015) covers the same issues but in very current terms. Sokolsky provides very useful bibliographical references. Both the Stulberg-Fuhrman volume and the Sokolsky study boil down the cosmic questions of the previous course texts to a laundry list of specific practical items.

Here is other options you can choose from Henry D. Sokolsky, Underestimated: Our Not So Peaceful Nuclear Future (Arlington. VA: Nonproliferation Policy Center, 2015) ISBN 978-1522965138 Un-Numbered Chapter: “What We Think”, pp.7-46 Un-Numbered Chapter: “Where We Are Headed”, pp. 47-101 Un-Numbered Chapter: “What Might Help”, pp. 102-131 Write a review of the arguments presented in Sokolsky’s Un-Numbered Chapter: “What We Think” Write a review of the arguments presented in Sokolsky’s Un-Numbered Chapter: “Where Are Headed”

As an entrepreneur, you want to start a business. You know that the first step is to consider drafting a business plan proposal to organize all of your ideas. For this assignment, you will be submitting a business plan proposal outline for your imaginary business. For research purposes, you can choose any state for the location of your business. Your business plan outline should include the following:

Introduction of the proposed business (200-300 words)
Description and explanation of the type of business entity that is best for your business (200-400 words)
Your business should be a partnership, corporation, or another type (For this assignment, you should not choose a sole proprietorship for your business entity.).
Provide an explanation for your choice of business entity (advantages or disadvantages of the selected type of business entity).
Description of the specific steps that need to be followed to successfully and legally start the business (500-700 words)
Steps will vary depending on the type of business that you choose.
Good sources of research for this area include the following:
Textbooks
State statutes (e.g., Chapters 47 and 48 of the South Dakota Codified Laws include information on the business formation process.)
The Small Business Administration Web site will be helpful because it includes information on how to start a small business.
A draft of a valid contract with a vendor, supplier, customer, and so forth that illustrates all elements of a contract and takes into consideration some of the topics discussed in the contract chapters

Write a 750-1,000-word essay using the theories of Jung and Gardner to describe your top three strengths and how these will help you be a better student. Review any of the readings and/or videos listed for this week to support your ideas. Remember, you need to use at least three to four sources.

Describe the theories of Jung and Gardner.
Using the theories of Jung and Gardner, identify your top three strengths.
Select two other participants and identify/assess their top three strengths, based on results from the Jung Typology Test. These participants need to be individuals whose behavior you are familiar with. The participants can be family, friends, and/or co-workers.
Using your results and the results of the two participants, describe your top three strengths and how they are similar or different from the two participants.
Discuss why the similarities and differences are important to know and understand.
Prepare this assignment according to the guidelines found in the GCU Style Guide, located in the Student Success Center.

Requirements:

Chapter 1: Introduction
A. Provide an introduction (suggested length of 4–6 pages) that explains the rationale for your project by doing the following:
1. Explain the background of the problem.
2. Provide your problem statement.
3. Summarize the scope of the project by doing the following:
a. Describe the practice change, quality improvement, or innovation.
b. Provide a rationale for the practice change, quality improvement, or innovation.

Chapter 2: Literature Review
B. Provide a thorough and well-organized literature review on your topic by doing the following:
1. Review a minimum of 30 credible sources that were published within the last five years.

Note: In order to prove that you have reviewed 30 credible sources, you will need to provide a list, in APA format, of the sources you reviewed for part B1.

2. Identify best practices for your topic based on the review of literature.
3. Provide an evidence summary of the literature relevant to the topic you have chosen.

C. Recommend a practice change, quality improvement, or innovation based on the findings of the literature review and evidence summary from parts A and B.

D. When you use sources, include all in-text citations and references in APA format. All within the last five years.
Chapter 3: Implementation
Project Launch
A. Evaluate how you implemented your capstone project by doing the following:
1. Describe the actual steps taken to implement your capstone project.
2. Discuss any changes that occurred to the original implementation plan during this process.
3. Discuss any barriers associated with the implementation of your capstone project.
a. Explain how you overcame the barriers discussed in part A3.

