NURS 8114 Week 11 Discussion: Translation of Evidence and Application

NURS 8114 Week 11 Discussion: Translation of Evidence and Application

Based on your work in previous modules, you will wrap up the course with a Discussion on challenges in translating and applying evidence to implement a quality improvement initiative. Draw on your experience in your current or previous health care settings to consider specific barriers to address and opportunities to leverage in advocating for quality improvement.

Photo Credit: steheap / Adobe Stock

To prepare:

  • Review the readings in the White, Dudley-Brown, and Terhaar text. With your current health care organization, or an organization you are targeting for your DNP Project, in mind, consider the area(s) of greatest challenge with regard to translating and applying evidence for a practice change initiative, e.g., leadership, technology, collaboration, stakeholder buy-in. Focus on the relevant text chapter(s) in your Discussion preparation.
  • Consider theories and best practice recommendations for addressing your to translating and that would support practice change initiatives.
  • Reflect on the philosophy of nursing practice that you developed in Modules 1–2. Consider your role as a DNP in creating an organizational culture that embraces evidence-based practice and quality improvement.

NURS 8114 Week 11 Discussion: Translation of Evidence and Application

With these thoughts in mind …

By Day 3 of Week 11

Post an explanation of the challenges and barriers to translating and applying evidence for practice change in your target health care organization. Briefly explain your issue(s) of concern and describe specific approaches for addressing these challenges. Explain how you view your role as a DNP in creating a health care culture that promotes translation of evidence for quality improvement and explain why. Then, recommend actions and activities you could model and lead, including through an EBP QI project, to advocate for quality improvement and social change in nursing. Be specific and provide examples.

Read a selection of your colleagues’ posts.

By Day 6 of Week 11

Respond to at least two colleagues on 2 different days by suggesting other theories, strategies, ideas, and/or best practices for addressing the challenges and barriers they identify. Also agree or disagree with their view of the DNP’s role in creating a culture that enables translation of evidence and support your reasoning, including with other actions that promote a culture that embraces translation of evidence. Cite sources to support your posts and to recommend to colleagues.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 11 Discussion Rubric

 

Post by Day 3 of Week 11 and Respond by Day 6 of Week 11

To Participate in this Discussion:

Week 11 Discussion

 

What’s Coming Up?

Week 11 Discussion

Top of Form

Barriers in the Mental Health Population

There are many barriers in the mental health population. Practicing as a Nurse Practitioner in an outpatient community can have its challenges.  Many clients face barriers of stigma.  They are unable to find employment or housing due to mental health issues.   Mental health has become managed care for state governments and majority of the programs are ran by government funding and insurance companies.  One of the biggest financial concern a client can face is a lack of resource for medications that are too high to purchase due to limited coverage.

My goal in practice is to treat the clients with respect and dignity, in which, sometimes, they face from others.  I believe in therapy-based interventions first, depending on the client.  I also believe in the client taking ownership of his or her healthcare needs and participate in improving the mental health, whether its individual therapy, group therapy or medication compliance. Establishing an effective rapport with clients is a valuable tool when making a change in a practice setting.  A collaborative effort should be made by the client, practitioner, and other members of the healthcare team. According to Dollar et al. (2020), measured based cared can be effective with mental health clients. Dollar et. Al. (2020) states that quality review needs to be reviewed as a collaborative effort and changed when need.

References

Dollar, K. M., Kirchner, J. E., DePhilippis, D., Ritchie, M. J., McGee-Vincent, P., Burden, J. L., & Resnick, S. G. (2020). Steps for implementing measurement-based care: Implementation planning guide development and use in quality improvement. Psychological Services, 17(3), 247–261. https://doi-org.ezp.waldenulibrary.org/10.1037/ser0000368.supp (Supplemental)

Opaas, M., Wentzel-Larsen, T., & Varvin, S. (2020). The 10-year course of mental health, quality of life, and exile life functioning in traumatized refugees from treatment start. PLoS ONE, 15(12). https://doi-org.ezp.waldenulibrary.org/10.1371/journal.pone.0244730

Katina

Bottom of Form

Initial Post

Top of Form

Challenges and Barriers for Practice Change

The practice change to be implemented for the organization is to create guidelines for neonatal pain management. In the literature review, it was identified that poor pain management in neonates could have an impact on neurodevelopment.  This is why it is important for changes in the current standard of care for neonatal pain management. Many procedures are performed on neonates at the bedside where they may receive little to no interventions to manage their pain. It could be related to poor communication between the neonatal team and nursing staff or the surgical staff.  Regardless of who is at fault for the lack of pain management, it is important to have someone responsible for making sure the neonate is comfortable during the procedure.

