Client-Centered Care Initiatives

Preparing the Discussion

Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions.

General Instructions

Advanced practice nurses apply continuous quality improvement (CQI) processes to improve client-centered outcomes. Select one of the following client-centered care initiatives that you would like to improve in your practice area: client clinical outcomes, client satisfaction, care coordination during care transitions, or specialty consultations for clients.   

Include the following sections:

1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.

• 1. Identify the selected client-centered care initiative and describe its application to your future practice.  
  2. Select one CQI framework that can be applied to the selected initiative. Explain each step of the framework. 
  3. Describe how the framework can improve client-centered care for the selected initiative. 
  4. Describe how you would involve interprofessional team members in the CQI process.  

1. Integration of Evidence: Integrate relevant scholarly sources as defined by program expectationsLinks to an external site.:

• 1. Cite a scholarly source in the initial post.
  2. Cite a scholarly source in one faculty response post.
  3. Cite a scholarly source in one peer post.
  4. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
  5. Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.

1. Engagement in Meaningful Dialogue: Engage peers and faculty by asking questions, and offering new insights, applications, perspectives, information, or implications for practice.

• 1. Peer Response: Respond to at least one peer.
  2. Faculty Response: Respond to at least one faculty post.
  3. Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice.

1. Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
2. Reference Citation: Use current APA format to format citations and references and is free of errors.
3. Wednesday Participation Requirement: Provide a substantive response to the graded discussion topic (not a response to a peer or faculty), by Wednesday, 11:59 p.m. MT of each week.

Total Participation Requirement: Provide at least three substantive posts (one to the initial question or topic, one to a student peer, and one to a faculty question) on two different days during the week.

Healthcare Errors

Preparing the Collaboration Café

Follow these guidelines when completing each component of the Collaboration Café. Contact your course faculty if you have questions.

Include the following sections:

1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.

• 1. Do you recommend criminalizing healthcare errors as an effective approach to holding healthcare providers accountable for their mistakes? Why or why not? 
  2. How can healthcare providers balance the goal of high-quality care with the potential risks and consequences of errors? 
  3. Are current legal and regulatory frameworks adequate to address healthcare errors? If so, why? If not, what changes are necessary to ensure the regulations best serve clients and providers?  

1. Engagement in Meaningful Dialogue: Engage peers by asking questions, and offering new insights, applications, perspectives, information, or implications for practice:

• 1. Respond to at least one peer.
  2. Respond to a second peer post.
  3. Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice.

1. Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
2. Wednesday Participation Requirement: Provide a substantive response to the Collaboration Café topic (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.

Total Participation Requirement: Provide at least three substantive posts (one to the initial question or topic and two to student peers) on two different days during the week.

Quality & Safety

Preparing the Discussion

Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions.

General Instructions

This week, you will identify a quality or safety issue pertinent to your future advanced nursing practice role.   

Include the following sections:

1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.

• 1. Identify ONE client-focused quality or safety issue that may be pertinent to your future advanced nursing practice role. Medication error may NOT be used as a topic for this assignment.
  2. Describe the scope and impact of the issue. 
  3. Discuss three possible roles advanced practice nurses may play in addressing the issue.  
  4. Explain why the issue is of interest to your future role.  

1. Integration of Evidence: Integrate relevant scholarly sources as defined by program expectationsLinks to an external site.:

• 1. Cite a scholarly source in the initial post.
  2. Cite a scholarly source in one faculty response post.
  3. Cite a scholarly source in one peer post.
  4. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
  5. Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.

1. Engagement in Meaningful Dialogue: Engage peers and faculty by asking questions and offering new insights, applications, perspectives, information, or implications for practice.

• 1. Peer Response: Respond to at least one peer.
  2. Faculty Response: Respond to at least one faculty post.
  3. Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice.

1. Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
2. Reference Citation: Use current APA format to format citations and references and is free of errors.
3. Wednesday Participation Requirement: Provide a substantive response to the graded discussion topic (not a response to a peer or faculty) by Wednesday, 11:59 p.m. MT of each week.

Total Participation Requirement: Provide at least three substantive posts (one to the initial question or topic, one to a student peer, and one to a faculty question) on two different days during the week.

Preparing the Assignment

Follow these guidelinesLinks to an external site. when completing each component of the assignment. Contact your course faculty if you have questions. 

General Instructions  

Explore current literature and clinical practice guidelines to complete the clinical treatment protocol template.  