Collaboration
B. Identify interprofessional relationships that promoted implementation of your capstone project.
1. Discuss how the relationships identified in part B facilitated the implementation of your project.

Chapter 4: Postcapstone Project Considerations
Evaluation
C. Discuss the most successful aspects of your capstone project.
1. Explain how the successes of your project can help to inform future projects.

D. Discuss aspects of your project that did not go as well as anticipated.
1. Explain how understanding of what did not go well can help to inform future projects.

E. Explain how your capstone project bridged the gap between evidence and current practice.

Organizational Sustainability
F. Discuss the organization’s plan to support the postimplementation of the capstone project, including plans for short- and long-term maintenance.

G. Discuss the resources needed for postimplementation support.

Chapter 5: Reflection
H. Discuss how you integrated two MSN program outcomes into your capstone project.

I. Submit your completed capstone report, including the abstract and chapters 1–5.

Abstract
J. Create an abstract for your capstone project, including:
• problem identification
• plan for addressing the problem under investigation
• implementation process

K. When you use sources, include all in-text citations and references in APA format.
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This is an instructional template only. Please use this to guide you as you work in the MSN Capstone Template. Complete this Title Page by adding your Running head, title of your project, and your name.
Title of Capstone Project
Author Name (First, Middle Initial, and Last)
College of Health Professions
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Abstract
1. Problem identification
2. Plan for addressing the problem under investigation
3. Implementation process
** Note: Abstract length – single paragraph, do not indent, maximum of 250 words.
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Acknowledgements
(Inclusion of acknowledgements is optional)
This area is to acknowledge family, preceptor, faculty, friends, or anyone you would like to acknowledge.