Challenges for implementing this guideline or providing the base baseline data may be a challenge.  Collecting the data at the lack of pain management may be difficult if the nursing staff or the neonatology team is not documenting or completing a red flag alert.  A challenge could arise with a lack of education or comfort from the nursing staff regarding pain assessment and documentation. The surgical team could be another challenge if they do not want to make changes to their current practice because it works for them and saves them time. Since the facility is a teaching hospital a lack of education regarding pain management for neonatology residents may serve as a challenge.  Nursing refusal to implement the change may be a harder challenge to overcome if they do not support the guidelines.

NURS 8114 Week 11 Discussion: Translation of Evidence and Application

Role of DNP in creating health care culture

The DNP graduate needs to serve as leaders for the organization to implement the necessary changes while working with other health care members (AACN, 2006).  The DNP graduate should be knowledgeable about the current practices within the organization.  It is important to be organized in their approach with practice problems to members of the organization including the nursing staff.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires alot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

NURS 8114 Week 11 Discussion: Translation of Evidence and Application

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed
  • Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
  • Here are some helpful links
  • The is a great resource

 

 

Actions and Activities

The DNP needs to help create a health care culture by becoming knowledgeable about the stakeholders for the organization (Dearholt. The DNP is responsible for providing updated evidence-based practice information regarding the problem within the organization. The use of nursing theories would help to explain different concepts in the nursing practice as well as nursing philosophy.  The middle-range theory provides more accurate answers related to questions about certain nursing practice questions (Alligood & Toomey, 2010).

The Theory of Caring focuses on knowing, being with, doing for, and maintaining belief (Alligood & Toomey). When caring for the neonatal population knowledge is the key to implement successful practice changes. Due to performance gaps, it is important to use evidence-based practice to identify other practices to improve pain management for neonates (Dang & Dearholt, 2018). All research related to pain management in neonates should be evaluated and synthesized to evaluate the success of implementing changes to current practice (Wills & McEwen, 2019). As always it is important during this process to have a team created willing to help review different practices. A neonatal pain committee team consisting of nursing staff, pharmacy, neonatology team & child life would be a great team to assist with identifying and developing new practice guidelines.

 

 

Reference

Alligood, M.R., & Tomey, A.M. (2010). Nursing theorists and their work (7th ed). Mosby Elsevier.

American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice.

NURS 8114 Week 11 Discussion: Translation of Evidence and Application

Dang, D., & Dearholt, S.L., (Eds). (2018). John Hopkins nursing evidence-based practice: Model and guidelines (3rd ed.) Sigma Theta Tau International.

McEwen, M., & Willis, E.M. (2019). Theoretical basis for nursing (5th ed.). Wolters Kluwer.

Bottom of Form

Week 11

Top of Form

 

Organizational culture can be quite difficult to change, however it is not impossible. It will take an influential leader, with good communication skills, a clear plan, and attainable goals.  As healthcare organizations become increasingly diverse, changing the culture will be inevitable. As DNP prepared nurses it is important to participate in organizational change, be equipped to face challenges and barriers when implementing new clinical practices. When seeking to make clinical changes we must first start with synthesizing the research to provide evidence-based answers (Westlake, 2012).

The challenge that my organization continues to struggle with is lab specimen errors. We have had multiple issues with unspin tubes sent to the lab, incorrect tube collection, mislabeling, or labs not being sent out at all. Despite multiple in person and computer in-service trainings we fail to maintain accuracy or consistency.  This presents as a problem because patient care is delayed, resources are wasted, and revenue is affected. To address this clinical practice issue, I educate all staff on the importance of proper lab collection and specimen processing adding a relatable example of a personal nature. I would select lab champions on each shift to act as leaders to inspect all lab collection for any issues before packing and shipping. I would also partner the charge nurse with the lab champions to maintain continuity.

My role as a DNP clinician is to analyze the problem and develop a new policy and procedures supported by evidence and research to course correct this clinic practice issue. It is important to change the culture from one of negligence to a culture of safety. I can achieve this by disseminating the research to develop new clinical practices (White, Dudley-Brown, & Terhaar, 2019). I am sure that I will be met with opposition, however I will lead by supporting the team, creating teachable moments, and mentoring.

 

References

 

Westlake, C. (2012). Practical tips for literature synthesis. Clinical Nurse Specialist, 26(5), 244–249.

https://doi.org/10.1097/NUR.0b013e318263d766

 

White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and healthcare (3rd ed.). Springer.

