Tag: Nursing

  • [Solved] Approaches to Disease Management: Sickle Cell Anemia

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    Executive Solution Overview

    **A 2-month-old is identified during newborn screening with sickle cell anemia.** – **How would you manage this patient at 2 months, 2 years, 6 years, and at 13 years old?** – **What are the issues for each stage in development?** – **Where would you refer this child?** – **How would you coordinate …

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    Assignment Prompt & Instructions

    **A 2-month-old is identified during newborn screening with sickle cell anemia.**

    – **How would you manage this patient at 2 months, 2 years, 6 years, and at 13 years old?**
    – **What are the issues for each stage in development?**
    – **Where would you refer this child?**
    – **How would you coordinate the care of this child?**

    **.Submission Instructions:**

    – **Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources published within the last five years.**
    – **in paragraph form, no bullet points or numbering.**

    – 2 years ago

  • [Solved] Tiff week 7

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    Executive Solution Overview

    Tiff week 7 – 2 years ago **files (3)** – ## Unit3ScholarshipofApplicationPart1.PDF – ## Presentation5.PDF – PresentationNU760-8H.pptx **## Unit3ScholarshipofApplicationPart1.PDF** 1 Unit 3: Scholarship of Application Part 1: Aim Statement and Framework Tiffany Williams Herzing University NU760-8H 3…

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    Assignment Prompt & Instructions

    Tiff week 7

    – 2 years ago

    **files (3)**

    – ## Unit3ScholarshipofApplicationPart1.PDF

    – ## Presentation5.PDF

    – PresentationNU760-8H.pptx

    **## Unit3ScholarshipofApplicationPart1.PDF**

    1

    Unit 3: Scholarship of Application Part 1: Aim Statement and Framework

    Tiffany Williams

    Herzing University

    NU760-8H

    3/22/2025

    2

    Unit 3: Scholarship of Application Part 1: Aim Statement and Framework

    Gap recognition and filling in providing care are important to improving patient

    outcomes and staying compliant with evidence-based practice. The paper outlines a practice

    problem recognized in a clinical environment, formulates a problem statement, builds an aim

    statement, and names a framework that will be employed in creating a scholarly project to

    address the problem.

    Practice Setting and Population

    The practice setting is a primary care clinic with an adult patient population of 18 years

    and older. The clinic provides preventive care, chronic disease management, and acute care. The

    population consists of people from various socioeconomic statuses, with a high proportion of

    them being underserved and at risk for chronic diseases such as hypertension, diabetes, and

    cardiovascular disease. Despite evidence-based guidelines for preventive care, a conspicuous

    lack of uniform implementation of recommended screenings and interventions is observed.

    Description of the Problem

    The identified issue is the uneven application of United States Preventive Services Task

    Force (USPSTF) preventive screening guidelines, specifically cardiovascular risk factors for

    illness such as hypertension and hyperlipidemia (Barry et al., 2023). Chart review and

    observations revealed that the majority of patients with the routine screening due are not being

    screened on time in reality. Clinic performance indicators also confirm this deficiency, where

    65% of eligible patients for indicated screenings are receiving them only, falling short of the

    organization's goal of 90%.

    3

    Failure to screen per guidelines has various implications. Firstly, to delay earlier illness

    diagnosis that would otherwise be better treated through intervention earlier in the disease

    development process. Secondly, to develop avoidable complications like a heart attack or stroke,

    which would otherwise have been avoided by earlier identification and treatment. Thirdly,

    evidence-based care shortfall has been established, one of the indicators for quality health care.

    Problem Statement

    Processes of patient evaluation in the primary care clinic have not been consistent in

    adhering to USPSTF guidelines for preventive screening until now. This results in premature

    diagnosis of cardiovascular risk factors, which means unhealthy consequences that otherwise

    would have been averted if there was timely intervention.

    Aim Statement

    This project aims to increase follow-through with USPSTF recommendations for

    preventive screening, specifically cardiovascular disease risk factors, to 90% from 65% in a six-

    month period. This will be achieved by having a standardized screening process, educating staff

    on evidence-based recommendations, and reminders in the electronic health record system to

    trigger providers at the point of patient visits.

    Framework

    The model to implement with this project is the Plan-Do-Study-Act (PDSA) cycle, an

    Institute for Healthcare Improvement (IHI) quality improvement model. The PDSA cycle is a

    rigorous cycle of testing and implementing changes at an organizational level (Roberti et al.,

    2025). The PDSA cycle contains four steps:

    1. Plan: Identify the problem, establish goals, and prepare for change.

    4

    2. Do: Implement the change at a trim level.

    3. Study: Compare results and determine if improvement was a consequence of the

    change.

    4. Act: Simplify the change from the result and implement it on an expanded scale.

    PDSA cycling is suitable for this project because it allows incremental testing of

    interventions such as the protocolized screening process and EHR reminders before large-scale

    implementation. It also addresses the project goal of quantitatively measuring improved

    screening rates. For example, at the "Plan" phase, the protocol for screening and EHR reminder

    design will be developed by the team. At the "Do" phase, the interventions will be pilot-tested

    with a small number of providers. The "Study" phase will entail screening rate monitoring and

    provider feedback collection, and the "Act" phase will entail scaling up proven interventions.

    Conclusion

    The inconsistent compliance with USPSTF guidelines for preventive screening within the

    primary clinic is a grave evidence-based practice deficit. By developing an obvious problem

    statement, formulating an aim statement concisely, and employing the PDSA cycle as an

    orienting framework, this project proposes to enhance screening rates and ultimately enhance

    patient outcomes. The structured process of the PDSA cycle ensures interventions are tested,

    refined, and implemented in such a way as to maximize their effectiveness and sustainability.

    5

    References

    Barry, M. J., Wolff, T. A., Pbert, L., Davidson, K. W., Fan, T. M., Krist, A. H., … & Nicholson,

    W. K. (2023). Putting evidence into practice: an update on the US Preventive Services

    Task Force methods for developing recommendations for preventive services. The Annals

    of Family Medicine, 21(2), 165-171.

    https://www.annfammed.org/content/annalsfm/21/2/165.full.pdf

    Roberti, J., Jorro-Barón, F., Ini, N., Guglielmino, M., Rodríguez, A. P., Echave, C., … & Alonso,

    J. P. (2025). Improving Antibiotic Use in Argentine Pediatric Hospitals: A Process

    Evaluation Using Normalization Process Theory. Pediatric Quality & Safety, 10(1), e788.

    https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-

    202501000-00010

    [https://www.annfammed.org/content/annalsfm/21/2/165.full.pdf](https://www.annfammed.org/content/annalsfm/21/2/165.full.pdf)

    [https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)

    [https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)

    **## Presentation5.PDF**

    Enhancing Compliance with
    USPSTF Preventive Screening
    Guidelines

    TIFFANY WILLIAMS

    HERZING UNIVERSITY

    NU760-8H

    4/15/2025

    ThePhoto by PhotoAuthor is licensed under CCYYSA.

    Problem Statement and Aim Statement

     Problem Statement: Inconsistent adherence to USPSTF cardiovascular

    screening guidelines in a rural primary care clinic.

     Results in delayed diagnoses, missed preventive opportunities, and

    increased morbidity.

     Aim Statement: Improve compliance with USPSTF screening from 65% to

    90% over 6 months.

     Addresses cardiovascular risk factors such as hypertension, hyperlipidemia,

    and diabetes.

     Focus on equity: Enhance care for underserved populations in a rural

    setting.

    Selected

    Strategy/Intervention

     Implementation of the Plan-Do-Study-Act (PDSA)

    quality improvement framework.

     Incorporation of EHR reminders for screening

    adherence.

     Staff education sessions to reinforce USPSTF

    guideline adherence.

     Pilot test with 2–3 providers before full clinic rollout.

     Strategy is evidence-based and allows for

    continuous quality improvement (Manandi et al.,

    2023).

    Anticipated Outcomes

     Increase screening compliance to at
    least 90% within 6 months.

     Earlier identification of cardiovascular risk
    factors.

     Improved provider knowledge and
    confidence in following screening
    guidelines.

     Enhanced patient safety and health
    outcomes through preventive care.

     Promote a culture of accountability and
    evidence-based practice.

    Evaluation Measures

     Outcome Measures: Percentage of eligible
    patients who received all USPSTF-recommended
    screenings.

     Process Measures: Number of providers using EHR
    reminders and attending education sessions.

     Structure Measures: Availability of EHR decision
    support and training resources.

     Direct Measures: Audit of chart data for
    completed screenings.

     Support from literature: Structured evaluations
    improve sustainability of quality initiatives (Roberti
    et al., 2025).

    ThePhoto by PhotoAuthor is licensed under CCYYSA.

    Required Information/Data

     Total number of eligible patients seen in the clinic monthly.

     Percentage of patients up-to-date on screenings pre- and post-
    intervention.

     EHR logs to track provider engagement with reminders.

     Staff participation data from educational sessions.

     Collect both quantitative metrics and qualitative feedback for robust

    analysis (Barry et al., 2023).

    Data Collection Method 1:

    EHR Chart Review

     Use EHR audit reports to assess screening

    completion rates.

     Track use of clinical decision support (CDS) tools

    by providers.

     Identify patients due/missed for screenings and

    follow-up.

     Evaluate differences in adherence between pre-

    and post-PDSA cycles.

     EHR-based reviews support real-time monitoring

    and data-driven decisions (Davidson et al., 2022).

    ThePhoto by PhotoAuthor is licensed under CCYYSA.

    Data Collection
    Method 2: Pre/Post
    Surveys & Observation
     Conduct pre/post provider surveys to

    assess guideline knowledge and
    confidence.

     Anonymous format to encourage honest
    feedback.

     Use observation logs during pilot to assess
    EHR tool utilization and workflow impact.

     Collect qualitative staff input to identify
    training gaps.

     Evidence supports mixed-methods for
    comprehensive QI evaluation (Guirguis-
    Blake et al., 2023).

    References

     Barry, M. J., Wolff, T. A., Pbert, L., Davidson, K. W., Fan, T. M., Krist, A. H., … &
    Nicholson, W. K. (2023). Putting evidence into practice: an update on the US
    Preventive Services Task Force methods for developing recommendations for
    preventive services. The Annals of Family Medicine, 21(2), 165-171.
    https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.
    google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle

     Davidson, K. W., Barry, M. J., Mangione, C. M., Cabana, M., Chelmow, D., Coker,
    T. R., … & US Preventive Services Task Force. (2022). Aspirin use to prevent
    cardiovascular disease: US Preventive Services Task Force recommendation
    statement. Jama, 327(16), 1577-1584.
    https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022
    _us_220007_1650466044.25397.pdf

     Guirguis-Blake, J. M., Evans, C. V., Coppola, E. L., Redmond, N., & Perdue, L. A.
    (2023). Screening for lipid disorders in children and adolescents: updated
    evidence report and systematic review for the US Preventive Services Task Force.
    Jama, 330(3), 261-274. https://jamanetwork.com/journals/jama/fullarticle/2807281

     Manandi, D., Tu, Q., Hafiz, N., Raeside, R., Redfern, J., & Hyun, K. (2023). The
    evaluation of the Plan–Do–Study–Act cycles for a healthcare quality
    improvement intervention in primary care. Australian Journal of Primary Health,
    30(1), NULL-NULL. https://www.publish.csiro.au/py/pdf/PY23123

     Roberti, J., Jorro-Barón, F., Ini, N., Guglielmino, M., Rodríguez, A. P., Echave, C., … &
    Alonso, J. P. (2025). Improving Antibiotic Use in Argentine Pediatric Hospitals: A
    Process Evaluation Using Normalization Process Theory. Pediatric Quality & Safety,
    10(1), e788.
    https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01
    949578-202501000-00010

    [https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle](https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle)

    [https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle](https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle)

    [https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf](https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf)

    [https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf](https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf)

    [https://jamanetwork.com/journals/jama/fullarticle/2807281](https://jamanetwork.com/journals/jama/fullarticle/2807281)

    [https://www.publish.csiro.au/py/pdf/PY23123](https://www.publish.csiro.au/py/pdf/PY23123)

    [https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)

    [https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)

    – Slide 1: Enhancing Compliance with USPSTF Preventive Screening Guidelines
    – Slide 2: Problem Statement and Aim Statement
    – Slide 3: Selected Strategy/Intervention
    – Slide 4: Anticipated Outcomes
    – Slide 5: Evaluation Measures
    – Slide 6: Required Information/Data
    – Slide 7: Data Collection Method 1: EHR Chart Review
    – Slide 8: Data Collection Method 2: Pre/Post Surveys & Observation
    – Slide 9: References

    **PresentationNU760-8H.pptx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/presentationnu760-8h-pptx-10264635)

    **PresentationNU760-8H.pptx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/presentationnu760-8h-pptx-10264635)

    **## Unit3ScholarshipofApplicationPart1.PDF**

    1

    Unit 3: Scholarship of Application Part 1: Aim Statement and Framework

    Tiffany Williams

    Herzing University

    NU760-8H

    3/22/2025

    2

    Unit 3: Scholarship of Application Part 1: Aim Statement and Framework

    Gap recognition and filling in providing care are important to improving patient

    outcomes and staying compliant with evidence-based practice. The paper outlines a practice

    problem recognized in a clinical environment, formulates a problem statement, builds an aim

    statement, and names a framework that will be employed in creating a scholarly project to

    address the problem.

    Practice Setting and Population

    The practice setting is a primary care clinic with an adult patient population of 18 years

    and older. The clinic provides preventive care, chronic disease management, and acute care. The

    population consists of people from various socioeconomic statuses, with a high proportion of

    them being underserved and at risk for chronic diseases such as hypertension, diabetes, and

    cardiovascular disease. Despite evidence-based guidelines for preventive care, a conspicuous

    lack of uniform implementation of recommended screenings and interventions is observed.

    Description of the Problem

    The identified issue is the uneven application of United States Preventive Services Task

    Force (USPSTF) preventive screening guidelines, specifically cardiovascular risk factors for

    illness such as hypertension and hyperlipidemia (Barry et al., 2023). Chart review and

    observations revealed that the majority of patients with the routine screening due are not being

    screened on time in reality. Clinic performance indicators also confirm this deficiency, where

    65% of eligible patients for indicated screenings are receiving them only, falling short of the

    organization's goal of 90%.

    3

    Failure to screen per guidelines has various implications. Firstly, to delay earlier illness

    diagnosis that would otherwise be better treated through intervention earlier in the disease

    development process. Secondly, to develop avoidable complications like a heart attack or stroke,

    which would otherwise have been avoided by earlier identification and treatment. Thirdly,

    evidence-based care shortfall has been established, one of the indicators for quality health care.

    Problem Statement

    Processes of patient evaluation in the primary care clinic have not been consistent in

    adhering to USPSTF guidelines for preventive screening until now. This results in premature

    diagnosis of cardiovascular risk factors, which means unhealthy consequences that otherwise

    would have been averted if there was timely intervention.

    Aim Statement

    This project aims to increase follow-through with USPSTF recommendations for

    preventive screening, specifically cardiovascular disease risk factors, to 90% from 65% in a six-

    month period. This will be achieved by having a standardized screening process, educating staff

    on evidence-based recommendations, and reminders in the electronic health record system to

    trigger providers at the point of patient visits.

    Framework

    The model to implement with this project is the Plan-Do-Study-Act (PDSA) cycle, an

    Institute for Healthcare Improvement (IHI) quality improvement model. The PDSA cycle is a

    rigorous cycle of testing and implementing changes at an organizational level (Roberti et al.,

    2025). The PDSA cycle contains four steps:

    1. Plan: Identify the problem, establish goals, and prepare for change.

    4

    2. Do: Implement the change at a trim level.

    3. Study: Compare results and determine if improvement was a consequence of the

    change.

    4. Act: Simplify the change from the result and implement it on an expanded scale.

    PDSA cycling is suitable for this project because it allows incremental testing of

    interventions such as the protocolized screening process and EHR reminders before large-scale

    implementation. It also addresses the project goal of quantitatively measuring improved

    screening rates. For example, at the "Plan" phase, the protocol for screening and EHR reminder

    design will be developed by the team. At the "Do" phase, the interventions will be pilot-tested

    with a small number of providers. The "Study" phase will entail screening rate monitoring and

    provider feedback collection, and the "Act" phase will entail scaling up proven interventions.

    Conclusion

    The inconsistent compliance with USPSTF guidelines for preventive screening within the

    primary clinic is a grave evidence-based practice deficit. By developing an obvious problem

    statement, formulating an aim statement concisely, and employing the PDSA cycle as an

    orienting framework, this project proposes to enhance screening rates and ultimately enhance

    patient outcomes. The structured process of the PDSA cycle ensures interventions are tested,

    refined, and implemented in such a way as to maximize their effectiveness and sustainability.