Table of Contents
** Note: You MUST add any additional subtitle headings to this Table of Contents as well as the page numbers.
Abstract……………………………………………………………………………………..2
Acknowledgements…………………………………………………………………………3
Chapter 1: Introduction……………………………………………………………………..
Problem Statement………………………………………………………………………
Problem Background…………………………………………………………………….
Rationale for the Practice Change, Quality Improvement, or Innovation………………
Chapter 2: Review of the Literature…………………………………………………………
Credible Sources………………………………………………………………………….
Best Practices Identification……………………………………………………………..
Evidence Summary………………………………………………………………………
Recommended Practice Change, Quality Improvement, or Innovation…………………
Chapter 3: Implementation…………………………………………………………………..
Capstone Project Steps……………………………………………………………………
Changes to original implementation plan……………………………………………..
Barriers associated with implementation……………………………………………..
Overcoming barriers…………………………………………………………………..
Transprofessional Relationships…………………………………………………………
How relationships facilitated implementation……………………………………….
Chapter 4: Post Capstone Project Considerations…………………………………………..
Capstone Successes……………………………………………………………………….
Successful aspects…………………………………………………………………….
Impact on future projects…………………………………………………………….
Capstone Challenges……………………………………………………………………..
Aspects that did not go well…………………………………………………………..
Impact on future projects……………………………………………………………..
Evidence and Current Practice…………………………………………………………..
Post-Implementation……………………………………………………………………..
Resources Required for Post-Implementation Support…………………………………..
Chapter 5: Reflection…………………………………………………………………………
Integration of MSN Program Outcomes………………………………………………….
References…………………………………………………………………………………….
Appendix A: Credible Sources…………………………………………………………………
Appendix B: Organization Approval Letter……………………………………………………
Appendix C: Preceptor Agreement…………………………………………………………….
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Chapter 1: Introduction
Note: You will write Chapter 1 after successful completion of Task 1 in the Field Experience Course. You may refer to Task 1 to complete your Introduction. Please DO NOT copy/cut and paste into the MSN Capstone Template as the formatting will be altered.
The Introduction to Chapter 1 provides a brief discussion about the topics that will follow in Chapter 1. Therefore, this section should include a brief introduction of the problem your project will address, a brief discussion about the practice change, quality improvement, or innovation you have selected to address the problem, and the reason (rationale) you believe your practice change, quality improvement, or innovation is necessary to address the problem.
Problem Statement
This section involves the nursing problem you plan to address. The Problem Statement should be clear and concise. You should describe the scope of your problem, the population effected by the problem, and location where the problem exists, and other key issues specific to your problem. This section involves a nursing problem statement, not a clinical PICO or research question. Here are several examples of a Problem Statement: 1) A high incidence of alcohol-related injuries and accidents at a local high school, 2) High RN turnover rates in a specific facility or organization, 3) Staff on a nursing unit are not currently using or following credible evidence-based practice guidelines around a specific nursing practice, 4) Staff nurses on a specific unit or facility desire more autonomy related to their work schedules, or 5) Staff nurses on a specific unit or facility have a knowledge deficit about a new procedure, policy, or patient care protocol. Your nursing problem should reflect your specialty track (nursing education or nursing leadership and management).
Problem Background
In a detailed discussion, you should include factors, issues, or phenomenon that helped create or contribute to the problem. How did this problem begin and how long has it been a problem? Are there people (individual or groups) and/or conditions that contribute to the problem? Be sure to provide substantial detail to support the background information.
Description of the Practice Change, Quality Improvement, or Innovation
This section will include a detailed discussion of each of the action steps that you will actually complete (or have completed) in support of your practice change, quality improvement, or innovation. You will need to be specific. For example, your organization may be interested in changing the policy or approach to the triage process in your emergency department. However, this policy change/process improvement will take several months and system wide resources to complete. You will not have sufficient time or resources to complete the entire policy change/process improvement within the scope of your Capstone project. Also, due to organizational constraints or your position in the organization, you may not have the capacity to effect the policy/process improvement in its entirety. Nevertheless, you are in a position to influence change by developing a specific component in support of changing the triage process. Therefore, your project will involve a smaller scope, which you must fully develop. Your part of the project may involve the following: 1) Developing a schematic for the new triage process, 2) Developing a new policy for implementing the new triage process, 3) Developing a new educational offering about the new triage process, and/or 4) Providing a presentation of the evidence that supports changing the triage process to stakeholders that are in a position to effect the change that you are advocating. Your Capstone project will then focus on what you will do (or did) to influence change within your organization; your specific component of the larger change that is taking place within your organization. The goal is for you to be succinct, yet provide sufficient detail to ensure readers have a clear understanding of what your specific contribution to the organization’s practice change, quality improvement, or innovation is all about. Information about your action items, timeline, interactions with stakeholders, and utilization of resources will enhance this discussion.
Rationale for the Practice Change, Quality Improvement, or Innovation
This section will provide an explanation of why the practice change, quality improvement, or innovation is being recommended. Explain the importance of the practice change, quality improvement, or innovation. Why is your project desired, needed, or required? This section should also clearly explain the rationale for selecting your specific component of the organization’s practice change, quality improvement, or innovation. For example, providing a schematic for the new triage process will be necessary if the usual flow or room assignment in the Emergency Department will be changed by the new triage process. In short, provide a clear a rationale for the key steps involved with your Capstone project (your specific component of the organization’s practice change, quality improvement, or innovation that is being recommended)

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Chapter 2: Review of the Literature
Credible Sources
This section requires a general narrative discussion indicating that 30 credible sources (related to your project), published within the last five years were reviewed. You should indicate a brief statement in this narrative, indicating that your review will include the source’s applicability, the evidence grade assigned, a general appraisal of the findings, and a determination of whether the source will be included or excluded from the final list of sources that will be used to inform your Capstone project. You should refer your readers to Appendix A at the end of your narrative discussion. For example: See Appendix A Credible Sources.
You will accomplish the actual review of your sources by completing Appendix A – the Credible Sources table (located in the Appendix section of this template). Recall, the purpose of your review is to evaluate each source (article) and make an appraisal of the source, based on the following criteria: 1) Database where source was located, 2) Peer-reviewed (yes/no), 3) Applicability to your project, 4) Evidence grade assigned (strength and hierarchy), 5) General appraisal (brief summary of findings/information and how the findings inform your project), 6) Inclusion (whether you intend to use the source to bolster the credibility of your project) or Exclusion (source does not bolster the credibility of your project). Each of the sources that meet criteria for inclusion, based upon your review, must be utilized in the body of your paper (sources will be identified using in-text citations). All sources identified with in-text citations in the body of the paper must be included in your References section.