Bottom of Form

Main Question Post

Top of Form

When contemplating challenges to evidence translation and application for practice change in this student’s facility it is easier to put it in the context of the practice change needed for this student’s quality improvement project. The items needed to implement the project include a cart to house resources for diabetes self-management education (DSME), two iPads loaded with DSME videos, and multi-modal education for staff nurses. Once the resources are in place and the nurses have been trained on DSME, they will be expected to implement the provision of DSME to patients with newly diagnosed or poorly controlled diabetes.

The first anticipated challenge is getting approval from the Chief Financial Officer (CFO) for the financial allocations needed. Direct costs for this project include the purchase of a resource cart and iPads. Indirect costs include paying the staff for attendance at the training and printing costs for resource materials. This will be a challenge because it is difficult to get the CFO to let go of funds. One way this student could address this challenge would be to source the cart from some unused ones currently being stored; thus, eliminating this cost. The videos being loaded on the iPad will be from free sources, so these will not add to the cost of the project. To reduce the cost of training staff, a multi-modal format is planned. Didactic information will be placed in the eLearning system as a curriculum. This will allow staff to complete some of the training while on shift and will not require additional productive time.

A second expected challenge will be changing the culture regarding providing DSME to patients. Currently, staff are not comfortable in the role of DSME provider; therefore, the education does not get done. White et al. (2019) state a culture change requires a paradigm shift in order to eliminate the know-do gap. The authors define this as the difference between those who possess the knowledge of a project or change and those who implement the desired change. This paradigm shift will be addressed by bringing the “doers” in on the knowledge by providing them with education on diabetes content via the eLearning system. Staff will also attend in-person training for role play, simulation, and skills practice. Stoffers and Hatler (2017) identified training and education as a method to increase nurses’ skill and confidence in providing DSME. This student believes once nurses’ confidence and knowledge level are increased, they will be much more willing to complete DSME with patients. A second method to address this challenge will be by using DSME videos on the iPad. The use of videos will allow nursing to ensure DSME is given; however, it will take much less time out of their day than it would if they were providing all of the education in person. Instead of having to remember and present all of the information, they will simply have to teach the patient to use the iPad and direct them to which videos are appropriate for them.

DNP-prepared nurses can support a culture of quality improvement by leading interprofessional teams and promoting collaboration on patient safety and quality initiatives. In this quality improvement project, collaboration can occur between nurses, pharmacists, podiatrists, hospitalists, dieticians, etc.

Using collaboration to increase nurse awareness of the importance of DSME supports social change because of the difference it can make for this patient population. Karimy et al. (2018) identify good self-management activities as a direct link to improved diabetes outcomes and decreased complication rates. This, in turn, will decrease healthcare costs for the patient and increase quality of life.

NURS 8114 Week 11 Discussion: Translation of Evidence and Application

References

Karimy, M., Koohestani, H., & Araban, M. (2018). The association between attitude, self-efficacy, and social support and adherence to diabetes self-care behavior. Diabetology and Metabolic Syndrome, 10(86). 1-6. 

Stoffers, P., & Hatler, C. (2017). Increasing nurse confidence in patient teaching using motivational interviewing. Journal for Nurses in Professional Development, 33(4), 189-195.

White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and healthcare (3rd ed.). Springer.

Bottom of Form

Aziz Initial Response: Discussion – Week 11

Top of Form

Week 11

Initial Response

 

Explanation of Challenges and Barriers

The challenges and barriers to translating and applying evidence for practice change in my health care organization are practice guidelines and practice measures. There are many health care professionals that often do not follow internally published guidelines. The lack of utilization of the guidelines is increasing amongst healthcare workers. Although every guideline is not appropriate for every area, guideline must be follow when appropriate. Some healthcare professional move around and see other areas not utilizing guidelines and don’t consider the guidelines may not be appropriate for that area. This leads to miscommunication and lack of respect for evidence based practices.

Issues of Concern and Approaches for Addressing These Challenges

There are issues of concern with the education being provided at discharge for heart failure patients. Healthcare professional are not always comfortable being honest with the patients regarding life expectancy. The heart failure patient life expectancy decreases with every hospitalization and the inability to manage heart failure. This is not often relayed to the patients. Lots of patients are unaware they may have 5 years or less to live after the initial diagnosis, if they aren’t able to manage heart failure. Potential life expectancy should be incorporated into the discharge instructions. My approach to this issue would be developing and incorporating life expectancy information into the discharge information. The information would be worded in a sensitive manner, however direct and informative. This will allow for the patient to be aware of the challenges they are facing and the importance of disease management.

