Topic: Falls (patient) through medication in a behavioral/ mental health facility.

CAP e-Poster Creation & Presentation Guidelines

Poster presentations share research and clinical projects. Your electronic (e-) poster will present key elements of your Clinical Application Project (CAP).
· The CAP e-poster is to be designed on a PowerPoint template, but not printed. You will simply submit the PowerPoint file to the Brightspace submission folder.
· If you are unfamiliar with creating a scientific poster, instructions are outlined at the bottom of this document. It’s easier than you think. Because you are limited by space in the poster format, you must be clear and concise in your writing.

· Refer to the CAP rubric for all necessary requirements.

General guidelines for e-poster:

· The e-poster should look neat, professional, and visually appealing
· Use a simple font (like Arial), no smaller than size 32; larger for section headings and even larger for title/presenter name
· Regarding text:
· Labels or headings should be clear and easy to understand.
· Select contrasting colors; darker letters are effective when used on a light background & vice versa.
· Text should be brief and to the point; use short sentences or phrases to summarize key points; bullet points work well.
· If you are planning to use charts or graphs on your poster:
· Visual data help to express ideas; graphics should be understandable.
· Keep it simple; don’t overwhelm the audience with too many numbers.
· Make sure there is a clear caption so the reader understands the significance.
· Assure consistency in use of format.
· Check and double check spelling.

Reminders:
· Include any form, brochure, or handout you develop as part of the project.
· A reference page in APA format must be submitted with your e-poster. The reference page should include at least the journal articles that were discussed in the literature reviews of the clinical topic and solution.

Poster Instructions

1. Open the poster template in the course shell (or find your own) and save it to your computer.
2. Experiment with different colors, fonts, designs.
3. Keep in mind the “general guidelines” listed above.
4. Add your content, graphics, charts, etc.
5. Save your work frequently as you create.

CAP Video Presentation
Due to the pandemic, we will not be able to gather for in-person poster presentations like we have in the past. Instead, students will create a video presentation of their Clinical Application Project and upload to Brightspace by the date listed in the syllabus/course calendar. This brief (no more than 4 minutes) presentation is an overview of your CAP. It will include the following:
· name and clinical location of your project
· why this is an important topic for your clinical area
· what your literature search revealed about the topic and the solution
· how you would specifically implement your project
· what future benefits this project could have on nursing

Be sure and present professionally, as if you were in front of a live audience. This means: well-groo

CAP Instructions and Rubric

Description
:  The Clinical Application Project (CAP) is an opportunity for the BSN student to identify an issue, topic, or challenge that is relevant to their Role Transition clinical placement. The student will examine the research related to their topic and investigate the literature regarding a potential solution for, or intervention to improve, the issue. The student then creates a final project, intervention, or solution to their identified topic. They will present their work in a professional paper and electronic poster which will be presented via video.

Step-by-step directions

1. Identify a problem, issue, concern, or area for improvement relevant to your clinical setting. Consult with your RN preceptor and ResU clinical faculty regarding your topic. Your clinical faculty must approve the topic before work is initiated.
2. Educate yourself about the importance of your topic to nursing and your particular clinical placement. Whenever possible, you will want to include facts, statistics etc. relevant to your
3. Critically analyze the literature related to the area of concern.
4. Identify possible solutions to the selected area of concern, based on the evidence in the literature.
5. Review each for its strengths, weaknesses, and feasibility.
6. Select one solution.
7. Engage in the necessary work for this quality improvement project (e.g., develop a new form and identify approvals required for its use). Although students may not have enough time to actually implement their entire project or quality improvement activity, the final work product should clearly outline the plan for implementation, including a timeline. Students will provide evidence of their work by submitting the product of their (e.g., educational program outline, instructional pamphlet, nursing form, pocket resource, new policy, patient or family focused education, etc.)
The student will create an electronic poster which visually represents the clinical application project. The e-poster displays similar components as the paper, but in a very concise and visually pleasing design. Further guidelines and instructions for the e-poster are included in the document entitled “e-Poster Creation”.
The final paper and electronic poster are graded according to the specifics contained in the following grading rubric. Due to the pandemic, e-poster presentations will not take place on campus. Instead, students will present via video and upload to Brightspace.