    5

    References

    Barry, M. J., Wolff, T. A., Pbert, L., Davidson, K. W., Fan, T. M., Krist, A. H., … & Nicholson,

    W. K. (2023). Putting evidence into practice: an update on the US Preventive Services

    Task Force methods for developing recommendations for preventive services. The Annals

    of Family Medicine, 21(2), 165-171.

    https://www.annfammed.org/content/annalsfm/21/2/165.full.pdf

    Roberti, J., Jorro-Barón, F., Ini, N., Guglielmino, M., Rodríguez, A. P., Echave, C., … & Alonso,

    J. P. (2025). Improving Antibiotic Use in Argentine Pediatric Hospitals: A Process

    Evaluation Using Normalization Process Theory. Pediatric Quality & Safety, 10(1), e788.

    https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-

    202501000-00010

    [https://www.annfammed.org/content/annalsfm/21/2/165.full.pdf](https://www.annfammed.org/content/annalsfm/21/2/165.full.pdf)

    [https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)

    [https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)

    **## Presentation5.PDF**

    Enhancing Compliance with
    USPSTF Preventive Screening
    Guidelines

    TIFFANY WILLIAMS

    HERZING UNIVERSITY

    NU760-8H

    4/15/2025

    ThePhoto by PhotoAuthor is licensed under CCYYSA.

    Problem Statement and Aim Statement

     Problem Statement: Inconsistent adherence to USPSTF cardiovascular

    screening guidelines in a rural primary care clinic.

     Results in delayed diagnoses, missed preventive opportunities, and

    increased morbidity.

     Aim Statement: Improve compliance with USPSTF screening from 65% to

    90% over 6 months.

     Addresses cardiovascular risk factors such as hypertension, hyperlipidemia,

    and diabetes.

     Focus on equity: Enhance care for underserved populations in a rural

    setting.

    Selected

    Strategy/Intervention

     Implementation of the Plan-Do-Study-Act (PDSA)

    quality improvement framework.

     Incorporation of EHR reminders for screening

    adherence.

     Staff education sessions to reinforce USPSTF

    guideline adherence.

     Pilot test with 2–3 providers before full clinic rollout.

     Strategy is evidence-based and allows for

    continuous quality improvement (Manandi et al.,

    2023).

    Anticipated Outcomes

     Increase screening compliance to at
    least 90% within 6 months.

     Earlier identification of cardiovascular risk
    factors.

     Improved provider knowledge and
    confidence in following screening
    guidelines.

     Enhanced patient safety and health
    outcomes through preventive care.

     Promote a culture of accountability and
    evidence-based practice.

    Evaluation Measures

     Outcome Measures: Percentage of eligible
    patients who received all USPSTF-recommended
    screenings.

     Process Measures: Number of providers using EHR
    reminders and attending education sessions.

     Structure Measures: Availability of EHR decision
    support and training resources.

     Direct Measures: Audit of chart data for
    completed screenings.

     Support from literature: Structured evaluations
    improve sustainability of quality initiatives (Roberti
    et al., 2025).

    ThePhoto by PhotoAuthor is licensed under CCYYSA.

    Required Information/Data

     Total number of eligible patients seen in the clinic monthly.

     Percentage of patients up-to-date on screenings pre- and post-
    intervention.

     EHR logs to track provider engagement with reminders.

     Staff participation data from educational sessions.

     Collect both quantitative metrics and qualitative feedback for robust

    analysis (Barry et al., 2023).

    Data Collection Method 1:

    EHR Chart Review

     Use EHR audit reports to assess screening

    completion rates.

     Track use of clinical decision support (CDS) tools

    by providers.

     Identify patients due/missed for screenings and

    follow-up.

     Evaluate differences in adherence between pre-

    and post-PDSA cycles.

     EHR-based reviews support real-time monitoring

    and data-driven decisions (Davidson et al., 2022).

    ThePhoto by PhotoAuthor is licensed under CCYYSA.

    Data Collection
    Method 2: Pre/Post
    Surveys & Observation
     Conduct pre/post provider surveys to

    assess guideline knowledge and
    confidence.

     Anonymous format to encourage honest
    feedback.

     Use observation logs during pilot to assess
    EHR tool utilization and workflow impact.

     Collect qualitative staff input to identify
    training gaps.

     Evidence supports mixed-methods for
    comprehensive QI evaluation (Guirguis-
    Blake et al., 2023).

    References

     Barry, M. J., Wolff, T. A., Pbert, L., Davidson, K. W., Fan, T. M., Krist, A. H., … &
    Nicholson, W. K. (2023). Putting evidence into practice: an update on the US
    Preventive Services Task Force methods for developing recommendations for
    preventive services. The Annals of Family Medicine, 21(2), 165-171.
    https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.
    google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle

     Davidson, K. W., Barry, M. J., Mangione, C. M., Cabana, M., Chelmow, D., Coker,
    T. R., … & US Preventive Services Task Force. (2022). Aspirin use to prevent
    cardiovascular disease: US Preventive Services Task Force recommendation
    statement. Jama, 327(16), 1577-1584.
    https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022
    _us_220007_1650466044.25397.pdf

     Guirguis-Blake, J. M., Evans, C. V., Coppola, E. L., Redmond, N., & Perdue, L. A.
    (2023). Screening for lipid disorders in children and adolescents: updated
    evidence report and systematic review for the US Preventive Services Task Force.
    Jama, 330(3), 261-274. https://jamanetwork.com/journals/jama/fullarticle/2807281

     Manandi, D., Tu, Q., Hafiz, N., Raeside, R., Redfern, J., & Hyun, K. (2023). The
    evaluation of the Plan–Do–Study–Act cycles for a healthcare quality
    improvement intervention in primary care. Australian Journal of Primary Health,
    30(1), NULL-NULL. https://www.publish.csiro.au/py/pdf/PY23123

     Roberti, J., Jorro-Barón, F., Ini, N., Guglielmino, M., Rodríguez, A. P., Echave, C., … &
    Alonso, J. P. (2025). Improving Antibiotic Use in Argentine Pediatric Hospitals: A
    Process Evaluation Using Normalization Process Theory. Pediatric Quality & Safety,
    10(1), e788.
    https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01
    949578-202501000-00010

    [https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle](https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle)

    [https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle](https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle)

    [https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf](https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf)

    [https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf](https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf)

    [https://jamanetwork.com/journals/jama/fullarticle/2807281](https://jamanetwork.com/journals/jama/fullarticle/2807281)

    [https://www.publish.csiro.au/py/pdf/PY23123](https://www.publish.csiro.au/py/pdf/PY23123)

    [https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)

    [https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)

    – Slide 1: Enhancing Compliance with USPSTF Preventive Screening Guidelines
    – Slide 2: Problem Statement and Aim Statement
    – Slide 3: Selected Strategy/Intervention
    – Slide 4: Anticipated Outcomes
    – Slide 5: Evaluation Measures
    – Slide 6: Required Information/Data
    – Slide 7: Data Collection Method 1: EHR Chart Review
    – Slide 8: Data Collection Method 2: Pre/Post Surveys & Observation
    – Slide 9: References

    **PresentationNU760-8H.pptx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/presentationnu760-8h-pptx-10264635)

    **## Unit3ScholarshipofApplicationPart1.PDF**

    1

    Unit 3: Scholarship of Application Part 1: Aim Statement and Framework

    Tiffany Williams

    Herzing University

    NU760-8H

    3/22/2025

    2

    Unit 3: Scholarship of Application Part 1: Aim Statement and Framework

    Gap recognition and filling in providing care are important to improving patient

    outcomes and staying compliant with evidence-based practice. The paper outlines a practice

    problem recognized in a clinical environment, formulates a problem statement, builds an aim

    statement, and names a framework that will be employed in creating a scholarly project to

    address the problem.

    Practice Setting and Population

    The practice setting is a primary care clinic with an adult patient population of 18 years

    and older. The clinic provides preventive care, chronic disease management, and acute care. The

    population consists of people from various socioeconomic statuses, with a high proportion of

    them being underserved and at risk for chronic diseases such as hypertension, diabetes, and

    cardiovascular disease. Despite evidence-based guidelines for preventive care, a conspicuous

    lack of uniform implementation of recommended screenings and interventions is observed.

    Description of the Problem

    The identified issue is the uneven application of United States Preventive Services Task

    Force (USPSTF) preventive screening guidelines, specifically cardiovascular risk factors for

    illness such as hypertension and hyperlipidemia (Barry et al., 2023). Chart review and

    observations revealed that the majority of patients with the routine screening due are not being

    screened on time in reality. Clinic performance indicators also confirm this deficiency, where

    65% of eligible patients for indicated screenings are receiving them only, falling short of the

    organization's goal of 90%.

    3

    Failure to screen per guidelines has various implications. Firstly, to delay earlier illness

    diagnosis that would otherwise be better treated through intervention earlier in the disease

    development process. Secondly, to develop avoidable complications like a heart attack or stroke,

    which would otherwise have been avoided by earlier identification and treatment. Thirdly,

    evidence-based care shortfall has been established, one of the indicators for quality health care.

    Problem Statement

    Processes of patient evaluation in the primary care clinic have not been consistent in

    adhering to USPSTF guidelines for preventive screening until now. This results in premature

    diagnosis of cardiovascular risk factors, which means unhealthy consequences that otherwise

    would have been averted if there was timely intervention.

    Aim Statement

    This project aims to increase follow-through with USPSTF recommendations for

    preventive screening, specifically cardiovascular disease risk factors, to 90% from 65% in a six-

    month period. This will be achieved by having a standardized screening process, educating staff

    on evidence-based recommendations, and reminders in the electronic health record system to

    trigger providers at the point of patient visits.

    Framework

    The model to implement with this project is the Plan-Do-Study-Act (PDSA) cycle, an

    Institute for Healthcare Improvement (IHI) quality improvement model. The PDSA cycle is a

    rigorous cycle of testing and implementing changes at an organizational level (Roberti et al.,

    2025). The PDSA cycle contains four steps:

    1. Plan: Identify the problem, establish goals, and prepare for change.

    4

    2. Do: Implement the change at a trim level.

    3. Study: Compare results and determine if improvement was a consequence of the

    change.

    4. Act: Simplify the change from the result and implement it on an expanded scale.

    PDSA cycling is suitable for this project because it allows incremental testing of

    interventions such as the protocolized screening process and EHR reminders before large-scale

    implementation. It also addresses the project goal of quantitatively measuring improved

    screening rates. For example, at the "Plan" phase, the protocol for screening and EHR reminder

    design will be developed by the team. At the "Do" phase, the interventions will be pilot-tested

    with a small number of providers. The "Study" phase will entail screening rate monitoring and

    provider feedback collection, and the "Act" phase will entail scaling up proven interventions.

    Conclusion

    The inconsistent compliance with USPSTF guidelines for preventive screening within the

    primary clinic is a grave evidence-based practice deficit. By developing an obvious problem

    statement, formulating an aim statement concisely, and employing the PDSA cycle as an

    orienting framework, this project proposes to enhance screening rates and ultimately enhance

    patient outcomes. The structured process of the PDSA cycle ensures interventions are tested,

    refined, and implemented in such a way as to maximize their effectiveness and sustainability.

    5

    References

    Barry, M. J., Wolff, T. A., Pbert, L., Davidson, K. W., Fan, T. M., Krist, A. H., … & Nicholson,

    W. K. (2023). Putting evidence into practice: an update on the US Preventive Services

    Task Force methods for developing recommendations for preventive services. The Annals

    of Family Medicine, 21(2), 165-171.

    https://www.annfammed.org/content/annalsfm/21/2/165.full.pdf

    Roberti, J., Jorro-Barón, F., Ini, N., Guglielmino, M., Rodríguez, A. P., Echave, C., … & Alonso,

    J. P. (2025). Improving Antibiotic Use in Argentine Pediatric Hospitals: A Process

    Evaluation Using Normalization Process Theory. Pediatric Quality & Safety, 10(1), e788.

    https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-

    202501000-00010

    [https://www.annfammed.org/content/annalsfm/21/2/165.full.pdf](https://www.annfammed.org/content/annalsfm/21/2/165.full.pdf)

    [https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)

    [https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)

    **## Presentation5.PDF**

    Enhancing Compliance with
    USPSTF Preventive Screening
    Guidelines

    TIFFANY WILLIAMS

    HERZING UNIVERSITY

    NU760-8H

    4/15/2025

    ThePhoto by PhotoAuthor is licensed under CCYYSA.

    Problem Statement and Aim Statement

     Problem Statement: Inconsistent adherence to USPSTF cardiovascular

    screening guidelines in a rural primary care clinic.

     Results in delayed diagnoses, missed preventive opportunities, and

    increased morbidity.

     Aim Statement: Improve compliance with USPSTF screening from 65% to

    90% over 6 months.

     Addresses cardiovascular risk factors such as hypertension, hyperlipidemia,

    and diabetes.

     Focus on equity: Enhance care for underserved populations in a rural

    setting.

    Selected

    Strategy/Intervention

     Implementation of the Plan-Do-Study-Act (PDSA)

    quality improvement framework.

     Incorporation of EHR reminders for screening

    adherence.

     Staff education sessions to reinforce USPSTF

    guideline adherence.

     Pilot test with 2–3 providers before full clinic rollout.

     Strategy is evidence-based and allows for

    continuous quality improvement (Manandi et al.,

    2023).

    Anticipated Outcomes

     Increase screening compliance to at
    least 90% within 6 months.

     Earlier identification of cardiovascular risk
    factors.

     Improved provider knowledge and
    confidence in following screening
    guidelines.

     Enhanced patient safety and health
    outcomes through preventive care.

     Promote a culture of accountability and
    evidence-based practice.

    Evaluation Measures

     Outcome Measures: Percentage of eligible
    patients who received all USPSTF-recommended
    screenings.

     Process Measures: Number of providers using EHR
    reminders and attending education sessions.

     Structure Measures: Availability of EHR decision
    support and training resources.

     Direct Measures: Audit of chart data for
    completed screenings.

     Support from literature: Structured evaluations
    improve sustainability of quality initiatives (Roberti
    et al., 2025).

    ThePhoto by PhotoAuthor is licensed under CCYYSA.

    Required Information/Data

     Total number of eligible patients seen in the clinic monthly.

     Percentage of patients up-to-date on screenings pre- and post-
    intervention.

     EHR logs to track provider engagement with reminders.

     Staff participation data from educational sessions.

     Collect both quantitative metrics and qualitative feedback for robust

    analysis (Barry et al., 2023).

    Data Collection Method 1:

    EHR Chart Review

     Use EHR audit reports to assess screening

    completion rates.

     Track use of clinical decision support (CDS) tools

    by providers.

     Identify patients due/missed for screenings and

    follow-up.

     Evaluate differences in adherence between pre-

    and post-PDSA cycles.

     EHR-based reviews support real-time monitoring

    and data-driven decisions (Davidson et al., 2022).

    ThePhoto by PhotoAuthor is licensed under CCYYSA.

    Data Collection
    Method 2: Pre/Post
    Surveys & Observation
     Conduct pre/post provider surveys to

    assess guideline knowledge and
    confidence.

     Anonymous format to encourage honest
    feedback.

     Use observation logs during pilot to assess
    EHR tool utilization and workflow impact.

     Collect qualitative staff input to identify
    training gaps.

     Evidence supports mixed-methods for
    comprehensive QI evaluation (Guirguis-
    Blake et al., 2023).