My View of My Role as a DNP

My view of my role as a DNP in creating a health Care Culture that promotes translation of evidence for quality improvement is critical to the improve of patient outcomes. I take my patient outcomes personally. I assure I provide the best possible care and education to the patients. If the patients are non-compliant, I know I have provided the very best care. I set an example to my team by promoting a health care culture that provides evidence based care. I lead by example and expect nothing less from my team. When other see you asking for protocols and procedure they are willing follow your lead (Fencl, 2017). They begin to ask for policies and procedure they are not sure about. This creates an open non-judgmental atmosphere, where everyone is utilizing the information available. The development of new heart failure evidence based patient information would be a great EBP QI project. This project would advocate for educational quality improvement and help change the social dynamic of heart failure patients. The project would create social change for nursing that would help improve the outcomes of heart failure patients.

NURS 8114 Week 11 Discussion: Translation of Evidence and Application

References

Fencl, J., Matthews, C. (2017). Translating Evidence Into Practice: How Advanced Practice RNs Can Guide Nurses in Challenging Established Practice to Arrive at Best Practice. AORN Journal Volume 106, Issue 5, November 2017, Pages 378-392.

White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and healthcare (3rd ed.). Springer.

Bottom of Form

Week 11 Discussion

 NURS_8114_Week11_Discussion_Rubric

  Excellent

90%–100%

Good

80%–89%

Fair

70%–79%

Poor

0%–69%

Main Posting:

Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

Points Range: 40 (40%) – 44 (44%)

Thoroughly responds to the Discussion question(s).

Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

No less than 75% of post has exceptional depth and breadth.

Supported by at least three current credible sources.

Points Range: 35 (35%) – 39 (39%)

Responds to most of the Discussion question(s).

Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.

50% of the post has exceptional depth and breadth.

Supported by at least three credible references.

Points Range: 31 (31%) – 34 (34%)

Responds to some of the Discussion question(s).

One to two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Cited with fewer than two credible references.

Points Range: 0 (0%) – 30 (30%)

Does not respond to the Discussion question(s). Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible references.

Main Posting:

Writing

Points Range: 6 (6%) – 6 (6%)

Written clearly and concisely.

Contains no grammatical or spelling errors.

Adheres to current APA manual writing rules and style.

Points Range: 5 (5%) – 5 (5%)

Written concisely.

May contain one to two grammatical or spelling errors.

Adheres to current APA manual writing rules and style.

Points Range: 4 (4%) – 4 (4%)

Written somewhat concisely.

May contain more than two spelling or grammatical errors.

Contains some APA formatting errors.

Points Range: 0 (0%) – 3 (3%)

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.

Main Posting:

Timely and full participation

Points Range: 9 (9%) – 10 (10%)

Meets requirements for timely, full, and active participation.

Posts main Discussion by due date.

Points Range: 8 (8%) – 8 (8%)

Meets requirements for full participation.

Posts main Discussion by due date.

Points Range: 7 (7%) – 7 (7%)

Posts main Discussion by due date.

Points Range: 0 (0%) – 6 (6%)

Does not meet requirements for full participation.

Does not post main Discussion by due date.

First Response:

Post to colleague’s main post that is reflective and justified with credible sources.

Points Range: 9 (9%) – 9 (9%)

Response exhibits critical thinking and application to practice settings.

Responds to questions posed by faculty.

The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

Points Range: 8 (8%) – 8 (8%)

Response has some depth and may exhibit critical thinking or application to practice setting.

Points Range: 7 (7%) – 7 (7%)

Response is on topic and may have some depth.

Points Range: 0 (0%) – 6 (6%)

Response may not be on topic and lacks depth.

First Response:
Writing
Points Range: 6 (6%) – 6 (6%)

Communication is professional and respectful to colleagues.

Response to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

Points Range: 5 (5%) – 5 (5%)

Communication is mostly professional and respectful to colleagues.

Response to faculty questions are mostly answered, if posed.

Provides opinions and ideas that are supported by few credible sources.

Response is written in standard, edited English.

Points Range: 4 (4%) – 4 (4%)

Response posed in the Discussion may lack effective professional communication.

Response to faculty questions are somewhat answered, if posed.

Few or no credible sources are cited.

Points Range: 0 (0%) – 3 (3%)

Responses posted in the Discussion lack effective communication.

Response to faculty questions are missing.

No credible sources are cited.

First Response:
Timely and full participation
Points Range: 5 (5%) – 5 (5%)

Meets requirements for timely, full, and active participation.

Posts by due date.

Points Range: 4 (4%) – 4 (4%)

Meets requirements for full participation.

Posts by due date.

Points Range: 3 (3%) – 3 (3%)

Posts by due date.

Points Range: 0 (0%) – 2 (2%)

Does not meet requirements for full participation.