1. Complete the protocol outline templateLinks to an external site. to develop a protocol for asthma treatment. Use of the template is required. A 10% deduction will be applied if the template is not used. See the rubric. 
2. Provide references for your protocol at the bottom of the form where indicated. References should come from the following sources: 
   1. Asthma Clinical Practice Guideline 
   2. Course Textbook (for individual medication information) 
   3. Journal Articles from within the last five years as defined by program expectationsLinks to an external site..
3. Follow APA grammar, spelling, word usage, and punctuation rules consistent with formal, scholarly writing. 
4. No more than one short direct quote (15 words or less) may be used in this assignment. 
5. First person should not be used within this assignment. 
6. At least three scholarly references must be used for this assignment. 
7. Abide by Chamberlain University’s academic integrity policy.  

Include the following sections (detailed criteria listed below and in the grading rubric). 

Pharmacological Treatment 

1. Correctly complete all blanks for the preferred and alternative medication for each step of therapy noted in the CPG. 
2. List medications in order according to the CPG. 
3. List generic medication names for each category. 
4. Provide an in-text citation under the completed table. 

Treatment Differences in Adults and Children 

1. Correctly list the first line of initial pharmacologic treatment in step one; track one for asthmatic adults.  (7a on the form)
2. Correctly list the first line of initial pharmacologic treatment in step one, track one for asthmatic children ages 6-11. (7b on the form)
3. Correctly list drug dose, route, frequency, instructions, precautions, drug cost, and education for adult and pediatric clients. 
4. Provide in-text citations under the information for adults and pediatric clients. 

Treatment Monitoring 

1. List the physical assessments required for monitoring the first-line medications prescribed to adults for track one, step one. 
2. List the pulmonary function tests required for monitoring the first-line medications prescribed to adults for track one, step one. 
3. List the laboratory tests required for monitoring the first-line medications prescribed to adults for track one, step one. 
4. Provide an in-text citation under the treatment monitoring section. 

Treatment Failure 

1. Describe how you will know that treatment is not working or needs to progress. 
2. Describe the next step if treatment is not working or needs to progress. 
3. Describe the indicators that would demonstrate that the client requires a higher level of care. 
4. Provide an in-text citation under the treatment failure section. 

• NR565-16717
• Discussions
• Week 7: Discussion

CPG’s Related to Gastrointestinal Conditions

Preparing the Assignment

Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions.

General Instructions

Step 1: Review your assigned clinical application activity from the lesson. Your assigned client is based on the first letter of your last name in the chart below. The client case link will take you to the page in the lesson where the respective case is located.  Scroll to the bottom of the page to locate the client case.

Last Name	Client from Week 7 Lesson
A – D	Wei Zhang
E – H	Lalisa Makok
I – K	Lester Payne
L – N	Alessa DiGiovanni
O – Q	Diego Barroso
R – T	Lourdes Ayala
U – W	Chesa Flores
X – Z	Atohi Ishtasapa

Step 2:  Assess the client’s case, the applicable clinical practice guideline (CPG), and the prescription writing activity for that client within the lesson.

Step 3: Answer the discussion prompts below with explanation and detail, providing complete references for all citations. Refer to the lesson for client information. 

Step 4: Reply to peers with a different assigned client. 

Include the following sections:  

1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.  
   1. Describe your assigned client’s situation. Why are they presenting to the clinic? What medications are they currently taking? 
   2. Assess the applicable clinical practice guideline (CPG) for your assigned client linked on the same page in the lesson where the client case is located. What treatment is recommended by the CPG for your client’s situation?
   3. Discuss your personal professional assessment of the client’s situation provided in the scenario. What pharmacological treatment is necessary and why?
   4. Reflect on additional questions you have about your assigned client that may influence treatment. What else do you need to know? What follow-up assessments, labs, or conversations are required to ensure optimal health outcomes?
2. Integration of Evidence: Integrate relevant scholarly sources as defined by program expectationsLinks to an external site.:
   1. Cite a scholarly source in the initial post.
   2. Cite a scholarly source in one faculty response post.
   3. Cite a scholarly source in one peer post.
   4. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
   5. Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.
3. Engagement in Meaningful Dialogue: Engage peers and faculty by asking questions and offering new insights, applications, perspectives, information, or implications for practice.

1. Peer Response: Respond to at least one peer on a topic other than the initially assigned topic.
2. Faculty Response: Respond to at least one faculty post.
3. Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice.

1. Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
2. Reference Citation: Use current APA format to format citations and references and is free of errors.  
3. Wednesday Participation Requirement: Provide a substantive response to the graded discussion topic (not a response to a peer or faculty) by Wednesday, 11:59 p.m. MT of each week.  
4. Total Participation Requirement: Provide at least three substantive posts (one to the initial question or topic, one to a student peer, and one to a faculty question) on two different days during the week.