    References

     Barry, M. J., Wolff, T. A., Pbert, L., Davidson, K. W., Fan, T. M., Krist, A. H., … &
    Nicholson, W. K. (2023). Putting evidence into practice: an update on the US
    Preventive Services Task Force methods for developing recommendations for
    preventive services. The Annals of Family Medicine, 21(2), 165-171.
    https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.
    google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle

     Davidson, K. W., Barry, M. J., Mangione, C. M., Cabana, M., Chelmow, D., Coker,
    T. R., … & US Preventive Services Task Force. (2022). Aspirin use to prevent
    cardiovascular disease: US Preventive Services Task Force recommendation
    statement. Jama, 327(16), 1577-1584.
    https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022
    _us_220007_1650466044.25397.pdf

     Guirguis-Blake, J. M., Evans, C. V., Coppola, E. L., Redmond, N., & Perdue, L. A.
    (2023). Screening for lipid disorders in children and adolescents: updated
    evidence report and systematic review for the US Preventive Services Task Force.
    Jama, 330(3), 261-274. https://jamanetwork.com/journals/jama/fullarticle/2807281

     Manandi, D., Tu, Q., Hafiz, N., Raeside, R., Redfern, J., & Hyun, K. (2023). The
    evaluation of the Plan–Do–Study–Act cycles for a healthcare quality
    improvement intervention in primary care. Australian Journal of Primary Health,
    30(1), NULL-NULL. https://www.publish.csiro.au/py/pdf/PY23123

     Roberti, J., Jorro-Barón, F., Ini, N., Guglielmino, M., Rodríguez, A. P., Echave, C., … &
    Alonso, J. P. (2025). Improving Antibiotic Use in Argentine Pediatric Hospitals: A
    Process Evaluation Using Normalization Process Theory. Pediatric Quality & Safety,
    10(1), e788.
    https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01
    949578-202501000-00010

    [https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle](https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle)

    [https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle](https://scholar.google.com/scholar?output=instlink&q=info:EhtTAj4EDo4J:scholar.google.com/&hl=en&as_sdt=0,5&scillfp=1814592995208635009&oi=lle)

    [https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf](https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf)

    [https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf](https://jamanetwork.com/journals/jama/articlepdf/2791399/jama_davidson_2022_us_220007_1650466044.25397.pdf)

    [https://jamanetwork.com/journals/jama/fullarticle/2807281](https://jamanetwork.com/journals/jama/fullarticle/2807281)

    [https://www.publish.csiro.au/py/pdf/PY23123](https://www.publish.csiro.au/py/pdf/PY23123)

    [https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)

    [https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010](https://journals.lww.com/pqs/_layouts/15/oaks.journals/downloadpdf.aspx?an=01949578-202501000-00010)

    – Slide 1: Enhancing Compliance with USPSTF Preventive Screening Guidelines
    – Slide 2: Problem Statement and Aim Statement
    – Slide 3: Selected Strategy/Intervention
    – Slide 4: Anticipated Outcomes
    – Slide 5: Evaluation Measures
    – Slide 6: Required Information/Data
    – Slide 7: Data Collection Method 1: EHR Chart Review
    – Slide 8: Data Collection Method 2: Pre/Post Surveys & Observation
    – Slide 9: References

    **PresentationNU760-8H.pptx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/presentationnu760-8h-pptx-10264635)

  • [Solved] Tiff week 7

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    Tiff week 7 Assignment KTA Part 3: Evaluation Measures Instructions Utilize the template attached to provide responses to each prompt. Please do not include a cover/title page for the assignment. – [\ \ Week7-AlternateInterventionEvaluationWorksheet_11387653.PDF](https://www.sweetstudy.com/files/…

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    Tiff week 7

    Assignment KTA Part 3: Evaluation Measures

    Instructions

    Utilize the template attached to provide responses to each prompt. Please do not include a cover/title page for the assignment.

    – [\
    \
    Week7-AlternateInterventionEvaluationWorksheet_11387653.PDF](https://www.sweetstudy.com/files/week7-alternateinterventionevaluationworksheet-11387653-pdf-10266997 "Week7-AlternateInterventionEvaluationWorksheet_11387653.PDF")
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    – 2 years ago **files (2)** – ## NUR640CLinstructionstogenogramessay.docx – Nur640GenogramEmmanuel.pdf **## NUR640CLinstructionstogenogramessay.docx** This scholarly paper is an interpretive analysis of the comprehensive genogram illustration which highlights trends in family relationships, marital …

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    – 2 years ago

    **files (2)**

    – ## NUR640CLinstructionstogenogramessay.docx

    – Nur640GenogramEmmanuel.pdf

    **## NUR640CLinstructionstogenogramessay.docx**

    This scholarly paper is an interpretive analysis of the comprehensive genogram illustration which highlights trends in family relationships, marital status, family issues, family patterns of mental illness, and substance abuse.

    Develop a scholarly paper that addresses the following criteria:

    1. Complete a 5-6 page in-depth analysis of the information gained in the family genogram.

    2. Three issues should be addressed in this narrative:

    3. Define what the term “family” means to you and describe how your definition of family influenced the content of the genogram. Include cultural, spiritual and ethnic influences in your response.

    4. Describe your family’s structure.  Include household composition, sibling constellations, unusual family configurations and multiple families, i.e., foster care, adoption, stepfamilies, and god-families.  Provide specific examples of open-type, closed-type, or random-type communication and the presence of boundaries, if any.

    5. Discuss your reasons for excluding family members that may have been logical to include.

    6. Use key terms to interpret the family dynamics and communication and how it impacts the family.

    7. Interpret the family’s patterns and functioning between and within generations.  Provide specific examples to explain the family’s relationship with each other i.e., relationship dynamics between generations and intergenerational and family member roles.  Use key terms to interpret life events like marriages, divorces, transitions, traumas, family secrets, and critical life changes.

    **Submission Instructions:**

    · Your assignment will be reviewed for plagiarism with Turnitin.

    ·
    **Genogram Family Analysis Rubric**

    ·
    **Criteria**

    ·
    **Points**

    ·
    **Family Interpretation and Family Structure**

    ·
    **Proficient**

    · Thoroughly defines the family, including its structure, function, culture and means of communicating. Describes key family members in detail illustrated on the genogram.

    ·
    **20.1 to 25 pts**

    ·
    **Needs Improvement**

    · Inadequately defines the family, including its structure, function, family culture and means of communicating. Describes some key family members illustrated on the genogram.

    ·
    **0.1 to 20 pts**

    ·
    **Non-Performance**

    · Weak explanation of the family, its structure, function, culture or its means of communicating. Does not describe key family members illustrated on the genogram. Or nothing was submitted.

    ·
    **0 pts**

    · /25 pts

    ·
    **Family Dynamics**

    ·
    **Proficient**

    · Thoroughly interprets the generational and intergenerational family dynamics and family roles. Uses key terms to describe patterns illustrated on genogram and provides supporting details and/or examples.

    ·
    **8.1 to 10 pts**

    ·
    **Needs Improvement**

    · Occasionally summarizes insight derived from intergenerational relationships, attachment patterns, and other relationships identified on the genogram.

    ·
    **0.1 to 8 pts**

    ·
    **Non-Performance**

    · Little or no insight-derived from family dynamics or does not consist identified on the genogram. No clear association between the genogram and the interpretation provided. Or nothing was submitted.

    ·
    **0 pts**

    · /10 pts

    ·
    **Emotional Relationships**

    ·
    **Proficient**

    · Thoroughly describes emotional patterns illustrated on the genogram. Consistently uses key terms to describe the emotional bond between family members and /or entities.

    ·
    **8.1 to 10 pts**

    ·
    **Needs Improvement**

    · Describes some emotional patterns illustrated on the genogram. Occasionally uses key terms to describe the emotional bond between family members and /or entities.

    ·
    **0.1 to 8 pts**

    ·
    **Non-Performance**

    · Undeveloped explanation of the family’s emotional patterns. No clear association between the genogram and the interpretation provided. Or nothing was submitted.

    ·
    **0 pts**

    · /10 pts

    ·
    **Family Patterns**

    ·
    **Proficient**

    · Information clearly relates to the main topic/criteria. It includes several supporting details and/or examples.

    ·
    **8.1 to 10 pts**

    ·
    **Needs Improvement**

    · Information clearly relates to the main topic/criteria. It provides supporting details and/or examples.

    ·
    **0.1 to 8 pts**

    ·
    **Non-Performance**

    · Information clearly relates to the main topic/criteria. A few details and/or examples are given.

    ·
    **0 pts**

    · /10 pts

    ·
    **Reflection on Personal Thoughts and Feelings**

    ·
    **Proficient**

    · Conveys strong evidence of reflection. Demonstrates personal growth and awareness of deeper meaning through inferences made, examples, well developed insights, and substantial depth in perceptions and challenges.

    ·
    **12.1 to 15 pts**

    ·
    **Needs Improvement**

    · Conveys limited evidence of reflection. Personal growth and awareness inconsistently described through examples. insights, and perceptions.

    ·
    **0.1 to 12 pts**

    ·
    **Non-Performance**

    · Little to no description of personal feelings or reactions. Personal growth and awareness not evident. Or nothing was submitted.

    ·
    **0 pts**

    · /15 pts

    ·
    **Quality of Writing, APA**

    ·
    **Proficient**

    · All references are from a relevant professional peer-reviewed scholarly journal, within a 5-year timeframe, or a classic/ historical source.

    ·
    **4.1 to 5 pts**

    ·
    **Needs Improvement**

    · Most references are from a relevant professional peer-reviewed scholarly journal, within a 5-year timeframe or a classic/historical source.

    ·
    **0.1 to 4 pts**

    ·
    **Non-Performance**

    · Some references are from non-peer-reviewed scholarly sources or older than 5-years. Or nothing was submitted.

    ·
    **0 pts**

    · /5 pts

    **Nur640GenogramEmmanuel.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/nur640genogramemmanuel-pdf)

    **Nur640GenogramEmmanuel.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/nur640genogramemmanuel-pdf)

    **## NUR640CLinstructionstogenogramessay.docx**

    This scholarly paper is an interpretive analysis of the comprehensive genogram illustration which highlights trends in family relationships, marital status, family issues, family patterns of mental illness, and substance abuse.

    Develop a scholarly paper that addresses the following criteria:

    1. Complete a 5-6 page in-depth analysis of the information gained in the family genogram.

    2. Three issues should be addressed in this narrative:

    3. Define what the term “family” means to you and describe how your definition of family influenced the content of the genogram. Include cultural, spiritual and ethnic influences in your response.

    4. Describe your family’s structure.  Include household composition, sibling constellations, unusual family configurations and multiple families, i.e., foster care, adoption, stepfamilies, and god-families.  Provide specific examples of open-type, closed-type, or random-type communication and the presence of boundaries, if any.

    5. Discuss your reasons for excluding family members that may have been logical to include.

    6. Use key terms to interpret the family dynamics and communication and how it impacts the family.

    7. Interpret the family’s patterns and functioning between and within generations.  Provide specific examples to explain the family’s relationship with each other i.e., relationship dynamics between generations and intergenerational and family member roles.  Use key terms to interpret life events like marriages, divorces, transitions, traumas, family secrets, and critical life changes.

    **Submission Instructions:**

    · Your assignment will be reviewed for plagiarism with Turnitin.

    ·
    **Genogram Family Analysis Rubric**

    ·
    **Criteria**

    ·
    **Points**

    ·
    **Family Interpretation and Family Structure**

    ·
    **Proficient**

    · Thoroughly defines the family, including its structure, function, culture and means of communicating. Describes key family members in detail illustrated on the genogram.

    ·
    **20.1 to 25 pts**

    ·
    **Needs Improvement**

    · Inadequately defines the family, including its structure, function, family culture and means of communicating. Describes some key family members illustrated on the genogram.

    ·
    **0.1 to 20 pts**

    ·
    **Non-Performance**

    · Weak explanation of the family, its structure, function, culture or its means of communicating. Does not describe key family members illustrated on the genogram. Or nothing was submitted.

    ·
    **0 pts**

    · /25 pts

    ·
    **Family Dynamics**

    ·
    **Proficient**

    · Thoroughly interprets the generational and intergenerational family dynamics and family roles. Uses key terms to describe patterns illustrated on genogram and provides supporting details and/or examples.

    ·
    **8.1 to 10 pts**

    ·
    **Needs Improvement**

    · Occasionally summarizes insight derived from intergenerational relationships, attachment patterns, and other relationships identified on the genogram.

    ·
    **0.1 to 8 pts**

    ·
    **Non-Performance**

    · Little or no insight-derived from family dynamics or does not consist identified on the genogram. No clear association between the genogram and the interpretation provided. Or nothing was submitted.

    ·
    **0 pts**

    · /10 pts

    ·
    **Emotional Relationships**

    ·
    **Proficient**

    · Thoroughly describes emotional patterns illustrated on the genogram. Consistently uses key terms to describe the emotional bond between family members and /or entities.

    ·
    **8.1 to 10 pts**

    ·
    **Needs Improvement**

    · Describes some emotional patterns illustrated on the genogram. Occasionally uses key terms to describe the emotional bond between family members and /or entities.

    ·
    **0.1 to 8 pts**

    ·
    **Non-Performance**

    · Undeveloped explanation of the family’s emotional patterns. No clear association between the genogram and the interpretation provided. Or nothing was submitted.

    ·
    **0 pts**

    · /10 pts

    ·
    **Family Patterns**

    ·
    **Proficient**

    · Information clearly relates to the main topic/criteria. It includes several supporting details and/or examples.

    ·
    **8.1 to 10 pts**

    ·
    **Needs Improvement**

    · Information clearly relates to the main topic/criteria. It provides supporting details and/or examples.

    ·
    **0.1 to 8 pts**

    ·
    **Non-Performance**

    · Information clearly relates to the main topic/criteria. A few details and/or examples are given.

    ·
    **0 pts**

    · /10 pts

    ·
    **Reflection on Personal Thoughts and Feelings**

    ·
    **Proficient**

    · Conveys strong evidence of reflection. Demonstrates personal growth and awareness of deeper meaning through inferences made, examples, well developed insights, and substantial depth in perceptions and challenges.

    ·
    **12.1 to 15 pts**

    ·
    **Needs Improvement**

    · Conveys limited evidence of reflection. Personal growth and awareness inconsistently described through examples. insights, and perceptions.

    ·
    **0.1 to 12 pts**

    ·
    **Non-Performance**

    · Little to no description of personal feelings or reactions. Personal growth and awareness not evident. Or nothing was submitted.

    ·
    **0 pts**

    · /15 pts

    ·
    **Quality of Writing, APA**

    ·
    **Proficient**

    · All references are from a relevant professional peer-reviewed scholarly journal, within a 5-year timeframe, or a classic/ historical source.

    ·
    **4.1 to 5 pts**

    ·
    **Needs Improvement**

    · Most references are from a relevant professional peer-reviewed scholarly journal, within a 5-year timeframe or a classic/historical source.

    ·
    **0.1 to 4 pts**

    ·
    **Non-Performance**

    · Some references are from non-peer-reviewed scholarly sources or older than 5-years. Or nothing was submitted.

    ·
    **0 pts**

    · /5 pts

    **Nur640GenogramEmmanuel.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/nur640genogramemmanuel-pdf)

    **## NUR640CLinstructionstogenogramessay.docx**

    This scholarly paper is an interpretive analysis of the comprehensive genogram illustration which highlights trends in family relationships, marital status, family issues, family patterns of mental illness, and substance abuse.

    Develop a scholarly paper that addresses the following criteria:

    1. Complete a 5-6 page in-depth analysis of the information gained in the family genogram.

    2. Three issues should be addressed in this narrative:

    3. Define what the term “family” means to you and describe how your definition of family influenced the content of the genogram. Include cultural, spiritual and ethnic influences in your response.

    4. Describe your family’s structure.  Include household composition, sibling constellations, unusual family configurations and multiple families, i.e., foster care, adoption, stepfamilies, and god-families.  Provide specific examples of open-type, closed-type, or random-type communication and the presence of boundaries, if any.

    5. Discuss your reasons for excluding family members that may have been logical to include.

    6. Use key terms to interpret the family dynamics and communication and how it impacts the family.

    7. Interpret the family’s patterns and functioning between and within generations.  Provide specific examples to explain the family’s relationship with each other i.e., relationship dynamics between generations and intergenerational and family member roles.  Use key terms to interpret life events like marriages, divorces, transitions, traumas, family secrets, and critical life changes.

    **Submission Instructions:**

    · Your assignment will be reviewed for plagiarism with Turnitin.

    ·
    **Genogram Family Analysis Rubric**

    ·
    **Criteria**

    ·
    **Points**

    ·
    **Family Interpretation and Family Structure**

    ·
    **Proficient**

    · Thoroughly defines the family, including its structure, function, culture and means of communicating. Describes key family members in detail illustrated on the genogram.

    ·
    **20.1 to 25 pts**

    ·
    **Needs Improvement**

    · Inadequately defines the family, including its structure, function, family culture and means of communicating. Describes some key family members illustrated on the genogram.

    ·
    **0.1 to 20 pts**

    ·
    **Non-Performance**

    · Weak explanation of the family, its structure, function, culture or its means of communicating. Does not describe key family members illustrated on the genogram. Or nothing was submitted.

    ·
    **0 pts**

    · /25 pts

    ·
    **Family Dynamics**

    ·
    **Proficient**

    · Thoroughly interprets the generational and intergenerational family dynamics and family roles. Uses key terms to describe patterns illustrated on genogram and provides supporting details and/or examples.

    ·
    **8.1 to 10 pts**

    ·
    **Needs Improvement**

    · Occasionally summarizes insight derived from intergenerational relationships, attachment patterns, and other relationships identified on the genogram.

    ·
    **0.1 to 8 pts**

    ·
    **Non-Performance**

    · Little or no insight-derived from family dynamics or does not consist identified on the genogram. No clear association between the genogram and the interpretation provided. Or nothing was submitted.

    ·
    **0 pts**

    · /10 pts

    ·
    **Emotional Relationships**

    ·
    **Proficient**

    · Thoroughly describes emotional patterns illustrated on the genogram. Consistently uses key terms to describe the emotional bond between family members and /or entities.

    ·
    **8.1 to 10 pts**

    ·
    **Needs Improvement**

    · Describes some emotional patterns illustrated on the genogram. Occasionally uses key terms to describe the emotional bond between family members and /or entities.

    ·
    **0.1 to 8 pts**

    ·
    **Non-Performance**

    · Undeveloped explanation of the family’s emotional patterns. No clear association between the genogram and the interpretation provided. Or nothing was submitted.

    ·
    **0 pts**

    · /10 pts

    ·
    **Family Patterns**

    ·
    **Proficient**

    · Information clearly relates to the main topic/criteria. It includes several supporting details and/or examples.