CAP Instructions and Rubric

Grading criteria for PAPER

Points

Comments

Introduction

· Introduces topic and provides overview of the issue (2 pts.)
· Discusses why this issue is pertinent to the particular unit/organization and what led student to choose the topic (2 pts.)
· Identifies unit, manager, etc. support for the project (1 pt.)
· Identifies how the project will specifically benefit the unit/organization (2 pts.)

/7

Literature review: topi

CAP e-Poster Creation & Presentation Guidelines

Poster presentations share research and clinical projects. Your electronic (e-) poster will present key elements of your Clinical Application Project (CAP).
· The CAP e-poster is to be designed on a PowerPoint template, but not printed. You will simply submit the PowerPoint file to the Brightspace submission folder.
· If you are unfamiliar with creating a scientific poster, instructions are outlined at the bottom of this document. It’s easier than you think. Because you are limited by space in the poster format, you must be clear and concise in your writing.

· Refer to the CAP rubric for all necessary requirements.

General guidelines for e-poster:

· The e-poster should look neat, professional, and visually appealing
· Use a simple font (like Arial), no smaller than size 32; larger for section headings and even larger for title/presenter name
· Regarding text:
· Labels or headings should be clear and easy to understand.
· Select contrasting colors; darker letters are effective when used on a light background & vice versa.
· Text should be brief and to the point; use short sentences or phrases to summarize key points; bullet points work well.
· If you are planning to use charts or graphs on your poster:
· Visual data help to express ideas; graphics should be understandable.
· Keep it simple; don’t overwhelm the audience with too many numbers.
· Make sure there is a clear caption so the reader understands the significance.
· Assure consistency in use of format.
· Check and double check spelling.

Reminders:
· Include any form, brochure, or handout you develop as part of the project.
· A reference page in APA format must be submitted with your e-poster. The reference page should include at least the journal articles that were discussed in the literature reviews of the clinical topic and solution.

Poster Instructions

1. Open the poster template in the course shell (or find your own) and save it to your computer.
2. Experiment with different colors, fonts, designs.
3. Keep in mind the “general guidelines” listed above.
4. Add your content, graphics, charts, etc.
5. Save your work frequently as you create.

CAP Video Presentation
Due to the pandemic, we will not be able to gather for in-person poster presentations like we have in the past. Instead, students will create a video presentation of their Clinical Application Project and upload to Brightspace by the date listed in the syllabus/course calendar. This brief (no more than 4 minutes) presentation is an overview of your CAP. It will include the following:
· name and clinical location of your project
· why this is an important topic for your clinical area
· what your literature search revealed about the topic and the solution
· how you would specifically implement your project
· what future benefits this project could have on nursing

Be sure and present professionally, as if you were in front of a live audience. This means: well-groo

FAMILY-CENTERED CARE DURING OUTPATIENT SURGERY 1
FAMILY-CENTERED CARE DURING OUTPATIENT SURGERY 2

This sample paper gives students an idea of how to address the content of the CAP. Please be sure to focus on the content and not the formatting. This paper has not been updated to reflect the 7th edition APA rules! See Prof. Piccinini’s side notes in the margins.

Family-Centered Communication in Day Surgery
Three Quality of Care key drivers for Our Lady of the Resurrection (OLR) Medical Center’s Surgical Services department are measured quarterly. The Surgical Services Department has met or exceeded targets for two of the three key drivers. However, for the past six months, the department has not met the goal for a third key driver: explanations provided about progress following surgery. Meeting the goal for the third key driver is dependent on effective communication processes from staff and surgeons to patients and their families. A communication process exists, but by looking at areas in which the process is broken, relatively easy and effective fixes can be put into place. Comment by Carina Piccinini: Topic introduction, overview of issue, choice of topic.
The charge nurse for preoperative and recovery care has identified difficulty in adhering to the current process due to difficulty in locating family members if they leave the waiting room and due to the volume and acuity of patients that enter the recovery area. The nurse manager has also identified meeting the third key driver as a priority for the institution and supports the project. Comment by Carina Piccinini: Pertinence of issue to the unit and preceptor and unit manager buy-in
Increasing patient satisfaction—and thereby increasing the likelihood of returning to the facility for healthcare needs—can benefit the unit and the organization by increasing revenues. The profession of nursing can also benefit by increasing staff and improving technologies for patient care with additional revenues. Comment by Carina Piccinini: Benefit to the unit/organization