Best Practices Identification
This section involves a narrative discussion. You will identify specific best practices identified or discussed in the sources that met your inclusion criteria (from Appendix A – Credible Sources Table).
Remember, the best practices, which are identified in your review of the literature, form the foundation and support the development of your Capstone project. In-text citations MUST be used to support your identified best practices. If you note a lack of evidence or a gap in the literature, you will need to discuss the gaps or deficits in this section too. As a cautionary note, be sure there is adequate evidence to support your recommended project, if you are proposing to implement an evidence-based practice procedure or protocol. If there is truly a dearth of evidence or significant gaps in the available literature, then you will need to frame your project as an innovation. Innovations in practice settings are rare and will require substantial buy in from stakeholders. The burden for justifying an innovation in the practice setting is quite high. If existing credible evidence that runs contrary to the recommended innovation is discovered, then the innovation must be abandoned in favor of the evidence. In this case, science (evidence) trumps opinion (innovation), or politics (what an organization wants you to do).
Evidence Summary
This section is based on the sources that met your inclusion criteria in Appendix A – Credible Sources table. This section provides a summary (synthesis) of the findings, conclusions, or recommendations identified in the sources that were “included”. The Evidence Summary should not be an Annotated Bibliography (separate critique) of the “included” sources. Instead, it should identify the areas where consensus among the various authors of the “included” sources exists. The findings, positions, and recommendations included in your Evidence Summary should be consistent with the recommendations you are proposing for your Capstone project. Use of subheadings in this section, greatly facilitates organization of your Evidence Summary. You MUST include an APA style in-text citation for every source that met your inclusion criteria in Appendix A – Credible Sources table. Each “included” source will be incorporated into the discussion in your Evidence Summary. You are encouraged to cite more than one source (as applicable) when discussing the topics in your evidence summary. Each APA style in-text citation must be included in your References section.
Subheading (usually required). When you are discussing your findings, positions and recommendations identified in the literature, it is helpful to organize your discussion by concept, topic, or idea. The use of subheadings will provide both you and the reader, a good flow of information. Remember to give your Subheadings a title and to add them to your Table of Contents.
Subheading (usually required). Type here.
Subheading (usually required). Type here.
Recommended Practice Change, Quality Improvement, or Innovation
In this section, you will provide a brief restatement of your problem from Chapter 1: Introduction, followed by the information contained in your evidence summary to make a recommendation for a practice change, quality improvement, or innovation. Your recommendation must be supported by the evidence (or lack of evidence) you identified in the literature review.
Chapter 3: Implementation
Capstone Project Steps
This chapter is intended for you to provide a reflection on the actions steps that you took to complete your project. As a reminder, this will include a detailed discussion of each of the action steps that you actually completed in support of your specific component of the organization’s practice change, quality improvement, or innovation. Your reflection will then focus on what you were able to do to influence change within your organization. In short, you will need to describe what you actually did. Information about your completed action items, timeline, interactions with stakeholders, and utilization of resources will enhance this discussion.
Changes to original implementation plan. This section will include a detailed discussion of any changes you made in your original implementation plan. Be sure to include a detailed discussion of each of these changes in relation to your original plan. For example, adjustments to your timeline may have been required for a variety of reasons. You should identify the change to your original timeline and include the rationale for the change. Other changes may have been required due to constraints or changes within the organization that is supporting your practice change, quality improvement, or innovation. If no changes were made to your original plan, you should indicate this fact.
Barriers associated with implementation. In this section, you will provide a detailed discussion of any barriers you encountered during the implementation of your evidence-based practice change, quality improvement, or innovation. Potential barriers might include: 1) Lack of staff support, adherence, acceptance, participation, etc., 2) Unable to procure or obtain required equipment, supplies, resources, 3) Unable to secure required funds or other financial constraints, 4) Temporal components (insufficient time to fully implement, time delays due to staffing, etc.). If no barriers were encountered, you should indicate this fact.
Overcoming barriers. This section will include a detailed discussion of how each of the barriers was overcome. If you were not able to overcome barriers, you should include a detailed discussion of the measures that were attempted to overcome the barriers. If no barriers were encountered, you should indicate this fact.
Transprofessional Relationships
This section will include a list of transprofessional team members that contributed to the implementation of your project. Keep in mind that a transprofessional team is developed by the merging of professional boundaries. Some examples of these team members may include your stakeholders, ancillary staff, and physicians.