    ·
    **8.1 to 10 pts**

    ·
    **Needs Improvement**

    · Information clearly relates to the main topic/criteria. It provides supporting details and/or examples.

    ·
    **0.1 to 8 pts**

    ·
    **Non-Performance**

    · Information clearly relates to the main topic/criteria. A few details and/or examples are given.

    ·
    **0 pts**

    · /10 pts

    ·
    **Reflection on Personal Thoughts and Feelings**

    ·
    **Proficient**

    · Conveys strong evidence of reflection. Demonstrates personal growth and awareness of deeper meaning through inferences made, examples, well developed insights, and substantial depth in perceptions and challenges.

    ·
    **12.1 to 15 pts**

    ·
    **Needs Improvement**

    · Conveys limited evidence of reflection. Personal growth and awareness inconsistently described through examples. insights, and perceptions.

    ·
    **0.1 to 12 pts**

    ·
    **Non-Performance**

    · Little to no description of personal feelings or reactions. Personal growth and awareness not evident. Or nothing was submitted.

    ·
    **0 pts**

    · /15 pts

    ·
    **Quality of Writing, APA**

    ·
    **Proficient**

    · All references are from a relevant professional peer-reviewed scholarly journal, within a 5-year timeframe, or a classic/ historical source.

    ·
    **4.1 to 5 pts**

    ·
    **Needs Improvement**

    · Most references are from a relevant professional peer-reviewed scholarly journal, within a 5-year timeframe or a classic/historical source.

    ·
    **0.1 to 4 pts**

    ·
    **Non-Performance**

    · Some references are from non-peer-reviewed scholarly sources or older than 5-years. Or nothing was submitted.

    ·
    **0 pts**

    · /5 pts

    **Nur640GenogramEmmanuel.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/nur640genogramemmanuel-pdf)

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    – 2 years ago **files (2)** – ## NUR640CLinstructionstogenogramessay.docx – NUR640FinishedGenogram.pdf **## NUR640CLinstructionstogenogramessay.docx** This scholarly paper is an interpretive analysis of the comprehensive genogram illustration which highlights trends in family relationships, marital …

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    – 2 years ago

    **files (2)**

    – ## NUR640CLinstructionstogenogramessay.docx

    – NUR640FinishedGenogram.pdf

    **## NUR640CLinstructionstogenogramessay.docx**

    This scholarly paper is an interpretive analysis of the comprehensive genogram illustration which highlights trends in family relationships, marital status, family issues, family patterns of mental illness, and substance abuse.

    Develop a scholarly paper that addresses the following criteria:

    1. Complete a 5-6 page in-depth analysis of the information gained in the family genogram.

    2. Three issues should be addressed in this narrative:

    3. Define what the term “family” means to you and describe how your definition of family influenced the content of the genogram. Include cultural, spiritual and ethnic influences in your response.

    4. Describe your family’s structure.  Include household composition, sibling constellations, unusual family configurations and multiple families, i.e., foster care, adoption, stepfamilies, and god-families.  Provide specific examples of open-type, closed-type, or random-type communication and the presence of boundaries, if any.

    5. Discuss your reasons for excluding family members that may have been logical to include.

    6. Use key terms to interpret the family dynamics and communication and how it impacts the family.

    7. Interpret the family’s patterns and functioning between and within generations.  Provide specific examples to explain the family’s relationship with each other i.e., relationship dynamics between generations and intergenerational and family member roles.  Use key terms to interpret life events like marriages, divorces, transitions, traumas, family secrets, and critical life changes.

    **Submission Instructions:**

    · Your assignment will be reviewed for plagiarism with Turnitin.

    ·
    **Genogram Family Analysis Rubric**

    ·
    **Criteria**

    ·
    **Points**

    ·
    **Family Interpretation and Family Structure**

    ·
    **Proficient**

    · Thoroughly defines the family, including its structure, function, culture and means of communicating. Describes key family members in detail illustrated on the genogram.

    ·
    **20.1 to 25 pts**

    ·
    **Needs Improvement**

    · Inadequately defines the family, including its structure, function, family culture and means of communicating. Describes some key family members illustrated on the genogram.

    ·
    **0.1 to 20 pts**

    ·
    **Non-Performance**

    · Weak explanation of the family, its structure, function, culture or its means of communicating. Does not describe key family members illustrated on the genogram. Or nothing was submitted.

    ·
    **0 pts**

    · /25 pts

    ·
    **Family Dynamics**

    ·
    **Proficient**

    · Thoroughly interprets the generational and intergenerational family dynamics and family roles. Uses key terms to describe patterns illustrated on genogram and provides supporting details and/or examples.

    ·
    **8.1 to 10 pts**

    ·
    **Needs Improvement**

    · Occasionally summarizes insight derived from intergenerational relationships, attachment patterns, and other relationships identified on the genogram.

    ·
    **0.1 to 8 pts**

    ·
    **Non-Performance**

    · Little or no insight-derived from family dynamics or does not consist identified on the genogram. No clear association between the genogram and the interpretation provided. Or nothing was submitted.

    ·
    **0 pts**

    · /10 pts

    ·
    **Emotional Relationships**

    ·
    **Proficient**

    · Thoroughly describes emotional patterns illustrated on the genogram. Consistently uses key terms to describe the emotional bond between family members and /or entities.

    ·
    **8.1 to 10 pts**

    ·
    **Needs Improvement**

    · Describes some emotional patterns illustrated on the genogram. Occasionally uses key terms to describe the emotional bond between family members and /or entities.

    ·
    **0.1 to 8 pts**

    ·
    **Non-Performance**

    · Undeveloped explanation of the family’s emotional patterns. No clear association between the genogram and the interpretation provided. Or nothing was submitted.

    ·
    **0 pts**

    · /10 pts

    ·
    **Family Patterns**

    ·
    **Proficient**

    · Information clearly relates to the main topic/criteria. It includes several supporting details and/or examples.

    ·
    **8.1 to 10 pts**

    ·
    **Needs Improvement**

    · Information clearly relates to the main topic/criteria. It provides supporting details and/or examples.

    ·
    **0.1 to 8 pts**

    ·
    **Non-Performance**

    · Information clearly relates to the main topic/criteria. A few details and/or examples are given.

    ·
    **0 pts**

    · /10 pts

    ·
    **Reflection on Personal Thoughts and Feelings**

    ·
    **Proficient**

    · Conveys strong evidence of reflection. Demonstrates personal growth and awareness of deeper meaning through inferences made, examples, well developed insights, and substantial depth in perceptions and challenges.

    ·
    **12.1 to 15 pts**

    ·
    **Needs Improvement**

    · Conveys limited evidence of reflection. Personal growth and awareness inconsistently described through examples. insights, and perceptions.

    ·
    **0.1 to 12 pts**

    ·
    **Non-Performance**

    · Little to no description of personal feelings or reactions. Personal growth and awareness not evident. Or nothing was submitted.

    ·
    **0 pts**

    · /15 pts

    ·
    **Quality of Writing, APA**

    ·
    **Proficient**

    · All references are from a relevant professional peer-reviewed scholarly journal, within a 5-year timeframe, or a classic/ historical source.

    ·
    **4.1 to 5 pts**

    ·
    **Needs Improvement**

    · Most references are from a relevant professional peer-reviewed scholarly journal, within a 5-year timeframe or a classic/historical source.

    ·
    **0.1 to 4 pts**

    ·
    **Non-Performance**

    · Some references are from non-peer-reviewed scholarly sources or older than 5-years. Or nothing was submitted.

    ·
    **0 pts**

    · /5 pts

    **NUR640FinishedGenogram.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/nur640finishedgenogram-pdf)

    **NUR640FinishedGenogram.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/nur640finishedgenogram-pdf)

    **## NUR640CLinstructionstogenogramessay.docx**

    This scholarly paper is an interpretive analysis of the comprehensive genogram illustration which highlights trends in family relationships, marital status, family issues, family patterns of mental illness, and substance abuse.

    Develop a scholarly paper that addresses the following criteria:

    1. Complete a 5-6 page in-depth analysis of the information gained in the family genogram.

    2. Three issues should be addressed in this narrative:

    3. Define what the term “family” means to you and describe how your definition of family influenced the content of the genogram. Include cultural, spiritual and ethnic influences in your response.

    4. Describe your family’s structure.  Include household composition, sibling constellations, unusual family configurations and multiple families, i.e., foster care, adoption, stepfamilies, and god-families.  Provide specific examples of open-type, closed-type, or random-type communication and the presence of boundaries, if any.

    5. Discuss your reasons for excluding family members that may have been logical to include.

    6. Use key terms to interpret the family dynamics and communication and how it impacts the family.

    7. Interpret the family’s patterns and functioning between and within generations.  Provide specific examples to explain the family’s relationship with each other i.e., relationship dynamics between generations and intergenerational and family member roles.  Use key terms to interpret life events like marriages, divorces, transitions, traumas, family secrets, and critical life changes.

    **Submission Instructions:**

    · Your assignment will be reviewed for plagiarism with Turnitin.

    ·
    **Genogram Family Analysis Rubric**

    ·
    **Criteria**

    ·
    **Points**

    ·
    **Family Interpretation and Family Structure**

    ·
    **Proficient**

    · Thoroughly defines the family, including its structure, function, culture and means of communicating. Describes key family members in detail illustrated on the genogram.

    ·
    **20.1 to 25 pts**

    ·
    **Needs Improvement**

    · Inadequately defines the family, including its structure, function, family culture and means of communicating. Describes some key family members illustrated on the genogram.

    ·
    **0.1 to 20 pts**

    ·
    **Non-Performance**

    · Weak explanation of the family, its structure, function, culture or its means of communicating. Does not describe key family members illustrated on the genogram. Or nothing was submitted.

    ·
    **0 pts**

    · /25 pts

    ·
    **Family Dynamics**

    ·
    **Proficient**

    · Thoroughly interprets the generational and intergenerational family dynamics and family roles. Uses key terms to describe patterns illustrated on genogram and provides supporting details and/or examples.

    ·
    **8.1 to 10 pts**

    ·
    **Needs Improvement**

    · Occasionally summarizes insight derived from intergenerational relationships, attachment patterns, and other relationships identified on the genogram.

    ·
    **0.1 to 8 pts**

    ·
    **Non-Performance**

    · Little or no insight-derived from family dynamics or does not consist identified on the genogram. No clear association between the genogram and the interpretation provided. Or nothing was submitted.

    ·
    **0 pts**

    · /10 pts

    ·
    **Emotional Relationships**

    ·
    **Proficient**

    · Thoroughly describes emotional patterns illustrated on the genogram. Consistently uses key terms to describe the emotional bond between family members and /or entities.

    ·
    **8.1 to 10 pts**

    ·
    **Needs Improvement**

    · Describes some emotional patterns illustrated on the genogram. Occasionally uses key terms to describe the emotional bond between family members and /or entities.

    ·
    **0.1 to 8 pts**

    ·
    **Non-Performance**

    · Undeveloped explanation of the family’s emotional patterns. No clear association between the genogram and the interpretation provided. Or nothing was submitted.

    ·
    **0 pts**

    · /10 pts

    ·
    **Family Patterns**

    ·
    **Proficient**

    · Information clearly relates to the main topic/criteria. It includes several supporting details and/or examples.

    ·
    **8.1 to 10 pts**

    ·
    **Needs Improvement**

    · Information clearly relates to the main topic/criteria. It provides supporting details and/or examples.

    ·
    **0.1 to 8 pts**

    ·
    **Non-Performance**

    · Information clearly relates to the main topic/criteria. A few details and/or examples are given.

    ·
    **0 pts**

    · /10 pts

    ·
    **Reflection on Personal Thoughts and Feelings**

    ·
    **Proficient**

    · Conveys strong evidence of reflection. Demonstrates personal growth and awareness of deeper meaning through inferences made, examples, well developed insights, and substantial depth in perceptions and challenges.

    ·
    **12.1 to 15 pts**

    ·
    **Needs Improvement**

    · Conveys limited evidence of reflection. Personal growth and awareness inconsistently described through examples. insights, and perceptions.

    ·
    **0.1 to 12 pts**

    ·
    **Non-Performance**

    · Little to no description of personal feelings or reactions. Personal growth and awareness not evident. Or nothing was submitted.

    ·
    **0 pts**

    · /15 pts

    ·
    **Quality of Writing, APA**

    ·
    **Proficient**

    · All references are from a relevant professional peer-reviewed scholarly journal, within a 5-year timeframe, or a classic/ historical source.

    ·
    **4.1 to 5 pts**

    ·
    **Needs Improvement**

    · Most references are from a relevant professional peer-reviewed scholarly journal, within a 5-year timeframe or a classic/historical source.

    ·
    **0.1 to 4 pts**

    ·
    **Non-Performance**

    · Some references are from non-peer-reviewed scholarly sources or older than 5-years. Or nothing was submitted.

    ·
    **0 pts**

    · /5 pts

    **NUR640FinishedGenogram.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/nur640finishedgenogram-pdf)

    **## NUR640CLinstructionstogenogramessay.docx**

    This scholarly paper is an interpretive analysis of the comprehensive genogram illustration which highlights trends in family relationships, marital status, family issues, family patterns of mental illness, and substance abuse.

    Develop a scholarly paper that addresses the following criteria:

    1. Complete a 5-6 page in-depth analysis of the information gained in the family genogram.

    2. Three issues should be addressed in this narrative:

    3. Define what the term “family” means to you and describe how your definition of family influenced the content of the genogram. Include cultural, spiritual and ethnic influences in your response.

    4. Describe your family’s structure.  Include household composition, sibling constellations, unusual family configurations and multiple families, i.e., foster care, adoption, stepfamilies, and god-families.  Provide specific examples of open-type, closed-type, or random-type communication and the presence of boundaries, if any.

    5. Discuss your reasons for excluding family members that may have been logical to include.

    6. Use key terms to interpret the family dynamics and communication and how it impacts the family.

    7. Interpret the family’s patterns and functioning between and within generations.  Provide specific examples to explain the family’s relationship with each other i.e., relationship dynamics between generations and intergenerational and family member roles.  Use key terms to interpret life events like marriages, divorces, transitions, traumas, family secrets, and critical life changes.

    **Submission Instructions:**

    · Your assignment will be reviewed for plagiarism with Turnitin.

    ·
    **Genogram Family Analysis Rubric**

    ·
    **Criteria**

    ·
    **Points**

    ·
    **Family Interpretation and Family Structure**

    ·
    **Proficient**

    · Thoroughly defines the family, including its structure, function, culture and means of communicating. Describes key family members in detail illustrated on the genogram.

    ·
    **20.1 to 25 pts**

    ·
    **Needs Improvement**

    · Inadequately defines the family, including its structure, function, family culture and means of communicating. Describes some key family members illustrated on the genogram.

    ·
    **0.1 to 20 pts**

    ·
    **Non-Performance**

    · Weak explanation of the family, its structure, function, culture or its means of communicating. Does not describe key family members illustrated on the genogram. Or nothing was submitted.

    ·
    **0 pts**

    · /25 pts

    ·
    **Family Dynamics**

    ·
    **Proficient**

    · Thoroughly interprets the generational and intergenerational family dynamics and family roles. Uses key terms to describe patterns illustrated on genogram and provides supporting details and/or examples.

    ·
    **8.1 to 10 pts**

    ·
    **Needs Improvement**

    · Occasionally summarizes insight derived from intergenerational relationships, attachment patterns, and other relationships identified on the genogram.

    ·
    **0.1 to 8 pts**

    ·
    **Non-Performance**

    · Little or no insight-derived from family dynamics or does not consist identified on the genogram. No clear association between the genogram and the interpretation provided. Or nothing was submitted.

    ·
    **0 pts**

    · /10 pts

    ·
    **Emotional Relationships**

    ·
    **Proficient**

    · Thoroughly describes emotional patterns illustrated on the genogram. Consistently uses key terms to describe the emotional bond between family members and /or entities.

    ·
    **8.1 to 10 pts**

    ·
    **Needs Improvement**

    · Describes some emotional patterns illustrated on the genogram. Occasionally uses key terms to describe the emotional bond between family members and /or entities.

    ·
    **0.1 to 8 pts**

    ·
    **Non-Performance**

    · Undeveloped explanation of the family’s emotional patterns. No clear association between the genogram and the interpretation provided. Or nothing was submitted.

    ·
    **0 pts**

    · /10 pts

    ·
    **Family Patterns**

    ·
    **Proficient**

    · Information clearly relates to the main topic/criteria. It includes several supporting details and/or examples.

    ·
    **8.1 to 10 pts**

    ·
    **Needs Improvement**

    · Information clearly relates to the main topic/criteria. It provides supporting details and/or examples.

    ·
    **0.1 to 8 pts**

    ·
    **Non-Performance**

    · Information clearly relates to the main topic/criteria. A few details and/or examples are given.

    ·
    **0 pts**

    · /10 pts

    ·
    **Reflection on Personal Thoughts and Feelings**

    ·
    **Proficient**

    · Conveys strong evidence of reflection. Demonstrates personal growth and awareness of deeper meaning through inferences made, examples, well developed insights, and substantial depth in perceptions and challenges.