Literature Review of Problem

Much research on factors influencing patient satisfaction in perioperative care has been conducted. A driving factor identified is communication to patients and families during care.
Yellen (2003) surveyed ambulatory surgery patients to determine the influence of the nurse-sensitive variables of age, gender, culture, previous hospital admissions, nurse communication, pain, and satisfaction with pain management on overall patient satisfaction. Results showed that nurse communication was the most significant indicator of patient satisfaction, and satisfaction with pain management was the second most significant indicator. Furthermore, patients who were satisfied with nurse communication also reported satisfaction with pain management.
Fry and Warren (2005) conducted a qualitative study to determine the needs of family members in the waiting room of a critical care unit. Results showed th

Clinical Application Project Title
Student Name
Hospital and Unit
Resurrection University, NUR 4642: Role Transition
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Using simple, well designed graphics can help to effectively communicate results

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Place titles here

Title

1

CAP Draft Instructions

Students submit two drafts of their CAP paper during the term. The student’s clinical instructor reviews the drafts and provides feedback. Each draft earns a maximum of 5 points. Consult the “CAP Instructions and Rubric” document for guidance on content.

1st draft contains:
· Introduction
· Literature review of the topic/issue
The first draft includes proper APA-styled citations for the articles referenced. It does NOT need to include an APA-styled title page; however, this is a requirement for the final paper.

2nd draft contains:
· Literature review of the solution/interventions
· Implementation/intervention
The second draft includes proper APA-styled citations for the articles referenced.

Instructor Feedback

· These drafts are an opportunity for the instructor to tell the student if they are on the right track for content, writing, and formatting.
· The drafts are not an opportunity to receive detailed corrections on content and APA style.
Students are encouraged to seek writing/APA assistance from the APA Publication Manual, ResU’s lib guides, the Online Writing Lab (OWL) at Purdue, or through the TutorMe resource found on the landing page of Brightspace.

Grading criteria

CAP drafts will be assessed using the following criteria. Late submissions will lose up to 10% for every day submitted past the due date.

4-5 points: very good/good

Draft follows all instructions; includes the required content contained in the CAP rubric. Writing is cohesive. Draft may have one or two deficiencies in completeness, content, writing mechanics, or APA format.

3 points: average

Draft follows most instructions; includes most of the required content contained in the CAP rubric. Writing may need improvement. Draft has three or four deficiencies in content, writing mechanics, or APA format.

1-2 points: deficient

Assignment is submitted but does not follow directions, lacks content, and/or is incomplete.

0 points: Nothing submitted

Gestational Diabetes Mellitus: Interventions for Hispanic/Latina Pregnant Women
Luis A. Gutierrez
PSMEMC OB Unit
Resurrection University, NUR 4642: Role Transition
Problem/topic
Gestational Diabetes Mellitus (GDM) impacts 2%-10% of all pregnancies in the United States every year (Center for Disease Control and Prevention, 2017).
Per care team, PSMEMC has experienced an influx of Hispanic/Latina pregnant women diagnosed with GDM.
Language barrier is the biggest obstacle with patient education. Staff members reported that Spanish speaking resources for GDM and nutritional education are scarce.
Community background
The racial disparities seen in GDM directly impacts St. Mary’s and Elizabeth Medical Center due to the physical location of the hospital. St. Mary’s and Elizabeth Medical Center is located near the Humboldt Park neighborhood.

Literature Review
Problem/topic
Cultural/linguistic barriers. Carolan-Olah et al. (2017) identify that language is one of the barriers understanding the impact that GDM could have on the mother’s health as well as the newborns. In addition, cultural food selection greatly increases the risk for developing GDM for Spanish speaking mothers.