How relationships facilitated implementation. Provide a detailed discussion of how each of the identified transprofessional relationships facilitated implementation of your practice change, quality improvement, or innovation Capstone project.
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Chapter 4: Post Capstone Project Considerations
Capstone Successes
Successful aspects. This section will include a detailed discussion of the successful aspects of your Capstone practice change, quality improvement, or innovation project. Provide a description of the aspects of your project that went well. This may include a description of how you were able to influence change within your organization. Some examples may include, but are not limited to, improvements in awareness or understanding around your topic within the organization, improved communication among stakeholders, or a readiness within the organization leadership and/or staff members to commit to the practice change, quality improvement, or innovation.
Impact on future projects. This section will include a detailed discussion about how this project can be used to inform or facilitate future practice changes, quality improvements, or innovation projects within the organization or in other organizations. Was your project just the “beginning,” with future steps required for sustainment after your project implementation? Will your project provide a foundation for future evidence-based practice changes, quality improvements, or innovations? Did your project create a blueprint for other change agents within your organization? Bottom line: What did you learn from the successes of the Capstone project that would inform future projects?
Capstone Challenges
Aspects that did not go well. This section will include aspects of your Capstone practice change, quality improvement, or innovation that did not go as planned. Provide a detailed discussion of each of these aspects. If there were no aspects of your project that did not go as planned, you should indicate this fact.
Impact on future projects. This section will include a detailed discussion of each of the aspects identified that did not go well and how this may impact future practice changes, quality improvements, or innovation projects within your organization or in other organizations. If there were no aspects that did not get well, you should indicate this fact.
Evidence and Current Practice
In this section you will provide a detailed discussion of how the evidence you found for your practice change, quality improvement, or innovation project enhanced the development and implementation of your project. This will require a detailed discussion about how the current practice was changed, based on the evidence. If there is truly a dearth of evidence or significant gaps in the available literature, then you will need to discuss how your innovation can lay the foundation for new knowledge to be developed around your implementation. This new knowledge can be examined and/or tested with future nursing research.
Post-Implementation
In this section you will provide a detailed discussion of both the short and long term maintenance plans your organization will use for your project’s continued success. This might include a discussion about are variety of organizational plans including, but not limited to, creation of working groups, development of administrative support structures (policies, procedures, staffing adjustments, or modifications in the organization structure).
Resources Required for Post-Implementation Support
This section will include a detailed explanation of the resources needed for sustaining the project. This might include a discussion about a variety of issues, such as continued education, allocation of funds or additional resources, and ongoing meetings to discuss strategies to sustain the project. ?
Chapter 5: Reflection
Integration of MSN Program Outcomes
This final chapter of your Capstone written project provides the opportunity to discuss how the Capstone project allowed for integration of the WGU MSN program outcomes. You should select two of the program outcomes were most relevant to your project. Please refer to the MSN program outcomes (listed below). There are nine WGU MSN program outcomes. Address two of the outcomes integrated in your Capstone project.
The following example of a Subheading utilizes keywords from the first WGU MSN program outcomes:
Patient-care technologies and information management strategies. You would then discuss how your project allowed for integration of this program outcome.
Subheading (usually required). Type here.
Subheading (usually required). Type here.
WGU Master of Science in Nursing program outcomes (This section is not included in the MSN Capstone Template and is intended to be utilized for your reference only.)
The WGU Master of Science in Nursing program graduate will:
1. Employ appropriate patient-care technologies and information management strategies to improve quality care outcomes.
2. Integrate clinical reasoning with organizational, patient-centered, culturally appropriate strategies to plan, deliver, and evaluate evidence-based practice.
3. Design innovative nursing practices to impact quality outcomes for individuals, populations, and systems congruent with ethical, professional, and legal standards.
4. Assemble scientific findings from nursing, biopsychosocial fields, genetics, public health, and organizational sciences for the continual improvement of nursing care across diverse settings.
5. Utilize applied research outcomes within the practice setting, navigating and integrating care services across healthcare systems.
6. Design organization and leadership systems that promote high quality patient-care delivery and advance life-long learning.
7. Construct interprofessional teams to communicate, coordinate, collaborate, and consult with other health professionals to advance a culture of excellence.
8. Integrate scientific knowledge including that from genetics and genethics in the continual improvement of nursing care across diverse settings and populations.
9. Provide oversight and guidance in the integration of technology to manage care, identify performance measures and standards that improve quality and safety outcomes.