    ·
    **12.1 to 15 pts**

    ·
    **Needs Improvement**

    · Conveys limited evidence of reflection. Personal growth and awareness inconsistently described through examples. insights, and perceptions.

    ·
    **0.1 to 12 pts**

    ·
    **Non-Performance**

    · Little to no description of personal feelings or reactions. Personal growth and awareness not evident. Or nothing was submitted.

    ·
    **0 pts**

    · /15 pts

    ·
    **Quality of Writing, APA**

    ·
    **Proficient**

    · All references are from a relevant professional peer-reviewed scholarly journal, within a 5-year timeframe, or a classic/ historical source.

    ·
    **4.1 to 5 pts**

    ·
    **Needs Improvement**

    · Most references are from a relevant professional peer-reviewed scholarly journal, within a 5-year timeframe or a classic/historical source.

    ·
    **0.1 to 4 pts**

    ·
    **Non-Performance**

    · Some references are from non-peer-reviewed scholarly sources or older than 5-years. Or nothing was submitted.

    ·
    **0 pts**

    · /5 pts

    **NUR640FinishedGenogram.pdf**

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  • [Solved] writing

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    nursing – 2 years ago **files (2)** – ## WritingAssignmentRubricStudyPlan4.docx – Screenshot2025-04-16at8.57.34AM.png **## WritingAssignmentRubricStudyPlan4.docx** Written Assignment: NCLEX RN Study Plan | | | | | | | — | — | — | — | — | | **Criteria/ Points** | **Excellent** | **Good** | …

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    nursing

    – 2 years ago

    **files (2)**

    – ## WritingAssignmentRubricStudyPlan4.docx

    – Screenshot2025-04-16at8.57.34AM.png

    **## WritingAssignmentRubricStudyPlan4.docx**

    Written Assignment: NCLEX RN Study Plan

    | | | | | |
    | — | — | — | — | — |
    | **Criteria/ Points** | **Excellent** | **Good** | **Needs Improvement** | **Unsatisfactory** |
    | #### Content Quality and Relevance<br>**(40%)** | · Thoroughly identifies and discusses a variety of effective NCLEX-RN study tips.<br>· Explains how each tip can be applied to enhance exam preparation.<br>· Provides specific examples and evidence-based strategies for success.<br>· Clearly relates study tips to preparation for the NCLEX-RN exam. (<br>**7.2-8 pts)** | · Identifies and discusses multiple NCLEX-RN study tips.<br>· Includes some application or explanation of the tips, though detail may be limited.<br>· Makes general connections to NCLEX-RN exam preparation.<br>**(6-7.1 pts)** | · Lists study tips with little explanation or connection to NCLEX-RN exam preparation.<br>· Provides minimal examples or evidence to support strategies. <br>**(4.8-5.9 pts)** | · Fails to identify relevant study tips or connect them to NCLEX-RN preparation.<br>· Content is inaccurate, incomplete, or irrelevant.<br>**(0-4.7 pts)** |
    | **Analysis and Critical Thinking**<br>**(40%)** | · Demonstrates critical thinking by tailoring study tips to personal learning styles and needs.<br>· Analyzes why specific strategies are effective for NCLEX-RN preparation.<br>· Reflects on how these tips will be incorporated into their own study plan. (<br>**7.2-8 pts)** | · Includes some analysis and connection to personal study habits but lacks depth or specificity.<br>· General discussion of how tips could be applied without significant reflection<br>· <br>**(6-7.1 pts)** | · Limited analysis or personalization of study tips.<br>· Minimal reflection on application to their study plan. <br>**(4.8-5.9 pts)** | · Does not include analysis or connection to personal learning strategies.<br>· Lacks reflection or application to individual preparation <br>**(0-4.7 pts)** |
    | **Professional Writing and APA Formatting (20%)** | · Writing is professional, clear, and free from grammatical and spelling errors.<br>· Follows APA format consistently, including in-text citations and references.<br>· Adheres to the required word count (250-300 words). <br>**(3.6-4 points)** | · Writing is clear but may contain minor grammatical or spelling errors.<br>· APA format is mostly followed, with minor errors in citations or references.<br>· Stays within the word count range. (250-300 words). <br>**(3.2-3.5 points)** | · Writing contains noticeable grammatical or spelling errors that affect readability.<br>· APA format is inconsistently applied, with multiple errors in citations or references.<br>· Word count is outside the required range (25 words above or below the range) above or below).<br>**(2.4-3.1 points)** | · Writing is unclear or unprofessional, with frequent errors.<br>· APA formatting is not followed.<br>· Word count is significantly outside the required range. (more than 25 words above or below the range).<br>**(0-2.3 points)** |
    | **Total Points** | | | | |

    **Screenshot2025-04-16at8.57.34AM.png**

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    **Screenshot2025-04-16at8.57.34AM.png**

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    **## WritingAssignmentRubricStudyPlan4.docx**

    Written Assignment: NCLEX RN Study Plan

    | | | | | |
    | — | — | — | — | — |
    | **Criteria/ Points** | **Excellent** | **Good** | **Needs Improvement** | **Unsatisfactory** |
    | #### Content Quality and Relevance<br>**(40%)** | · Thoroughly identifies and discusses a variety of effective NCLEX-RN study tips.<br>· Explains how each tip can be applied to enhance exam preparation.<br>· Provides specific examples and evidence-based strategies for success.<br>· Clearly relates study tips to preparation for the NCLEX-RN exam. (<br>**7.2-8 pts)** | · Identifies and discusses multiple NCLEX-RN study tips.<br>· Includes some application or explanation of the tips, though detail may be limited.<br>· Makes general connections to NCLEX-RN exam preparation.<br>**(6-7.1 pts)** | · Lists study tips with little explanation or connection to NCLEX-RN exam preparation.<br>· Provides minimal examples or evidence to support strategies. <br>**(4.8-5.9 pts)** | · Fails to identify relevant study tips or connect them to NCLEX-RN preparation.<br>· Content is inaccurate, incomplete, or irrelevant.<br>**(0-4.7 pts)** |
    | **Analysis and Critical Thinking**<br>**(40%)** | · Demonstrates critical thinking by tailoring study tips to personal learning styles and needs.<br>· Analyzes why specific strategies are effective for NCLEX-RN preparation.<br>· Reflects on how these tips will be incorporated into their own study plan. (<br>**7.2-8 pts)** | · Includes some analysis and connection to personal study habits but lacks depth or specificity.<br>· General discussion of how tips could be applied without significant reflection<br>· <br>**(6-7.1 pts)** | · Limited analysis or personalization of study tips.<br>· Minimal reflection on application to their study plan. <br>**(4.8-5.9 pts)** | · Does not include analysis or connection to personal learning strategies.<br>· Lacks reflection or application to individual preparation <br>**(0-4.7 pts)** |
    | **Professional Writing and APA Formatting (20%)** | · Writing is professional, clear, and free from grammatical and spelling errors.<br>· Follows APA format consistently, including in-text citations and references.<br>· Adheres to the required word count (250-300 words). <br>**(3.6-4 points)** | · Writing is clear but may contain minor grammatical or spelling errors.<br>· APA format is mostly followed, with minor errors in citations or references.<br>· Stays within the word count range. (250-300 words). <br>**(3.2-3.5 points)** | · Writing contains noticeable grammatical or spelling errors that affect readability.<br>· APA format is inconsistently applied, with multiple errors in citations or references.<br>· Word count is outside the required range (25 words above or below the range) above or below).<br>**(2.4-3.1 points)** | · Writing is unclear or unprofessional, with frequent errors.<br>· APA formatting is not followed.<br>· Word count is significantly outside the required range. (more than 25 words above or below the range).<br>**(0-2.3 points)** |
    | **Total Points** | | | | |

    **Screenshot2025-04-16at8.57.34AM.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshot2025-04-16at8-57-34am-png)

    **## WritingAssignmentRubricStudyPlan4.docx**

    Written Assignment: NCLEX RN Study Plan

    | | | | | |
    | — | — | — | — | — |
    | **Criteria/ Points** | **Excellent** | **Good** | **Needs Improvement** | **Unsatisfactory** |
    | #### Content Quality and Relevance<br>**(40%)** | · Thoroughly identifies and discusses a variety of effective NCLEX-RN study tips.<br>· Explains how each tip can be applied to enhance exam preparation.<br>· Provides specific examples and evidence-based strategies for success.<br>· Clearly relates study tips to preparation for the NCLEX-RN exam. (<br>**7.2-8 pts)** | · Identifies and discusses multiple NCLEX-RN study tips.<br>· Includes some application or explanation of the tips, though detail may be limited.<br>· Makes general connections to NCLEX-RN exam preparation.<br>**(6-7.1 pts)** | · Lists study tips with little explanation or connection to NCLEX-RN exam preparation.<br>· Provides minimal examples or evidence to support strategies. <br>**(4.8-5.9 pts)** | · Fails to identify relevant study tips or connect them to NCLEX-RN preparation.<br>· Content is inaccurate, incomplete, or irrelevant.<br>**(0-4.7 pts)** |
    | **Analysis and Critical Thinking**<br>**(40%)** | · Demonstrates critical thinking by tailoring study tips to personal learning styles and needs.<br>· Analyzes why specific strategies are effective for NCLEX-RN preparation.<br>· Reflects on how these tips will be incorporated into their own study plan. (<br>**7.2-8 pts)** | · Includes some analysis and connection to personal study habits but lacks depth or specificity.<br>· General discussion of how tips could be applied without significant reflection<br>· <br>**(6-7.1 pts)** | · Limited analysis or personalization of study tips.<br>· Minimal reflection on application to their study plan. <br>**(4.8-5.9 pts)** | · Does not include analysis or connection to personal learning strategies.<br>· Lacks reflection or application to individual preparation <br>**(0-4.7 pts)** |
    | **Professional Writing and APA Formatting (20%)** | · Writing is professional, clear, and free from grammatical and spelling errors.<br>· Follows APA format consistently, including in-text citations and references.<br>· Adheres to the required word count (250-300 words). <br>**(3.6-4 points)** | · Writing is clear but may contain minor grammatical or spelling errors.<br>· APA format is mostly followed, with minor errors in citations or references.<br>· Stays within the word count range. (250-300 words). <br>**(3.2-3.5 points)** | · Writing contains noticeable grammatical or spelling errors that affect readability.<br>· APA format is inconsistently applied, with multiple errors in citations or references.<br>· Word count is outside the required range (25 words above or below the range) above or below).<br>**(2.4-3.1 points)** | · Writing is unclear or unprofessional, with frequent errors.<br>· APA formatting is not followed.<br>· Word count is significantly outside the required range. (more than 25 words above or below the range).<br>**(0-2.3 points)** |
    | **Total Points** | | | | |

    **Screenshot2025-04-16at8.57.34AM.png**

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  • [Solved] Weekly Clinical Experience 5

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    **Describe your clinical experience for this week.** **must be in geriatric patient** – **Did you face any challenges, any success? If so, what were they?** – **Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differentia…

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    Assignment Prompt & Instructions

    **Describe your clinical experience for this week.**

    **must be in geriatric patient**

    – **Did you face any challenges, any success? If so, what were they?**
    – **Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.**
    – **Mention the health promotion intervention for this patient.**
    – **What did you learn from this week's clinical experience that can beneficial for you as an advanced practice nurse?**
    – **Support your plan of care with the current peer-reviewed research guideline.**

    **Submission Instructions:**

    – **Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources**

    – 2 years ago

  • [Solved] Case 4

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    **An 82-year-old man recently returned to the long-term care facility after hospitalization for open reduction internal fixation of the right hip. He has been divorced for over 50 years and has two adult children who visit him frequently in the nursing home. He has a 5-year history of mild to modera…

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    Assignment Prompt & Instructions

    **An 82-year-old man recently returned to the long-term care facility after hospitalization for open reduction internal fixation of the right hip. He has been divorced for over 50 years and has two adult children who visit him frequently in the nursing home. He has a 5-year history of mild to moderate dementia and known urinary tract infections. His last recorded mini mental state examination (MMSE) registered 18, which was 3 months ago. While in the hospital, he did have an indwelling catheter for 4 days. He has been incontinent since his return to the hospital but the staff their attributes this to the catheter and his deconditioned state following hospitalization. His medications include donepezil, memantine, and acetaminophen for pain and fever as needed. He has no other known medical problems except a history of multiple urinary tract infections throughout his lifetime that, according to his son, have required extensive antibiotic treatment. He enjoys drinking regular coffee throughout the day, says it is a habit he has had since his days in the service years ago. His family members and the nursing staff report that he has been very restless and has been unable to use the urinal on time the past couple of days.**

    **Vital signs:** **T 99°F, HR 80, RR 18, BP 128/78, BMI 22.**

    **Chief Complaint:** **Foul smelling urine, incontinence, restless**

    **Discuss the following:**

    **1) What additional subjective data are you seeking to include past medical history, social, and relevant family history?**

    **2) What additional objective data will you be assessing for?**

    **3) What are the differential diagnoses that you are considering?**

    **4) What laboratory tests will help you rule out some of the differential diagnoses?**

    **5) What radiological examinations or additional diagnostic studies would you order?**

    **6) What treatment and specific information about the prescription that you will give this patient?**

    **7) What are the potential complications from the treatment ordered?**

    **8) What additional laboratory tests might you consider ordering?**

    **9) What additional patient teaching may be needed?**

    **10) Will you be looking for a consult?**

    **Submission Instructions:**

    – **Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources**

    – 2 years ago

  • [Solved] Assigment .Apa seven . All instructions attached.

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    – 2 years ago **files (3)** – ## HealthPromotionProposalpart2.docx – ## Attemptfeedback.docx – ## DepressioninLow.edited1.pdf **## HealthPromotionProposalpart2.docx** **Health Promotion Proposal, Part 2** **This is a continuation of the health promotion program proposal, part one**, which you submit…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (3)**

    – ## HealthPromotionProposalpart2.docx

    – ## Attemptfeedback.docx

    – ## DepressioninLow.edited1.pdf

    **## HealthPromotionProposalpart2.docx**

    **Health Promotion Proposal, Part 2**

    **This is a continuation of the health promotion program proposal, part one**, which you submitted previously.

    Please approach this assignment as an opportunity to integrate instructor feedback from part I and expand on ideas adhering to the components of the MAP-IT strategy. Include necessary levels of detail you feel appropriate to assure stakeholder buy-in.

    **Directions**

    You have already completed the steps 1-4.
    **Do not resubmit part 1.** Make sure you incorporate any suggested revisions or improvements into your submission according to your instructor’s comments.

    **For this assignment develop criteria 5-8 as detailed below:**

    **You will submit just this section 5-8 as an essay. Please do not resubmit Part 1.**

    Use a presentation page. Start the body of content with topic 5.

    · 5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which includes resources necessary, those involved, and feasibility for a nurse in an advanced role.

    · Be certain to include a timeline. (3 to 4 paragraphs- you may use bullets if appropriate).

    · 6. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach.
    **The SMART goal statement should be no more than one sentence** (1 paragraph).

    · 7. Provide a detailed plan for the evaluation of each outcome. (2-3 paragraphs).

    · 8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (2+ paragraphs).

    · Finish the paper with a conclusion paragraph (2 paragraphs) without typing the word "conclusion" before the paragraph.

    **Paper Requirements**

    This assignment is to be submitted as an essay- with an introduction, questions developed at the graduate level, and a conclusion to summarize and synthesize key points. Remember, your Proposal must be a scholarly paper demonstrating graduate school-level writing and critical analysis of existing nursing knowledge about health promotion.

    **APA must be strictly followed.**

    **Your final assignment should be minimally 5 pages (excluding title page and references).**

    **Finish the essay with your reference page.**

    **6 references**

    **Please review the Grading Rubric for this Assignment.**

    **## Attemptfeedback.docx**

    Attempt feedback

    This submission shows commendable efforts in addressing depression among low-income populations and proposing community-based interventions. However, there are areas for improvement to enhance the overall development of the paper, particularly regarding the vulnerable population, statistical significance, and adherence to assignment requirements.

    **Promising Theoretical Framework**:

    · The use of the human ecological model is an excellent choice as it considers multiple levels of influence—individual, interpersonal, community, and societal—on mental health. This comprehensive approach aligns well with the complexities of addressing depression in low-income populations.

    **Cultural Relevance and Accessibility**:

    · The submission highlights the importance of culturally tailored interventions and community-based approaches, such as peer support and task-shifting. These strategies are effective in improving treatment adherence and overcoming barriers faced by disadvantaged communities.

    **Integration of Evidence-Based Interventions**:

    · The literature review incorporates practical interventions like peer support and task-shifting, with both approaches showing measurable benefits in mental health outcomes. This shows thoughtfulness in applying evidence to address the issue.

