Discuss how the Tuskegee Study started out and the intent of the research (3 points).

o   Cite additional source(s) and include on reference page in APA (1 point)

·         What was unique about the population of Tuskegee, Alabama, as it relates to this study? (2 points)

·         Why do you believe Dr. Douglas chose Dr. Brodus and Miss Evers to participate in this study? (2 points)

8

·         Describe at least three distinct approaches Miss Evers used to convince the men of Tuskegee to participate in the study? (3 points)

·         For each activity by Miss Evers – identify if you feel the activity constituted use of coercion, power (implicit or explicit), advocacy, or a mixture of these and explain why? (6 points)

9

·         In what ways did the United States government use power to influence and propel this study to continue for several decades? (2 points)

·         In what ways did roles (e.g. physician, nurse), race, economics, education, or other factors contribute to this study continuing and to Miss Evers staying with the study? (6 points)

8

·         How do you feel about Miss Evers participation in the Tuskegee Study?  (2 points)

·         What would you have done the same or differently? (3 points)

·         Why? (3 points)

8

·         Locate another research study that violated ethical standards.

o   Describe the study itself (3 points).

o   Which ethical standards did it violate and how? (4 points)

o   Cite additional source(s) and include on reference page in APA (1 point)

8

·         Compare and contrast the ethical violations of the study you describe and the Tuskegee Study. In what specific ways are they similar or different?) (4 points)

4

·         Describe specific research ethics, laws or practices (names, descriptions of protections) that exist now to prevent the issues that arose from the Tuskegee Study and other unethical studies. (4 points)

o   Cite additional source(s) and include on reference page in APA (1 point)

5

·         Written as a paper in APA, not as a bulleted list of answers

·         Paper format (correct APA 7th ed.): font (½ pt), margins/double-spacing (½ pt), page numbers (½ pt), cover page & reference page formats (½ pt)

·         Correct spelling and grammar (4 points)

·         Citations & References (correct APA 7th ed – graded in sections above with these criteria): all references are cited in paper; each reference includes all required elements (author, year, title, journal name, volume, issue if available, page number or electronic locator, URL/doi

·         Turnitin score reflective of original thought (4 points)

10

Total

60

This paper will have an 8-page narrative (8 pages maximum – 5 point deduction for over page limit) plus a title page, abstract page, and reference list. 

You must use a minimum of four original research articles for your paper.

The purpose is to write a review of the literature on to answer your PICOT question using original research evidence. Discuss how this health problem is applicable in both the United States and a non-USA country, and appraise four original research studies on this topic.

This is a scholarly paper, written as if it was a “Review of the Literature” article published in a nursing journal. Select articles published within the past five years (2014 to present).
Do not use a non-peer review journal. Do not use a literature review article or systematic review article or clinical protocols as one of your articles. At least TWO of the four original research report articles MUST BE authored by nurses and published in a peer-reviewed nursing journal.  At least ONE of the two nursing research studies must address nursing practice in a non-USA country.

• Page 1: Title page Create a title for your paper. Refer to your APA Manual.
• Page 2: Abstract The abstract should open with a sentence that will serve as an introduction to and purpose of the paper. Then describe what is in each part of the paper. An abstract is usually a brief outline of the contents of the paper that typically does not exceed 250 words. At the end of the abstract place the phrase Key Words, and denote 3-4 keywords that would describe your paper (as for publication and indexing in CINAHL or PubMed).
• Pages 3-11: Narrative
  • Heading: Significance and Background: Start the paper with a short paragraph that introduces the health problem in your PICOT question. (Approximately ½-page).
  • Heading: Purpose: Clearly define the global health problem, and discuss why it is important for nursing (why you are discussing this topic).  Discuss what is known about this problem in the United States and in a non-USA country.  For example, if the focus is adult hypertension, discuss guidelines for defining hypertension in the US and in a non-USA country.  (Approximately 1 page).
  • Heading: Methods: Discuss the methods used to select the following research studies.
    Next use the subheading:
    • Sub-headings: Study #1: Nursing research Study in the USA (Approximately 1½ pages)
    • Sub-headings: Study #2: Nursing Research Study Non-USA (Approximately 1½ pages)
    • Sub-headings: Study #3: Nursing Research Study USA or Non-USA (Approximately 1½ pages)
    • Sub-headings: Study #4: Nursing Research Study USA or Non-USA (Approximately 1½ pages)
  • Heading: Conclusion.  Summarize the key points from your discussion. How would you translate (use) the new evidence found from your appraisals to change practice or answer your PICOT question? (Approximately 1 page).
• Page 12+: Reference page: Refer to your APA Manual.