References
(Please note that this document outline is only a guide. The written paper, including all in-text citations, must be written in proper APA style. All references (sources) that met your inclusion criteria should be identified using in-text citations in the body (narrative portion) of the paper. All of the included sources should be included in the References section.)
Finkler, S. A., Jones, C. B., & Kovner, C. T. (2013). Financial management for nurse managers and executives (4th ed.). St. Louis, MO: Elsevier.
Park, S. H., Blegen, M. A., Spetz, J., Chapman, S. A., & De Groot, H. (2012). Patient turnover and the relationship between nurse staffing and patient outcomes. Research in Nursing & Health, 35(3), 277-288. doi:10.1002/nur.21474
Park, S. H., Boyle, D. K., Bergquist-Beringer, S., Staggs, V. S., & Dunton, N. E. (2014). Concurrent and lagged effects of registered nurse turnover and staffing on unit-acquired pressure ulcers. Health Services Research, 49(4), 1205-1225. doi:10.1111/1475-6773.12158
Staggs, V. S., & Dunton, N. (2012). Hospital and unit characteristics associated with nursing turnover include skill mix but not staffing level: An observational cross-sectional study. International Journal of Nursing Studies, 49(9), 1138-1145. doi:10.1016/j.ijnurstu.2012.03.009
Sullivan-Havens, D., Jones, C. B., & Carlson, J. (2014). Chief nursing office retention & turnover, 2013: Is the crisis still brewing? Retrieved from https://www.aone.org/conference2014/Handouts/2014_Concurrent_Handouts/Additional%20Handouts/S330H_BN2.pdf
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Appendix A
Credible Sources
All sources that meet inclusion criteria must be incorporated into the body (narrative) part of the paper. For example, when you provide an evidence summary, you will identify the source (from your inclusion list) and include an in-text citation. You will also provide the full APA style citation in the References section.
If you obtained your sources from the WGU Library, you will not need to identify the database (See the example below).
Author(s)
Formatted as in-text citations Database
CINAHL, EBSCO, Cochrane, Pro-Quest
WGU Library Peer-Reviewed
Yes/No Applicability
Yes/No Evidence Grade
Strength/ Hierarchy Appraisal
Brief summary of findings: how findings informs your project Inclusion
Yes/No
Sample Source:
Staggs and Dunton (2012)