    **Areas for Improvement:**

    1.
    **Insufficient Number of References**:

    · The student did not include the required minimum of six scholarly references, which negatively affected the paper’s development. Without meeting this requirement, the paper lacks the depth and breadth of evidence needed to fully support the proposed strategies. Adding more peer-reviewed studies, especially those addressing diverse geographic areas and long-term impacts, would strengthen the submission.

    **Underdeveloped Vulnerable Population Description**:

    · The vulnerable population section does not sufficiently explore specific groups or provide detailed statistical evidence of their risk factors. Including more data, such as prevalence rates of untreated depression among low-income individuals or disparities in healthcare access, would enhance the significance of the discussion.

    **Limited Statistical Context**:

    · The submission includes brief mentions of depression rates, but it lacks robust statistical support. Incorporating detailed statistics and trends, such as rates of untreated depression or disparities in mental health outcomes, would add weight to the argument and make the issue’s scope more compelling.

    **Lack of Measurable Program Objectives**:

    · While the submission discusses general strategies for addressing depression, it would benefit from setting clear, measurable objectives. For example, establishing goals such as a percentage increase in treatment adherence or reduction in depressive symptoms over a specific timeframe would add clarity and focus to the proposal.

    **Sustainability Strategies**:

    · The paper should elaborate on how interventions like task-shifting and peer support can be sustained long-term, such as through funding mechanisms, policy advocacy, or partnerships with community organizations.

    **Suggested Strategies and Areas for Improvement:**

    **Expand References**:

    · Include additional scholarly articles addressing depression interventions, such as those exploring long-term outcomes, rural populations, or policy-based approaches. Platforms like PubMed, JSTOR, and PsycINFO can be utilized for locating relevant studies.

    **Enhance the Vulnerable Population Section**:

    · Provide a more detailed and data-driven analysis of the low-income population's risk factors, including statistics on depression prevalence, healthcare access gaps, and social determinants of health.

    **Incorporate Statistical Context**:

    · Use credible sources to provide detailed statistics on untreated depression, disparities in mental health treatment, and outcomes among low-income populations.

    **Define Specific Objectives**:

    · Set measurable program goals, such as increasing access to mental health services or achieving a particular improvement in depression symptoms among participants.

    **Focus on Sustainability**:

    · Develop a plan for sustaining interventions through funding, community partnerships, and policy reforms.

    **Resources for Improvement:**

    **University Writing Center**:

    · Schedule one-on-one tutoring sessions for feedback on expanding content, improving statistical analysis, and addressing gaps in development.

    **Library Databases**:

    · Use academic resources like PubMed, JSTOR, and Google Scholar to identify additional articles and evidence to enhance the literature review.

    This submission demonstrates a solid foundation for addressing depression through community-based interventions and culturally relevant strategies. However, addressing the insufficient number of references, enhancing the vulnerable population section, and incorporating detailed statistical evidence would significantly improve the paper’s depth and impact.

    Show more

    Rubric

    Rubric Result

    **87.2/ 100**

    ·
    **Integration of Knowledge**

    25% of total result

    **20**

    **Satisfactory**

    The paper demonstrates that the author, mostly, understands and has applied concepts learned in the course. Some conclusions, however, are not supported in the body of the paper. Questions were not fully developed but concepts are explained well.

    ·
    **Topic Focus**

    25% of total result

    **25**

    **Excellent**

    The topic is focused narrowly enough for the scope of this assignment. A thesis statement provides direction for the paper, either by a statement of a position or hypothesis. The topic is consistently well thought out, thorough offers insight into the topic, and includes cited evidence to support the topic.

    ·
    **Depth of Discussion and Cohesiveness**

    25% of total result

    **20**

    **Satisfactory**

    In-depth discussion and elaboration in most sections of the paper. Mostly, it ties together information from all sources. Paper flows with only some disjointedness. The author’s writing demonstrates an understanding of the relationship among material obtained from all sources. There is an introduction and a conclusion in the submission.

    ·
    **Sources**

    7% of total result

    **4.2**

    **Unsatisfactory**

    Used 4 current sources which are peer-reviewed journal articles or scholarly books. All websites utilized are credible.

    ·
    **APA adherence and Citation in text**

    6% of total result

    **6**

    **Excellent**

    Fewer than 5 incomplete citations and/or quotations, and APA format errors

    ·
    **Spelling and Grammar**

    12% of total result

    **12**

    **Excellent**

    Fewer than 5 grammatical, spelling, capitalization, or punctuation errors The required word count has been met.

    **## DepressioninLow.edited1.pdf**

    1

    Depression in Low-Income Communities

    Eliecer M Rodriguez

    FNU

    Health Promotion & Role Development in Adv. Nursing Practice

    Professor: Nora Hernandez Pupo

    March 15, 2025

    2

    Depression in Low-Income Communities

    Depression is a severe mental disorder that affects so many people across the globe. It is

    especially common among poor people, who often live under tremendous stress and financial

    difficulty and with limited access to mental health care. Depression is one of the significant

    causes of disability, as reported by the World Health Organization, and it affects about over 200

    million people globally. In the US, data from the National Institute of Mental Health shows that

    people living in poverty are more than twice as likely to experience depression as those with

    more income. This proposal will seek to improve mental health among poor people through

    depression education, building community support networks, and increasing access to mental

    health services. The expected result is a decrease in the number of people suffering from

    depression and their mental health improvement. It will be measured by tracking the number of

    people participating in the program and having better access to mental health care.

    Vulnerable Population

    Poor people are more vulnerable to depression due to the various challenges they

    encounter, including economic instability, limited healthcare access, and poor living conditions.

    Economic instability leads to stress, thus increasing the risk of mental illness development. Most

    people in poor communities struggle with basic needs such as food, suitable housing, and

    employment (Martinez et al., 2021). Such social determinants of health make it difficult to enjoy

    good mental health. Furthermore, people in poverty do not access professional mental health

    services due to unaffordability, stigma, and lack of awareness of the services available, thus the

    high rate of untreated depression. Racial and ethnic minority groups among people with low

    incomes suffer even more significant disparities in mental health care. Research conducted by

    the American Psychological Association shows that African American and Hispanic patients

    3

    have more untreated depression than white patients (American Psychological Association, 2017).

    It is due to social issues, dialect boundaries, and systemic inequalities in healthcare access.

    Review of Literature

    Giebel et al. (2022) researched how community-based interventions affect depression

    treatment in low-income communities. It showed that peer support methods and culturally

    adjusted therapy improved mental health outcomes. Depression patients received peer support

    interventions that connected them to others having depression experience so they would develop

    improved feelings while reducing their isolation perception. The treatment interventions went

    through cultural adaptation to fit the orientation of each participant, thus making them more

    accessible and acceptable. Research showed that group therapeutic activities and social support

    groups created the most successful act of treatment adherence. The participants exposed to

    intervention techniques were likelier to maintain therapy appointments, join therapeutic

    discussions, and adhere to treatment protocols. Symptom of become less among the unprivileged

    due to therapy interventions that provided them with both emotional support and coping

    mechanisms. Furthermore, Matteo Bessone et al. (2024) also researched the application of

    depression care techniques that involved task-shifting with trained lay health workers. Shift

    supervision strategies require non skilled staff to take over certain functions that were previously

    allocated to a psychologist after being taught to them. The use of such care services was made

    easier through this method for patients who were both challenged in receiving care from trained

    non-staffs managed to significantly improve the intensity of their depression. The teachers

    provided counseling services accompanied with education and emotional support to the patients.

    In addition, trained health workers attended to patients who were able to use techniques for

    4

    symptom relieve. The success of task shifting shows that even a small amount of training in

    mental healthcare can enable non-professionals to provide basic care.

    Evaluation of Literature

    Research performed by Giebel et al. (2022) and the study reported by Bessone et al.

    (2024) collectively produce significant findings about successful mental health treatment

    methods aimed at low-income populations dealing with depressive symptoms. According to

    Giebel et al. (2022) successful mental health intervention programs need to develop specific

    cultural approaches treating social along with psychological mental health risk factors. The

    research demonstrates that peer support best practices foster community membership while

    lowering stigma which results in superior treatment results. This research study investigates

    urban populations only so it cannot provide complete results about depression experiences in

    rural low-income populations.

    Bessone et al. (2024) introduce a cost-effective system by developing lay health

    employees to deliver mental health support to communities that lack access to qualified medical

    providers. Communities with critical specialist shortages find this approach beneficial because it

    creates broad access to essential services. The approach decreases pressure on the healthcare

    system by using community members to deliver implemented interventions. The efficacy of this

    intervention depends on both the implementation of quality training sessions for lay health

    workers and adequate supervision programs. The combination of peer support initiatives with

    trained non-specialist mental health employees represents the most practical solution for

    reducing depression rates in low-income communities. Community-based peer support, together

    with trained non-specialist mental health workers, presents a possible solution to health care

    deficits through effective and reachable services. A combined model would utilize culturally

    5

    specific interventions by task-sharing the workload to address professional shortages. Several

    support systems incorporated into this strategy would create comprehensive care that produces

    better mental health results for disadvantaged people in city and country areas.

    Theoretical Framework

    The human ecological model acts as a framework for fully considering the many different

    factors that affect an individual’s mental health, and it is particularly useful in dealing with

    depression among lower socioeconomic groups. It deals with problems at several levels;

    individual, interpersonal, community, and societal, which increases the likelihood of developing

    feasible solutions (Kleinman et al., 2023). Individual educational intervention on depression and

    coping techniques represents the most fundamental and essential form of psychiatric care. A

    significant portion of the low income population has a major health literacy problem which is a

    combination of not knowing and misunderstanding the services that are offered. Using

    workshops, webinars, and local community programs assist them in recognizing their problems

    and taking initiative to receive appropriate care.

    Moreover, passing on useful skills in problem-solving, and resilience training equips

    individuals to navigate a range of life challenges effectively. Addressing mental health issues at

    the personal level puts the groundwork for self-care practices and reduces the incidence of

    untreated depression. Supportive relationships are crucial in safeguarding against depression and

    mitigating the effects of loneliness and economic hardships. A scalable mental health care

    system necessitates collaborative efforts with community clinics, faith-based organizations, and

    non-profits, particularly in economically disadvantaged areas, to enhance the availability of

    services. Task-shifting offers a viable solution to the shortage of specialized health professionals

    by equipping general healthcare providers with essential skills for delivering mental health

    6

    services. Policy reforms must tackle limitations in insurance coverage and the integration of

    primary care services to ensure comprehensive mental health support. The proposed style,

    grounded in the SEM, aims to put various involvement that will improve accessibility and

    sustainability, and reducing depression among low-income populations.

    7

    References

    American Psychological Association. (2017). Ethnic and Racial Minorities & Socioeconomic

    Status. American Psychological Association.

    https://www.apa.org/pi/ses/resources/publications/minorities

    Giebel, C., Shrestha, N., Reilly, S., White, R. G., Zuluaga, M. I., Saldarriaga, G., Liu, G., Allen,

    D., & Gabbay, M. (2022). Community-based mental health and well-being interventions

    for older adults in low- and middle-income countries: a systematic review and meta-

    analysis. BMC Geriatrics, 22(1), 773. https://doi.org/10.1186/s12877-022-03453-1

    Kleinman, M. B., Anvari, M. S., Seitz-Brown, C. J., Bradley, V. D., Tralka, H., Felton, J. W.,

    Belcher, A. M., Greenblatt, A. D., & Magidson, J. F. (2023). Psychosocial challenges

    affecting patient-defined medication for opioid use disorder treatment outcomes in a low-

    income, underserved population: Application of the social-ecological framework. Journal

    of Substance Use and Addiction Treatment, 149, 209046.

    https://doi.org/10.1016/j.josat.2023.209046

    Martinez, S. M., Esaryk, E. E., Moffat, L., & Ritchie, L. (2021). Redefining Basic Needs for

    Higher Education: It is More Than Minimal Food and Housing According to California

    University Students. American Journal of Health Promotion, 35(6), 089011712199229.

    https://doi.org/10.1177/0890117121992295

    Matteo Bessone, Bianco, F. L., & Gianluca D'Amico. (2024). Transforming clinical psychology:

    An ecological and psychopolitical perspective. An Italian and global case. RIVISTA DI

    PSICOLOGIA CLINICA, 1, 35–60. https://doi.org/10.3280/rpc1-2024oa18051

    Nora Hernandez-Pupo

    6 references required- 5 used but inly 4 were current

    – Health Promotion & Role Development in Adv. Nursing Practice
    – Professor: Nora Hernandez Pupo
    – References

    **## DepressioninLow.edited1.pdf**

    1

    Depression in Low-Income Communities

    Eliecer M Rodriguez

    FNU

    Health Promotion & Role Development in Adv. Nursing Practice

    Professor: Nora Hernandez Pupo

    March 15, 2025

    2

    Depression in Low-Income Communities

    Depression is a severe mental disorder that affects so many people across the globe. It is

    especially common among poor people, who often live under tremendous stress and financial

    difficulty and with limited access to mental health care. Depression is one of the significant

    causes of disability, as reported by the World Health Organization, and it affects about over 200

    million people globally. In the US, data from the National Institute of Mental Health shows that

    people living in poverty are more than twice as likely to experience depression as those with

    more income. This proposal will seek to improve mental health among poor people through

    depression education, building community support networks, and increasing access to mental

    health services. The expected result is a decrease in the number of people suffering from

    depression and their mental health improvement. It will be measured by tracking the number of

    people participating in the program and having better access to mental health care.

    Vulnerable Population

    Poor people are more vulnerable to depression due to the various challenges they

    encounter, including economic instability, limited healthcare access, and poor living conditions.

    Economic instability leads to stress, thus increasing the risk of mental illness development. Most

    people in poor communities struggle with basic needs such as food, suitable housing, and

    employment (Martinez et al., 2021). Such social determinants of health make it difficult to enjoy

    good mental health. Furthermore, people in poverty do not access professional mental health

    services due to unaffordability, stigma, and lack of awareness of the services available, thus the

    high rate of untreated depression. Racial and ethnic minority groups among people with low

    incomes suffer even more significant disparities in mental health care. Research conducted by

    the American Psychological Association shows that African American and Hispanic patients

    3

    have more untreated depression than white patients (American Psychological Association, 2017).

    It is due to social issues, dialect boundaries, and systemic inequalities in healthcare access.

    Review of Literature

    Giebel et al. (2022) researched how community-based interventions affect depression

    treatment in low-income communities. It showed that peer support methods and culturally

    adjusted therapy improved mental health outcomes. Depression patients received peer support

    interventions that connected them to others having depression experience so they would develop

    improved feelings while reducing their isolation perception. The treatment interventions went

    through cultural adaptation to fit the orientation of each participant, thus making them more

    accessible and acceptable. Research showed that group therapeutic activities and social support

    groups created the most successful act of treatment adherence. The participants exposed to

    intervention techniques were likelier to maintain therapy appointments, join therapeutic

    discussions, and adhere to treatment protocols. Symptom of become less among the unprivileged

    due to therapy interventions that provided them with both emotional support and coping

    mechanisms. Furthermore, Matteo Bessone et al. (2024) also researched the application of

    depression care techniques that involved task-shifting with trained lay health workers. Shift

    supervision strategies require non skilled staff to take over certain functions that were previously

    allocated to a psychologist after being taught to them. The use of such care services was made

    easier through this method for patients who were both challenged in receiving care from trained

    non-staffs managed to significantly improve the intensity of their depression. The teachers

    provided counseling services accompanied with education and emotional support to the patients.

    In addition, trained health workers attended to patients who were able to use techniques for

    4

    symptom relieve. The success of task shifting shows that even a small amount of training in

    mental healthcare can enable non-professionals to provide basic care.

    Evaluation of Literature

    Research performed by Giebel et al. (2022) and the study reported by Bessone et al.

    (2024) collectively produce significant findings about successful mental health treatment

    methods aimed at low-income populations dealing with depressive symptoms. According to

    Giebel et al. (2022) successful mental health intervention programs need to develop specific

    cultural approaches treating social along with psychological mental health risk factors. The

    research demonstrates that peer support best practices foster community membership while

    lowering stigma which results in superior treatment results. This research study investigates

    urban populations only so it cannot provide complete results about depression experiences in

    rural low-income populations.

    Bessone et al. (2024) introduce a cost-effective system by developing lay health

    employees to deliver mental health support to communities that lack access to qualified medical

    providers. Communities with critical specialist shortages find this approach beneficial because it

    creates broad access to essential services. The approach decreases pressure on the healthcare

    system by using community members to deliver implemented interventions. The efficacy of this

    intervention depends on both the implementation of quality training sessions for lay health

    workers and adequate supervision programs. The combination of peer support initiatives with

    trained non-specialist mental health employees represents the most practical solution for

    reducing depression rates in low-income communities. Community-based peer support, together

    with trained non-specialist mental health workers, presents a possible solution to health care

    deficits through effective and reachable services. A combined model would utilize culturally

    5

    specific interventions by task-sharing the workload to address professional shortages. Several

    support systems incorporated into this strategy would create comprehensive care that produces

    better mental health results for disadvantaged people in city and country areas.