Lack of activity and poor dietary selections. Chasan-Taber (2012) identifies that there is a higher likelihood for gestational diabetes and macrosomia to develop in Latinas who are obese.

Solution
Linguistic adaptation. Schellinger et al. (2017) demonstrate that Hispanic/Latina pregnant women participating in a group care model offered in Spanish showed indicators of effective education and implementation regarding GDM and pregnancy.

Cultural background, socioeconomic status and nutrition. Rhoads-Baeza and Reiz (2012) determine that the relevancy of the dietary recommendations provided to women, incorporating cultural factors, contributed and facilitated the success of interventions addressing Hispanic/Latina pregnant women.

Solution
An educational group program will be implemented at the St. Mary’s and St. Elizabeth’s OB unit.

The educational group program will provide:

Access professionals in Spanish.
Education and information on reducing their risk for GDM.
Space and support for women to learn healthy diet options that are culturally and linguistically relevant.
Implementation
Recruitment
Women at risks for GDM will be referred to group by PSMEMC OB Clinic
Intervention
Group will receive psychoeducation on GDM
Participants will be taught to test and measure glucose levels independently
Utilizing food journals to track meals and generate discussion around their current dietary practices
Nutrition education providing suggestions to each participant based off of food that is culturally relevant to them.
Assessment
Staff member will be able to track and share patient information with their medical physician for continuity of care.
To monitor patient’s health status throughout their pregnancy, surveys and glucose levels will be utilize.

Topic: Falls (patient) through medication in a mental health facility.
So, think about how most mental health medications has dizziness and drowsiness effect, name some of those common medications like Ativan, Prozac, barbiturates, benzodiazepines cause drowsiness effect, causing patient frequent falls in behavioral health facilities. Explore cause and how to minimize these events. Look at the paper sample provided as a guideline.
Please use 7th edition APA format.

5

Medication Errors in Hospital

Medication Errors in Hospital

           The management of St. Mary & Elizabeth Medical Center, which offers both inpatient and outpatient services, has been focusing on improving the quality of services offered to their patients. It was noted that patients are complaining about their safety after the last review showed a decline in patient satisfaction with the care offered in the facility. Over the past five months, the hospital has reported an increase in the rate of medication errors, which has been a major concern. Medication errors are among the major patient safety issues in the hospital, especially among inpatients. The nurse manager at the hospital stated that there was a need to find a sustainable intervention to address the issue. Improvement of the skills to use information technology can be used to ensure that the problem of medication errors is avoided since most processes will be done through an automated system. 

The nurse manager at the hospital evaluated a survey conducted in the hospital a month ago, which indicated that the nurses struggled to effectively use the medication administration technologies that had been recently introduced in the facility. Also, upon questioning, some nurses who had been involved in medication error cases said that they get disrupted when in the process of administrating drugs which causes confusion when handling medication. The nurse manager has evaluated the situation and agrees that medication errors are a major issue that needs urgent attention. 

Addressing the issue will be important for the hospital as it will restore the trust of their patients and achieve their objective of offering quality and safe services to their patients. The hospital will also enhance its reputation through positive patient reviews and attract more clients, which would translate to increased revenue. 

Literature Review of the Issue

           Several research studies highlight the problem of medication errors in hospitals and the potential causes.
           Wondmieneh et al. (2020) conducted a study to evaluate the intensity and the factors that contribute medication errors in hospitals. The researchers collected data from self-reports by nurses and direct observation of nursing operations during medication administration. The findings of the study highlighted that out of 298 nurses, 203 of them reported having been involved in medication errors in the past year (Wondmieneh et al., 2020). The authors also established the factors that were highly associated with those medication errors. The factors included inadequate training, lack of official guidelines for medication administration, night shift duty, lack of adequate work experience, and interruptions when in the process of administering medications. The article relates directly to the issue as it provides evidence of the issue being a problem that hospital faces and gives the reasons that can lead to the issue of m




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