WGU Library
Yes
Yes
4/Cross-Sectional Controlling for hospital ownership, Magnet status, unit service line, and unit population age group, registered nurse skill mix is apparently more important than total nurse staffing level in predicting nursing turnover. My project focusses on implementing career ladders in support of Magnet Status application.

Yes

Strength of Evidence and Evidence Hierarchy:
Evidence/Strength Evidence Hierarchy
Level 1 Meta-analysis, Systematic reviews, Integrative reviews, Evidence-Based Practice Guidelines
(This level includes; research designs of Meta-Analyses, Systematic Reviews, Integrative Reviews, and EBP Guidelines which are developed from systematic reviews and housed in national repositories.)
Level 2 Randomized Controlled Trial (RCT) and Experimental designs (This level represents evidence from studies using a true experimental design.)
Level 3 Quasi-experimental designs (This level represents evidence obtained from experimental studies without randomization.)
Level 4 Non-experimental designs (This level represents evidence from well-designed non-experimental designs such as retrospective, case-control, cross-sectional, cohort-comparison, prospective, descriptive and correlational single studies.
Level 5 Meta-Synthesis (This level represents evidence from systematic reviews of studies using qualitative methods.)
Level 6 Single Qualitative Studies (This level represents single studies using a qualitative research approach.)
Level 7 Expert Opinion (This level represents materials from a variety of non-research based evidence and generally consists of reports of expert committees and/or opinions of authorities on the subject. The evidence from this level includes: specialists’ opinions, case studies, non-evidence-based practice guidelines, narrative reviews, editorials, regulations, legislation, and program outcome data/QI projects)

In this essay, I want you to synthesize everything you have learned in this class and use this information to write a sophisticated essay about what you think a more sustainable New York City would look like. You have two options:

1. Freeform: if you feel very comfortable writing essays, you may craft this response as you see best. You must cover the material we have gone through in class and must be specific about one or more proposals to advance sustainability in NYC.

2. Structured: Follow the outline I have provided.

Page requirements: Four single spaced pages. This is required and any attempt to fill in space will be detected and penalized.

Reference requirements: A minimum of four assigned readings (readings — not lectures), plus as many additional sources as you would like. You must cite properly. It is up to you to learn how to do this task. You can consult this page if you need guidance on the Chicago style, but you can choose any style you wish.https://www.chicagomanualofstyle.org/tools_citationguide.html

Tips for writing a good essay are attached.

Files I uploaded are PDF that can be converted in to MS WORD DOC , if you have can not open the attachments contact me and I can send the MS WORD version

There are supposed to be 12 questions altogether but I only have 2 available right now.
—Please upload Questions 1 and 2 so I can access the next 2 questions and send them through to you .
—Please reference each question separately and put the references for each at end of each question instead of in a reference list at the end.
—Please upload each 2 questions as a draft until I have given you all 12.
—Please note each answer will be about 120-130 words but as long as the question is answered accurately you can stick to lower word count

These are the first 2 questions. Once you upload these, I will provide next 2 questions. Emotional and Behavioral Disorders: What makes a child one who misbehaves vs. one who has an emotional/behavioral disorder? Given the information in the class lesson, list some factors that distinguish normal children misbehaving with children who have a serious problem. (100 words). Cross-Cultural Communication: In at least 200 words and using your own words discuss cultural dimensions that need to be understood. Please upload answers to this as a draft so I can provide further questions.

Assignment Instructions
This essay should be a 750-1000 word essay focusing on the poetry we have read during Weeks three and four. It is due at the end of Week five. Do not use the poems you used in your initial posts during weeks three and four. I will be checking.

This essay will be the first in which you will use some sources. While it should primarily use passages from the poem to discuss as evidence, it should also reference 1-2 scholarly sources from outside of your textbook.
The essay should be in MLA essay format (see the sample essay for an example of an MLA formatted essay).
The essay must have an MLA format works cited list that cites all sources used.
The essay grading rubric can be found here.

Assignment: Analyze one poem from the assigned readings using one of the following critical approaches (NOT reader response or biographical criticism) we discussed in the Week four forum, using one to two secondary sources to help support your argument. This source must be peer-reviewed and scholarly. Please read lesson four for an explanation about scholarly sources. Make sure that the essay has a strong thesis related to the approach–do not argue that “this poem is best analyzed with this approach.” Again the allowed critical approach choices are:

feminist criticism
historical criticism
Marxist and social criticism
New Historicism
psychological criticism
structuralism

If you need more information on the different types of criticism, consult the webpages on criticism linked in the “additional readings” area of the Week 4 lesson.

Your required secondary, scholarly source(s) should come from outside of the assigned textbook readings; the Online Library is a good first stop. If you have trouble finding information on your poem, its author, or its context, or have any other questions, please contact me (earlier is better; questions sent on Saturday evening may not be answered until Monday).