    Theoretical Framework

    The human ecological model acts as a framework for fully considering the many different

    factors that affect an individual’s mental health, and it is particularly useful in dealing with

    depression among lower socioeconomic groups. It deals with problems at several levels;

    individual, interpersonal, community, and societal, which increases the likelihood of developing

    feasible solutions (Kleinman et al., 2023). Individual educational intervention on depression and

    coping techniques represents the most fundamental and essential form of psychiatric care. A

    significant portion of the low income population has a major health literacy problem which is a

    combination of not knowing and misunderstanding the services that are offered. Using

    workshops, webinars, and local community programs assist them in recognizing their problems

    and taking initiative to receive appropriate care.

    Moreover, passing on useful skills in problem-solving, and resilience training equips

    individuals to navigate a range of life challenges effectively. Addressing mental health issues at

    the personal level puts the groundwork for self-care practices and reduces the incidence of

    untreated depression. Supportive relationships are crucial in safeguarding against depression and

    mitigating the effects of loneliness and economic hardships. A scalable mental health care

    system necessitates collaborative efforts with community clinics, faith-based organizations, and

    non-profits, particularly in economically disadvantaged areas, to enhance the availability of

    services. Task-shifting offers a viable solution to the shortage of specialized health professionals

    by equipping general healthcare providers with essential skills for delivering mental health

    6

    services. Policy reforms must tackle limitations in insurance coverage and the integration of

    primary care services to ensure comprehensive mental health support. The proposed style,

    grounded in the SEM, aims to put various involvement that will improve accessibility and

    sustainability, and reducing depression among low-income populations.

    7

    References

    American Psychological Association. (2017). Ethnic and Racial Minorities & Socioeconomic

    Status. American Psychological Association.

    https://www.apa.org/pi/ses/resources/publications/minorities

    Giebel, C., Shrestha, N., Reilly, S., White, R. G., Zuluaga, M. I., Saldarriaga, G., Liu, G., Allen,

    D., & Gabbay, M. (2022). Community-based mental health and well-being interventions

    for older adults in low- and middle-income countries: a systematic review and meta-

    analysis. BMC Geriatrics, 22(1), 773. https://doi.org/10.1186/s12877-022-03453-1

    Kleinman, M. B., Anvari, M. S., Seitz-Brown, C. J., Bradley, V. D., Tralka, H., Felton, J. W.,

    Belcher, A. M., Greenblatt, A. D., & Magidson, J. F. (2023). Psychosocial challenges

    affecting patient-defined medication for opioid use disorder treatment outcomes in a low-

    income, underserved population: Application of the social-ecological framework. Journal

    of Substance Use and Addiction Treatment, 149, 209046.

    https://doi.org/10.1016/j.josat.2023.209046

    Martinez, S. M., Esaryk, E. E., Moffat, L., & Ritchie, L. (2021). Redefining Basic Needs for

    Higher Education: It is More Than Minimal Food and Housing According to California

    University Students. American Journal of Health Promotion, 35(6), 089011712199229.

    https://doi.org/10.1177/0890117121992295

    Matteo Bessone, Bianco, F. L., & Gianluca D'Amico. (2024). Transforming clinical psychology:

    An ecological and psychopolitical perspective. An Italian and global case. RIVISTA DI

    PSICOLOGIA CLINICA, 1, 35–60. https://doi.org/10.3280/rpc1-2024oa18051

    Nora Hernandez-Pupo

    6 references required- 5 used but inly 4 were current

    – Health Promotion & Role Development in Adv. Nursing Practice
    – Professor: Nora Hernandez Pupo
    – References

    **## HealthPromotionProposalpart2.docx**

    **Health Promotion Proposal, Part 2**

    **This is a continuation of the health promotion program proposal, part one**, which you submitted previously.

    Please approach this assignment as an opportunity to integrate instructor feedback from part I and expand on ideas adhering to the components of the MAP-IT strategy. Include necessary levels of detail you feel appropriate to assure stakeholder buy-in.

    **Directions**

    You have already completed the steps 1-4.
    **Do not resubmit part 1.** Make sure you incorporate any suggested revisions or improvements into your submission according to your instructor’s comments.

    **For this assignment develop criteria 5-8 as detailed below:**

    **You will submit just this section 5-8 as an essay. Please do not resubmit Part 1.**

    Use a presentation page. Start the body of content with topic 5.

    · 5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which includes resources necessary, those involved, and feasibility for a nurse in an advanced role.

    · Be certain to include a timeline. (3 to 4 paragraphs- you may use bullets if appropriate).

    · 6. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach.
    **The SMART goal statement should be no more than one sentence** (1 paragraph).

    · 7. Provide a detailed plan for the evaluation of each outcome. (2-3 paragraphs).

    · 8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (2+ paragraphs).

    · Finish the paper with a conclusion paragraph (2 paragraphs) without typing the word "conclusion" before the paragraph.

    **Paper Requirements**

    This assignment is to be submitted as an essay- with an introduction, questions developed at the graduate level, and a conclusion to summarize and synthesize key points. Remember, your Proposal must be a scholarly paper demonstrating graduate school-level writing and critical analysis of existing nursing knowledge about health promotion.

    **APA must be strictly followed.**

    **Your final assignment should be minimally 5 pages (excluding title page and references).**

    **Finish the essay with your reference page.**

    **6 references**

    **Please review the Grading Rubric for this Assignment.**

    **## Attemptfeedback.docx**

    Attempt feedback

    This submission shows commendable efforts in addressing depression among low-income populations and proposing community-based interventions. However, there are areas for improvement to enhance the overall development of the paper, particularly regarding the vulnerable population, statistical significance, and adherence to assignment requirements.

    **Promising Theoretical Framework**:

    · The use of the human ecological model is an excellent choice as it considers multiple levels of influence—individual, interpersonal, community, and societal—on mental health. This comprehensive approach aligns well with the complexities of addressing depression in low-income populations.

    **Cultural Relevance and Accessibility**:

    · The submission highlights the importance of culturally tailored interventions and community-based approaches, such as peer support and task-shifting. These strategies are effective in improving treatment adherence and overcoming barriers faced by disadvantaged communities.

    **Integration of Evidence-Based Interventions**:

    · The literature review incorporates practical interventions like peer support and task-shifting, with both approaches showing measurable benefits in mental health outcomes. This shows thoughtfulness in applying evidence to address the issue.

    **Areas for Improvement:**

    1.
    **Insufficient Number of References**:

    · The student did not include the required minimum of six scholarly references, which negatively affected the paper’s development. Without meeting this requirement, the paper lacks the depth and breadth of evidence needed to fully support the proposed strategies. Adding more peer-reviewed studies, especially those addressing diverse geographic areas and long-term impacts, would strengthen the submission.

    **Underdeveloped Vulnerable Population Description**:

    · The vulnerable population section does not sufficiently explore specific groups or provide detailed statistical evidence of their risk factors. Including more data, such as prevalence rates of untreated depression among low-income individuals or disparities in healthcare access, would enhance the significance of the discussion.

    **Limited Statistical Context**:

    · The submission includes brief mentions of depression rates, but it lacks robust statistical support. Incorporating detailed statistics and trends, such as rates of untreated depression or disparities in mental health outcomes, would add weight to the argument and make the issue’s scope more compelling.

    **Lack of Measurable Program Objectives**:

    · While the submission discusses general strategies for addressing depression, it would benefit from setting clear, measurable objectives. For example, establishing goals such as a percentage increase in treatment adherence or reduction in depressive symptoms over a specific timeframe would add clarity and focus to the proposal.

    **Sustainability Strategies**:

    · The paper should elaborate on how interventions like task-shifting and peer support can be sustained long-term, such as through funding mechanisms, policy advocacy, or partnerships with community organizations.

    **Suggested Strategies and Areas for Improvement:**

    **Expand References**:

    · Include additional scholarly articles addressing depression interventions, such as those exploring long-term outcomes, rural populations, or policy-based approaches. Platforms like PubMed, JSTOR, and PsycINFO can be utilized for locating relevant studies.

    **Enhance the Vulnerable Population Section**:

    · Provide a more detailed and data-driven analysis of the low-income population's risk factors, including statistics on depression prevalence, healthcare access gaps, and social determinants of health.

    **Incorporate Statistical Context**:

    · Use credible sources to provide detailed statistics on untreated depression, disparities in mental health treatment, and outcomes among low-income populations.

    **Define Specific Objectives**:

    · Set measurable program goals, such as increasing access to mental health services or achieving a particular improvement in depression symptoms among participants.

    **Focus on Sustainability**:

    · Develop a plan for sustaining interventions through funding, community partnerships, and policy reforms.

    **Resources for Improvement:**

    **University Writing Center**:

    · Schedule one-on-one tutoring sessions for feedback on expanding content, improving statistical analysis, and addressing gaps in development.

    **Library Databases**:

    · Use academic resources like PubMed, JSTOR, and Google Scholar to identify additional articles and evidence to enhance the literature review.

    This submission demonstrates a solid foundation for addressing depression through community-based interventions and culturally relevant strategies. However, addressing the insufficient number of references, enhancing the vulnerable population section, and incorporating detailed statistical evidence would significantly improve the paper’s depth and impact.

    Show more

    Rubric

    Rubric Result

    **87.2/ 100**

    ·
    **Integration of Knowledge**

    25% of total result

    **20**

    **Satisfactory**

    The paper demonstrates that the author, mostly, understands and has applied concepts learned in the course. Some conclusions, however, are not supported in the body of the paper. Questions were not fully developed but concepts are explained well.

    ·
    **Topic Focus**

    25% of total result

    **25**

    **Excellent**

    The topic is focused narrowly enough for the scope of this assignment. A thesis statement provides direction for the paper, either by a statement of a position or hypothesis. The topic is consistently well thought out, thorough offers insight into the topic, and includes cited evidence to support the topic.

    ·
    **Depth of Discussion and Cohesiveness**

    25% of total result

    **20**

    **Satisfactory**

    In-depth discussion and elaboration in most sections of the paper. Mostly, it ties together information from all sources. Paper flows with only some disjointedness. The author’s writing demonstrates an understanding of the relationship among material obtained from all sources. There is an introduction and a conclusion in the submission.

    ·
    **Sources**

    7% of total result

    **4.2**

    **Unsatisfactory**

    Used 4 current sources which are peer-reviewed journal articles or scholarly books. All websites utilized are credible.

    ·
    **APA adherence and Citation in text**

    6% of total result

    **6**

    **Excellent**

    Fewer than 5 incomplete citations and/or quotations, and APA format errors

    ·
    **Spelling and Grammar**

    12% of total result

    **12**

    **Excellent**

    Fewer than 5 grammatical, spelling, capitalization, or punctuation errors The required word count has been met.

    **## DepressioninLow.edited1.pdf**

    1

    Depression in Low-Income Communities

    Eliecer M Rodriguez

    FNU

    Health Promotion & Role Development in Adv. Nursing Practice

    Professor: Nora Hernandez Pupo

    March 15, 2025

    2

    Depression in Low-Income Communities

    Depression is a severe mental disorder that affects so many people across the globe. It is

    especially common among poor people, who often live under tremendous stress and financial

    difficulty and with limited access to mental health care. Depression is one of the significant

    causes of disability, as reported by the World Health Organization, and it affects about over 200

    million people globally. In the US, data from the National Institute of Mental Health shows that

    people living in poverty are more than twice as likely to experience depression as those with

    more income. This proposal will seek to improve mental health among poor people through

    depression education, building community support networks, and increasing access to mental

    health services. The expected result is a decrease in the number of people suffering from

    depression and their mental health improvement. It will be measured by tracking the number of

    people participating in the program and having better access to mental health care.

    Vulnerable Population

    Poor people are more vulnerable to depression due to the various challenges they

    encounter, including economic instability, limited healthcare access, and poor living conditions.

    Economic instability leads to stress, thus increasing the risk of mental illness development. Most

    people in poor communities struggle with basic needs such as food, suitable housing, and

    employment (Martinez et al., 2021). Such social determinants of health make it difficult to enjoy

    good mental health. Furthermore, people in poverty do not access professional mental health

    services due to unaffordability, stigma, and lack of awareness of the services available, thus the

    high rate of untreated depression. Racial and ethnic minority groups among people with low

    incomes suffer even more significant disparities in mental health care. Research conducted by

    the American Psychological Association shows that African American and Hispanic patients

    3

    have more untreated depression than white patients (American Psychological Association, 2017).

    It is due to social issues, dialect boundaries, and systemic inequalities in healthcare access.

    Review of Literature

    Giebel et al. (2022) researched how community-based interventions affect depression

    treatment in low-income communities. It showed that peer support methods and culturally

    adjusted therapy improved mental health outcomes. Depression patients received peer support

    interventions that connected them to others having depression experience so they would develop

    improved feelings while reducing their isolation perception. The treatment interventions went

    through cultural adaptation to fit the orientation of each participant, thus making them more

    accessible and acceptable. Research showed that group therapeutic activities and social support

    groups created the most successful act of treatment adherence. The participants exposed to

    intervention techniques were likelier to maintain therapy appointments, join therapeutic

    discussions, and adhere to treatment protocols. Symptom of become less among the unprivileged

    due to therapy interventions that provided them with both emotional support and coping

    mechanisms. Furthermore, Matteo Bessone et al. (2024) also researched the application of

    depression care techniques that involved task-shifting with trained lay health workers. Shift

    supervision strategies require non skilled staff to take over certain functions that were previously

    allocated to a psychologist after being taught to them. The use of such care services was made

    easier through this method for patients who were both challenged in receiving care from trained

    non-staffs managed to significantly improve the intensity of their depression. The teachers

    provided counseling services accompanied with education and emotional support to the patients.

    In addition, trained health workers attended to patients who were able to use techniques for

    4

    symptom relieve. The success of task shifting shows that even a small amount of training in

    mental healthcare can enable non-professionals to provide basic care.

    Evaluation of Literature

    Research performed by Giebel et al. (2022) and the study reported by Bessone et al.

    (2024) collectively produce significant findings about successful mental health treatment

    methods aimed at low-income populations dealing with depressive symptoms. According to

    Giebel et al. (2022) successful mental health intervention programs need to develop specific

    cultural approaches treating social along with psychological mental health risk factors. The

    research demonstrates that peer support best practices foster community membership while

    lowering stigma which results in superior treatment results. This research study investigates

    urban populations only so it cannot provide complete results about depression experiences in

    rural low-income populations.

    Bessone et al. (2024) introduce a cost-effective system by developing lay health

    employees to deliver mental health support to communities that lack access to qualified medical

    providers. Communities with critical specialist shortages find this approach beneficial because it

    creates broad access to essential services. The approach decreases pressure on the healthcare

    system by using community members to deliver implemented interventions. The efficacy of this

    intervention depends on both the implementation of quality training sessions for lay health

    workers and adequate supervision programs. The combination of peer support initiatives with

    trained non-specialist mental health employees represents the most practical solution for

    reducing depression rates in low-income communities. Community-based peer support, together

    with trained non-specialist mental health workers, presents a possible solution to health care

    deficits through effective and reachable services. A combined model would utilize culturally

    5

    specific interventions by task-sharing the workload to address professional shortages. Several

    support systems incorporated into this strategy would create comprehensive care that produces

    better mental health results for disadvantaged people in city and country areas.

    Theoretical Framework

    The human ecological model acts as a framework for fully considering the many different

    factors that affect an individual’s mental health, and it is particularly useful in dealing with

    depression among lower socioeconomic groups. It deals with problems at several levels;

    individual, interpersonal, community, and societal, which increases the likelihood of developing

    feasible solutions (Kleinman et al., 2023). Individual educational intervention on depression and

    coping techniques represents the most fundamental and essential form of psychiatric care. A

    significant portion of the low income population has a major health literacy problem which is a

    combination of not knowing and misunderstanding the services that are offered. Using

    workshops, webinars, and local community programs assist them in recognizing their problems

    and taking initiative to receive appropriate care.

    Moreover, passing on useful skills in problem-solving, and resilience training equips

    individuals to navigate a range of life challenges effectively. Addressing mental health issues at

    the personal level puts the groundwork for self-care practices and reduces the incidence of

    untreated depression. Supportive relationships are crucial in safeguarding against depression and

    mitigating the effects of loneliness and economic hardships. A scalable mental health care

    system necessitates collaborative efforts with community clinics, faith-based organizations, and

    non-profits, particularly in economically disadvantaged areas, to enhance the availability of

    services. Task-shifting offers a viable solution to the shortage of specialized health professionals

    by equipping general healthcare providers with essential skills for delivering mental health

    6

    services. Policy reforms must tackle limitations in insurance coverage and the integration of

    primary care services to ensure comprehensive mental health support. The proposed style,

    grounded in the SEM, aims to put various involvement that will improve accessibility and

    sustainability, and reducing depression among low-income populations.