Does not post by due date.

Second Response:
Post to colleague’s main post that is reflective and justified with credible sources.
Points Range: 9 (9%) – 9 (9%)

Response exhibits critical thinking and application to practice settings.

Responds to questions posed by faculty.

The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

Points Range: 8 (8%) – 8 (8%)

Response has some depth and may exhibit critical thinking or application to practice setting.

Points Range: 7 (7%) – 7 (7%)

Response is on topic and may have some depth.

Points Range: 0 (0%) – 6 (6%)

Response may not be on topic and lacks depth.

Second Response:
Writing
Points Range: 6 (6%) – 6 (6%)

Communication is professional and respectful to colleagues.

Response to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

Points Range: 5 (5%) – 5 (5%)

Communication is mostly professional and respectful to colleagues.

Response to faculty questions are mostly answered, if posed.

Provides opinions and ideas that are supported by few credible sources.

Response is written in standard, edited English.

Points Range: 4 (4%) – 4 (4%)

Response posed in the Discussion may lack effective professional communication.

Response to faculty questions are somewhat answered, if posed.

Few or no credible sources are cited.

Points Range: 0 (0%) – 3 (3%)

Responses posted in the Discussion lack effective communication.

Response to faculty questions are missing.

No credible sources are cited.

Second Response:
Timely and full participation
Points Range: 5 (5%) – 5 (5%)

Meets requirements for timely, full, and active participation.

Posts by due date.

Points Range: 4 (4%) – 4 (4%)

Meets requirements for full participation.

Posts by due date.

Points Range: 3 (3%) – 3 (3%)

Posts by due date.

Points Range: 0 (0%) – 2 (2%)

Does not meet requirements for full participation.

Does not post by due date.

Total Points: 100

Name: NURS_8114_Week11_Discussion_Rubric

 

 

Instant Nursing Papers
Hire a Nursing Expert
Pages (550 words)
Approximate price: -

Why Choose Instant Nursing Papers?

Quality Nursing Papers

We assist students in achieving the best top-grade in their nursing papers, and in compliance with the provided instructions. Have your nursing paper written with a certified specialist Ph.D., Bachelor's, and Master's graduates with many years of experience in academic writing.

Experts with Ph.d., MDs and DNP Holders

Our writers have acquired Ph.D., MDs and DNP credentials from world class institutions. Our writers can handle papers from any discipline and can handle over 100+ subjects.

Nursing Papers Cheap

We provide a great deal of student-friendly prices and professionalism with all our nursing essay writing services. Our paper writing services have a user-friendly interface and professional nursing academic assistance. We are committed to assisting all students with their nursing assignments and projects regardless of their academic level.

Fast Paper Delivery

Our writers follow a strict schedule to ensure papers are delivered before the deadline to enable our editors to proofread before the final delivery to our customers. We strictly observe the early delivery of assignments to meet our clients' deadlines.

Plagiarism-free Nursing Papers

Our expert nursing paper writers are dedicated to conducting thorough research and writing papers from scratch to deliver original papers. To avoid paper plagiarism, all orders go through steps of writing, editing, and proofreading.

24Hour Customer Help

Our customer support is available 24/7/365 to help clients and make their paper writing services easy to use. Our experienced support team is available to answer your queries any time, 24 hours a day.

Try it now!

Calculate the price of your order

We'll send you the first draft for approval by at
Total price:
$0.00

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Nursing Papers Writing Service

We provide Nursing Assignment Services to Nursing students. Also, we are not limited to providing Nursing assignment help to students only. We also provide assignment help and solutions to community health nursing, Anatomy & Physiology, Microbiology, Biochemistry and Biophysics, and Nutrition & Dietetics.

Essays

Nursing Essays

Sit back, relax while our writers sort you out on your most daunting nursing essay queries on how to write a good nursing essay. We got you if you are looking for the best nursing essay services.

Research

Nursing Projects

It is no doubt that qualifying for a nursing career is difficult and requires a series of tests. Most nursing students must put in a lot of work in their assignments and coursework. Instantnursingpapers.com will help you answer queries such as “who can write my nursing research paper?”.

Disserations

Nursing Dissertation Help

Instantnursingpapers.com will save you the hustle of undergoing pressure or even depression while doing your nursing dissertation paper. Save yourself from all the long sleepless nights and pressure by working with our best nursing dissertation writing professionals.

Coursework

Nursing Coursework Help

If you happen to hop into our site in search of nursing coursework help, look no further. We are the number one solution for the best nursing coursework assignments. Therefore, to complete the best APA nursing coursework, seek help from professional nursing coursework experts at instantnursingpapers.com