This review is a scholarly paper in APA format and with at least three APA references (two articles and textbook), cited both in the text and the reference page.

This week you will be assigned to a group and be given a domain to develop/discuss applying all or some of the 7 core competencies. Group members need to assume AP roles (clinical and non-clinical) either by volunteering or being assigned by the group leader. A group leader must be decided and may be a nurse manager/nurse administrator, CNS, NP (maybe more than one and from different specialties), NI, and NE.CNLs and RNs may be also be part of the group scenario. All members are expected to demonstrate leadership knowledge and skills, but also must be willing to follow.Each group will demonstrate the core competencies and principals of transformational leadership in the group work. (See rubric).To ensure understanding of leadership styles, each group member will discover their own professional leadership style by an individual self-assessment online.Assignments and responsibilities should be equally assumed by group members. The final evidence of the group work will be power point presentation that discusses the scenario addressing the assigned domain, the roles and the outcomes. Please note that although a group project, individual grading rubric will be used to determine individual grades.(See below).

The master’s prepared nurse demonstrates leadership in the four domains: the profession of nursing, clinical practice arena, health policy arena, and systems level. The impact could be found in health promotion, disease prevention/management, quality improvement and/or within management of a health system. In order to complete this assignment, each group member will complete anassessmentabout your leadership style and post to the group area their leadership style.

These are:

Cherry, K. (2016). What’s Your Leadership Style? Learn more about your strengths and weaknesses as a leader.

How to Become a Better Leader

In conclusive remarks, search and agree upon a quotation from a library article related to leadership in an advanced nursing role and include with how it applied to your clinical decision/management issue of your assigned domain. Leadership journals from SOU Library areThe Journal of Nursing Scholarship or Nursing Leadership Forum or the American Journal of Nursing, Journal of Nursing Administration, Nursing Administration Quarterly, Nursing Management or Health Care Management Review

My ROle will be Nurse manager or administrator

Quality Improvement: Nancy, FNP, is the clinical director of a nurse managed health center that is connected to a School of Nursing. The center’s staff members includes of all advance practice nurse providers, a nurse educator, a nursing informaticists, 2 RNs, and paraprofessional staff. The team wants to determine patient satisfaction and capture data on patient experiences both for QI and as a learning experience for students studying nursing. What AP roles, core competencies and support are needed to make this happen?

Many genitourinary (GU) disorders such as kidney disease begin developing during childhood and adolescence (Johns Hopkins Children’s Center, 2010). This early onset of disease makes it essential for you, as the advanced practice nurse caring for pediatric patients, to identify potential signs and symptoms. Although some pediatric GU disorders require long-term treatment and management, other disorders such as bedwetting or urinary tract infections are more common and frequently require only minor interventions. In your role with pediatric patients, you must evaluate symptoms and determine whether to treat patients or refer them for specialized care. For this Discussion, consider potential diagnoses, treatment, and/or referral options for the patients in the following three case studies.

Case Study 1

You see a 3-year-old with a 2-day history of complaints of dysuria with frequent episodes of enuresis despite potty training about 7 months ago. She is afebrile and denies vomiting. Physical examination is normal. Dipstick voided urine analysis reveals: specific gravity 1.015, Protein 1+ non-hemolyzed blood, 1+ nitrites, 1+ leukocytes, and glucose-negative.

Case Study 2

Mark is a 15-year-old with complaint of acute left scrotal pain with nausea. The pain began approximately 6 hours ago as a dull ache and has gradually worsened to where he can no longer stand without doubling over. He is afebrile and in marked pain. Physical exam is negative except for elevation of the left testicle, diffuse scrotal edema, and the presence of a blue dot sign.

Case Study 3

Maya is a 5-year-old who presents for a well-child visit. She is a healthy child with no complaints. Physical examination is normal. Routine urinalysis indicates 2+ proteinuria; specific gravity 1.020; negative for glucose, blood, leukocytes, and nitrites. Her blood pressure is normal, and she is at the 60th percentile for height and weight.

To prepare:

• Review “Genitourinary Disorders” in the Burns et al. text.
• Review and select one of the three provided case studies. Analyze the patient information.
• Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
• Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.
• Consider strategies for educating patients and families on the treatment and management of the genitourinary disorder.

By Day 3

Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the genitourinary disorder.