    7

    References

    American Psychological Association. (2017). Ethnic and Racial Minorities & Socioeconomic

    Status. American Psychological Association.

    https://www.apa.org/pi/ses/resources/publications/minorities

    Giebel, C., Shrestha, N., Reilly, S., White, R. G., Zuluaga, M. I., Saldarriaga, G., Liu, G., Allen,

    D., & Gabbay, M. (2022). Community-based mental health and well-being interventions

    for older adults in low- and middle-income countries: a systematic review and meta-

    analysis. BMC Geriatrics, 22(1), 773. https://doi.org/10.1186/s12877-022-03453-1

    Kleinman, M. B., Anvari, M. S., Seitz-Brown, C. J., Bradley, V. D., Tralka, H., Felton, J. W.,

    Belcher, A. M., Greenblatt, A. D., & Magidson, J. F. (2023). Psychosocial challenges

    affecting patient-defined medication for opioid use disorder treatment outcomes in a low-

    income, underserved population: Application of the social-ecological framework. Journal

    of Substance Use and Addiction Treatment, 149, 209046.

    https://doi.org/10.1016/j.josat.2023.209046

    Martinez, S. M., Esaryk, E. E., Moffat, L., & Ritchie, L. (2021). Redefining Basic Needs for

    Higher Education: It is More Than Minimal Food and Housing According to California

    University Students. American Journal of Health Promotion, 35(6), 089011712199229.

    https://doi.org/10.1177/0890117121992295

    Matteo Bessone, Bianco, F. L., & Gianluca D'Amico. (2024). Transforming clinical psychology:

    An ecological and psychopolitical perspective. An Italian and global case. RIVISTA DI

    PSICOLOGIA CLINICA, 1, 35–60. https://doi.org/10.3280/rpc1-2024oa18051

    Nora Hernandez-Pupo

    6 references required- 5 used but inly 4 were current

    – Health Promotion & Role Development in Adv. Nursing Practice
    – Professor: Nora Hernandez Pupo
    – References

    **## HealthPromotionProposalpart2.docx**

    **Health Promotion Proposal, Part 2**

    **This is a continuation of the health promotion program proposal, part one**, which you submitted previously.

    Please approach this assignment as an opportunity to integrate instructor feedback from part I and expand on ideas adhering to the components of the MAP-IT strategy. Include necessary levels of detail you feel appropriate to assure stakeholder buy-in.

    **Directions**

    You have already completed the steps 1-4.
    **Do not resubmit part 1.** Make sure you incorporate any suggested revisions or improvements into your submission according to your instructor’s comments.

    **For this assignment develop criteria 5-8 as detailed below:**

    **You will submit just this section 5-8 as an essay. Please do not resubmit Part 1.**

    Use a presentation page. Start the body of content with topic 5.

    · 5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which includes resources necessary, those involved, and feasibility for a nurse in an advanced role.

    · Be certain to include a timeline. (3 to 4 paragraphs- you may use bullets if appropriate).

    · 6. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach.
    **The SMART goal statement should be no more than one sentence** (1 paragraph).

    · 7. Provide a detailed plan for the evaluation of each outcome. (2-3 paragraphs).

    · 8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (2+ paragraphs).

    · Finish the paper with a conclusion paragraph (2 paragraphs) without typing the word "conclusion" before the paragraph.

    **Paper Requirements**

    This assignment is to be submitted as an essay- with an introduction, questions developed at the graduate level, and a conclusion to summarize and synthesize key points. Remember, your Proposal must be a scholarly paper demonstrating graduate school-level writing and critical analysis of existing nursing knowledge about health promotion.

    **APA must be strictly followed.**

    **Your final assignment should be minimally 5 pages (excluding title page and references).**

    **Finish the essay with your reference page.**

    **6 references**

    **Please review the Grading Rubric for this Assignment.**

    **## Attemptfeedback.docx**

    Attempt feedback

    This submission shows commendable efforts in addressing depression among low-income populations and proposing community-based interventions. However, there are areas for improvement to enhance the overall development of the paper, particularly regarding the vulnerable population, statistical significance, and adherence to assignment requirements.

    **Promising Theoretical Framework**:

    · The use of the human ecological model is an excellent choice as it considers multiple levels of influence—individual, interpersonal, community, and societal—on mental health. This comprehensive approach aligns well with the complexities of addressing depression in low-income populations.

    **Cultural Relevance and Accessibility**:

    · The submission highlights the importance of culturally tailored interventions and community-based approaches, such as peer support and task-shifting. These strategies are effective in improving treatment adherence and overcoming barriers faced by disadvantaged communities.

    **Integration of Evidence-Based Interventions**:

    · The literature review incorporates practical interventions like peer support and task-shifting, with both approaches showing measurable benefits in mental health outcomes. This shows thoughtfulness in applying evidence to address the issue.

    **Areas for Improvement:**

    1.
    **Insufficient Number of References**:

    · The student did not include the required minimum of six scholarly references, which negatively affected the paper’s development. Without meeting this requirement, the paper lacks the depth and breadth of evidence needed to fully support the proposed strategies. Adding more peer-reviewed studies, especially those addressing diverse geographic areas and long-term impacts, would strengthen the submission.

    **Underdeveloped Vulnerable Population Description**:

    · The vulnerable population section does not sufficiently explore specific groups or provide detailed statistical evidence of their risk factors. Including more data, such as prevalence rates of untreated depression among low-income individuals or disparities in healthcare access, would enhance the significance of the discussion.

    **Limited Statistical Context**:

    · The submission includes brief mentions of depression rates, but it lacks robust statistical support. Incorporating detailed statistics and trends, such as rates of untreated depression or disparities in mental health outcomes, would add weight to the argument and make the issue’s scope more compelling.

    **Lack of Measurable Program Objectives**:

    · While the submission discusses general strategies for addressing depression, it would benefit from setting clear, measurable objectives. For example, establishing goals such as a percentage increase in treatment adherence or reduction in depressive symptoms over a specific timeframe would add clarity and focus to the proposal.

    **Sustainability Strategies**:

    · The paper should elaborate on how interventions like task-shifting and peer support can be sustained long-term, such as through funding mechanisms, policy advocacy, or partnerships with community organizations.

    **Suggested Strategies and Areas for Improvement:**

    **Expand References**:

    · Include additional scholarly articles addressing depression interventions, such as those exploring long-term outcomes, rural populations, or policy-based approaches. Platforms like PubMed, JSTOR, and PsycINFO can be utilized for locating relevant studies.

    **Enhance the Vulnerable Population Section**:

    · Provide a more detailed and data-driven analysis of the low-income population's risk factors, including statistics on depression prevalence, healthcare access gaps, and social determinants of health.

    **Incorporate Statistical Context**:

    · Use credible sources to provide detailed statistics on untreated depression, disparities in mental health treatment, and outcomes among low-income populations.

    **Define Specific Objectives**:

    · Set measurable program goals, such as increasing access to mental health services or achieving a particular improvement in depression symptoms among participants.

    **Focus on Sustainability**:

    · Develop a plan for sustaining interventions through funding, community partnerships, and policy reforms.

    **Resources for Improvement:**

    **University Writing Center**:

    · Schedule one-on-one tutoring sessions for feedback on expanding content, improving statistical analysis, and addressing gaps in development.

    **Library Databases**:

    · Use academic resources like PubMed, JSTOR, and Google Scholar to identify additional articles and evidence to enhance the literature review.

    This submission demonstrates a solid foundation for addressing depression through community-based interventions and culturally relevant strategies. However, addressing the insufficient number of references, enhancing the vulnerable population section, and incorporating detailed statistical evidence would significantly improve the paper’s depth and impact.

    Show more

    Rubric

    Rubric Result

    **87.2/ 100**

    ·
    **Integration of Knowledge**

    25% of total result

    **20**

    **Satisfactory**

    The paper demonstrates that the author, mostly, understands and has applied concepts learned in the course. Some conclusions, however, are not supported in the body of the paper. Questions were not fully developed but concepts are explained well.

    ·
    **Topic Focus**

    25% of total result

    **25**

    **Excellent**

    The topic is focused narrowly enough for the scope of this assignment. A thesis statement provides direction for the paper, either by a statement of a position or hypothesis. The topic is consistently well thought out, thorough offers insight into the topic, and includes cited evidence to support the topic.

    ·
    **Depth of Discussion and Cohesiveness**

    25% of total result

    **20**

    **Satisfactory**

    In-depth discussion and elaboration in most sections of the paper. Mostly, it ties together information from all sources. Paper flows with only some disjointedness. The author’s writing demonstrates an understanding of the relationship among material obtained from all sources. There is an introduction and a conclusion in the submission.

    ·
    **Sources**

    7% of total result

    **4.2**

    **Unsatisfactory**

    Used 4 current sources which are peer-reviewed journal articles or scholarly books. All websites utilized are credible.

    ·
    **APA adherence and Citation in text**

    6% of total result

    **6**

    **Excellent**

    Fewer than 5 incomplete citations and/or quotations, and APA format errors

    ·
    **Spelling and Grammar**

    12% of total result

    **12**

    **Excellent**

    Fewer than 5 grammatical, spelling, capitalization, or punctuation errors The required word count has been met.

    **## DepressioninLow.edited1.pdf**

    1

    Depression in Low-Income Communities

    Eliecer M Rodriguez

    FNU

    Health Promotion & Role Development in Adv. Nursing Practice

    Professor: Nora Hernandez Pupo

    March 15, 2025

    2

    Depression in Low-Income Communities

    Depression is a severe mental disorder that affects so many people across the globe. It is

    especially common among poor people, who often live under tremendous stress and financial

    difficulty and with limited access to mental health care. Depression is one of the significant

    causes of disability, as reported by the World Health Organization, and it affects about over 200

    million people globally. In the US, data from the National Institute of Mental Health shows that

    people living in poverty are more than twice as likely to experience depression as those with

    more income. This proposal will seek to improve mental health among poor people through

    depression education, building community support networks, and increasing access to mental

    health services. The expected result is a decrease in the number of people suffering from

    depression and their mental health improvement. It will be measured by tracking the number of

    people participating in the program and having better access to mental health care.

    Vulnerable Population

    Poor people are more vulnerable to depression due to the various challenges they

    encounter, including economic instability, limited healthcare access, and poor living conditions.

    Economic instability leads to stress, thus increasing the risk of mental illness development. Most

    people in poor communities struggle with basic needs such as food, suitable housing, and

    employment (Martinez et al., 2021). Such social determinants of health make it difficult to enjoy

    good mental health. Furthermore, people in poverty do not access professional mental health

    services due to unaffordability, stigma, and lack of awareness of the services available, thus the

    high rate of untreated depression. Racial and ethnic minority groups among people with low

    incomes suffer even more significant disparities in mental health care. Research conducted by

    the American Psychological Association shows that African American and Hispanic patients

    3

    have more untreated depression than white patients (American Psychological Association, 2017).

    It is due to social issues, dialect boundaries, and systemic inequalities in healthcare access.

    Review of Literature

    Giebel et al. (2022) researched how community-based interventions affect depression

    treatment in low-income communities. It showed that peer support methods and culturally

    adjusted therapy improved mental health outcomes. Depression patients received peer support

    interventions that connected them to others having depression experience so they would develop

    improved feelings while reducing their isolation perception. The treatment interventions went

    through cultural adaptation to fit the orientation of each participant, thus making them more

    accessible and acceptable. Research showed that group therapeutic activities and social support

    groups created the most successful act of treatment adherence. The participants exposed to

    intervention techniques were likelier to maintain therapy appointments, join therapeutic

    discussions, and adhere to treatment protocols. Symptom of become less among the unprivileged

    due to therapy interventions that provided them with both emotional support and coping

    mechanisms. Furthermore, Matteo Bessone et al. (2024) also researched the application of

    depression care techniques that involved task-shifting with trained lay health workers. Shift

    supervision strategies require non skilled staff to take over certain functions that were previously

    allocated to a psychologist after being taught to them. The use of such care services was made

    easier through this method for patients who were both challenged in receiving care from trained

    non-staffs managed to significantly improve the intensity of their depression. The teachers

    provided counseling services accompanied with education and emotional support to the patients.

    In addition, trained health workers attended to patients who were able to use techniques for

    4

    symptom relieve. The success of task shifting shows that even a small amount of training in

    mental healthcare can enable non-professionals to provide basic care.

    Evaluation of Literature

    Research performed by Giebel et al. (2022) and the study reported by Bessone et al.

    (2024) collectively produce significant findings about successful mental health treatment

    methods aimed at low-income populations dealing with depressive symptoms. According to

    Giebel et al. (2022) successful mental health intervention programs need to develop specific

    cultural approaches treating social along with psychological mental health risk factors. The

    research demonstrates that peer support best practices foster community membership while

    lowering stigma which results in superior treatment results. This research study investigates

    urban populations only so it cannot provide complete results about depression experiences in

    rural low-income populations.

    Bessone et al. (2024) introduce a cost-effective system by developing lay health

    employees to deliver mental health support to communities that lack access to qualified medical

    providers. Communities with critical specialist shortages find this approach beneficial because it

    creates broad access to essential services. The approach decreases pressure on the healthcare

    system by using community members to deliver implemented interventions. The efficacy of this

    intervention depends on both the implementation of quality training sessions for lay health

    workers and adequate supervision programs. The combination of peer support initiatives with

    trained non-specialist mental health employees represents the most practical solution for

    reducing depression rates in low-income communities. Community-based peer support, together

    with trained non-specialist mental health workers, presents a possible solution to health care

    deficits through effective and reachable services. A combined model would utilize culturally

    5

    specific interventions by task-sharing the workload to address professional shortages. Several

    support systems incorporated into this strategy would create comprehensive care that produces

    better mental health results for disadvantaged people in city and country areas.

    Theoretical Framework

    The human ecological model acts as a framework for fully considering the many different

    factors that affect an individual’s mental health, and it is particularly useful in dealing with

    depression among lower socioeconomic groups. It deals with problems at several levels;

    individual, interpersonal, community, and societal, which increases the likelihood of developing

    feasible solutions (Kleinman et al., 2023). Individual educational intervention on depression and

    coping techniques represents the most fundamental and essential form of psychiatric care. A

    significant portion of the low income population has a major health literacy problem which is a

    combination of not knowing and misunderstanding the services that are offered. Using

    workshops, webinars, and local community programs assist them in recognizing their problems

    and taking initiative to receive appropriate care.

    Moreover, passing on useful skills in problem-solving, and resilience training equips

    individuals to navigate a range of life challenges effectively. Addressing mental health issues at

    the personal level puts the groundwork for self-care practices and reduces the incidence of

    untreated depression. Supportive relationships are crucial in safeguarding against depression and

    mitigating the effects of loneliness and economic hardships. A scalable mental health care

    system necessitates collaborative efforts with community clinics, faith-based organizations, and

    non-profits, particularly in economically disadvantaged areas, to enhance the availability of

    services. Task-shifting offers a viable solution to the shortage of specialized health professionals

    by equipping general healthcare providers with essential skills for delivering mental health

    6

    services. Policy reforms must tackle limitations in insurance coverage and the integration of

    primary care services to ensure comprehensive mental health support. The proposed style,

    grounded in the SEM, aims to put various involvement that will improve accessibility and

    sustainability, and reducing depression among low-income populations.

    7

    References

    American Psychological Association. (2017). Ethnic and Racial Minorities & Socioeconomic

    Status. American Psychological Association.

    https://www.apa.org/pi/ses/resources/publications/minorities

    Giebel, C., Shrestha, N., Reilly, S., White, R. G., Zuluaga, M. I., Saldarriaga, G., Liu, G., Allen,

    D., & Gabbay, M. (2022). Community-based mental health and well-being interventions

    for older adults in low- and middle-income countries: a systematic review and meta-

    analysis. BMC Geriatrics, 22(1), 773. https://doi.org/10.1186/s12877-022-03453-1

    Kleinman, M. B., Anvari, M. S., Seitz-Brown, C. J., Bradley, V. D., Tralka, H., Felton, J. W.,

    Belcher, A. M., Greenblatt, A. D., & Magidson, J. F. (2023). Psychosocial challenges

    affecting patient-defined medication for opioid use disorder treatment outcomes in a low-

    income, underserved population: Application of the social-ecological framework. Journal

    of Substance Use and Addiction Treatment, 149, 209046.

    https://doi.org/10.1016/j.josat.2023.209046

    Martinez, S. M., Esaryk, E. E., Moffat, L., & Ritchie, L. (2021). Redefining Basic Needs for

    Higher Education: It is More Than Minimal Food and Housing According to California

    University Students. American Journal of Health Promotion, 35(6), 089011712199229.

    https://doi.org/10.1177/0890117121992295

    Matteo Bessone, Bianco, F. L., & Gianluca D'Amico. (2024). Transforming clinical psychology:

    An ecological and psychopolitical perspective. An Italian and global case. RIVISTA DI

    PSICOLOGIA CLINICA, 1, 35–60. https://doi.org/10.3280/rpc1-2024oa18051

    Nora Hernandez-Pupo

    6 references required- 5 used but inly 4 were current

    – Health Promotion & Role Development in Adv. Nursing Practice
    – Professor: Nora Hernandez Pupo
    – References