Select and describe an issue in nursing that impacts nurses at all levels from bedside to advanced practice. Make sure to provide an adequate background and its significance to all levels of nursing using a strong review of the literature
Decision Making Process Paper Due
Decision-Making Process Paper
Instructions
In this assignment, you will be writing a 6–8-page paper identifying [maximum page limit is 8 pages- do not exceed as it will incur a penalty], comparing and contrasting at least 3 different decision-making approaches of care from a multidisciplinary perspective using a pertinent and significant topic in nursing [The following topics are NOT allowed and will not be approved: shortage and nurse turnover, nurse staffing ratios, unit closures, and restructuring, use of contract employees (i.e., registry and travel nurse)]. The topic MUST BE APPROVED by your nursing instructor before writing the paper. Your topic was approved in week 3- please refer to week 3's approved topic. You are required to use APA 7th edition format, and the page count, appropriate headings, the title page, and the reference page. Reflect on your decision-making practices and the implications this will have regarding differing approaches taken by nursing leaders and staff nurses/clinical practitioners in decision-making regarding issues in practice. To complete this assignment, do the following:
- Select and describe an issue in nursing that impacts nurses at all levels from bedside to advanced practice. Make sure to provide an adequate background and its significance to all levels of nursing using a strong review of the literature. Additionally, this should include a thorough literature review that provides a good understanding of what the cause of this problem is; what is suggested to address this problem. Essentially, this review must support your choices of the decision-making models and this needs to include how all levels of nursing practice (the bedside nurse to the APN are impacted by the problem).
- Identify how you would expect a nurse leader/manager, a bedside/staff nurse and an Advanced practice nurse (CNO or NP) to address your selected issue using at least 2 [3 ideal] different decision-making approaches which are clearly supported by the literature review. This must first include aa detailed analysis/overview of the selected decision making models and how they are used in practice. Then a detailed analysis of how these decision-making approaches/models would address the problem/along with a detailed analysis of how each of the three selected models would be applied to address the selected issue/problem making sure to incorporate this at all levels of practice. One of the decision-making models may be more applicable to the bedside nurse; whereas the other more applicable to the APN; however, all levels of nursing practice need to be addressed with at least one of the chosen 3 decision-making models. However, this does not mean that each decision-making model will apply to all levels of practice only that in this discussion needs to include how each level of nursing practice would utilize the decision-making model to address the problem. For instance, one decision making model may apply to the bedside nurse; the second decision making model may be more applicable at the level of APN (CNO, NP, etc) and the other decision-making model may be best applied to the nurse manager. This section should be detailed; meaning specific, well thought out, realistic solutions of how the nurse (at the level identified; this may include more than one level for the same decision-making model or not) would address the problem using the decision-making model is provided and well supported by the literature. of the benefits and limitations of various decision-making approaches that are applied appropriately to the level of nursing practice to address the selected issue/problem. This is informed from course readings, literature, clinical scenarios and other evidence-based and scholarly sources.
- Prioritize the best decision-making approach/model to address the selected problem that is grounded in best practice. This should provide a well-supported rationale for this choice that includes a good comparison and contrasting of the 3 chosen decision-making models that clearly illustrates why the choice was made, that is consistent with the decision making model and how it would address the chosen topic or problem.
- Identify a possible funding source that would addresses your approach to solving the problem. For instance, if the best approach to solving the nurse-to-patient ratio problem is through the use of SDM and shared governance, perhaps you may seek a local funding source to provide you with funding to implement a small EBP or research project that would be funded by a local nursing organization such as Sigma Theta Tau or perhaps if it was geared more towards assessing the value of this model towards NP in practice than seeking a local organization that supports funding for projects being implemented by practicing NP? If seeking money for research this would need to be overseen by a nurse with a DNP or a PhD or someone with the credentials to do so that are part of their scope of practice. Consider looking at federal, state, or local organizations. For example: There are many grants available through the CDC,HRSA, etc. Again, this need to be specifically applied with sufficient details
- Use at least 10 current scholarly references [not older than 5 years] other than your main text. Uses APA 7th edition formatting.
Please see sample APA 7 paper- DO NOT use an Abstract.
APA_7_Professional_Paper_Template_June_2020.docx
APA 7 professional-annotated-compressed.pdf
Please submit the Decision Making Process Paper in Word [PDF] Format APA 7 formatted (see instructions in the Assignments Tab of Blackboard along with the grading rubric).
Rubric Details
Maximum Score
100 points
Excellent
Clear and concise introduction of the concepts to be presented in the paper
9
Satisfactory
Mostly clear but somewhat generic introduction of the concepts to presented in the paper
6.75
Unsatisfactory
Vague, unclear or no introduction of concepts to be presented in the paper
4.5
Poor
Does not meet standard
2.25
Excellent
Identifies, describes and demonstrates a sophisticated understanding of the nursing issue/problem as it relates to all levels of nursing practice with a specific and strong background and significance to nursing
9
Satisfactory
Identifies, describes and demonstrates an acceptable understanding of the nursing issue/problem as it relates to all levels of nursing practice illustrating some but not explicit background and significance of the topic to nursing
6.75
Unsatisfactory
Identifies, describes and demonstrates an incomplete and vague understanding of the nursing issue/problem as it relates to all levels of nursing practice with a vague and unclear background and significance.
4.5
Poor
Does not meet standard
2.25
Excellent
Clear and thorough analysis and review of the existing literature on the identified problem as it relates to nursing. The literature review comprehensively examines the causes, implications, impact, and current ways the identified problem is being addressed in practice and/or theory. Minimum 2 current EBP -studies used.
9
Satisfactory
Mostly clear but somewhat vague review of existing literature of the identified problem as it relates to nursing. The literature review mostly but not comprehensively examines the causes, implications, impact, and current ways the identified problem is being addressed in practice and/or theory. Minimum 2 current EBP -studies used.
6.75
Unsatisfactory
Unclear, vague or failure to review existing literature of the identified problem as it relates to nursing. The literature review is unclear, incompletely or fails to examine the causes, implications, impact, and current ways the identified problem is being addressed in practice and/or theory. Minimum 1 current EBP -studies used.
4.5
Poor
Does not meet standard
2.25
Excellent
Clear, detailed, and comprehensive description of the minimally 2 chosen decision-making approaches/models and how they are used in practice that is well supported by the provided literature. This presents a clear, comprehensive discussion of how the various levels of nursing practice will apply the decision-making approaches in practice to address the selected problem that demonstrates a clear link to the literature review.
9
Satisfactory
Mostly clear but somewhat vague description of minimally 2 decision-making approaches/models and how they are used in practice that is mostly but not well supported by the provided literature. This section also presents a somewhat unclear discussion of how the various levels of nursing practice will apply the three decision making models to address the selected problem. There is some link to the literature review.
6.75
Unsatisfactory
Vague, unclear or failure to provide a description of three decision making approaches/models and how they are used in practice that is minimally or not well supported by the provided literature. This section also presents an unclear and or failure to discuss how the various levels of nursing practice will apply the three decision making models to address the selected problem. There is failure or unclear link to the literature review.
4.5
Poor
Does not meet standard
2.25
Excellent
Prioritizes one of the three selected decision-making approaches/models to address the identified problem. This includes a detailed and clear comparison and contrast of the three models with a comprehensive discussion of the limitations and benefits of each model in addressing the identified problem with a clear and insightful rationale for the choice of the prioritized model provided.
9
Satisfactory
Prioritizes one of the three selected decision-making approaches/models to address the identified problem. This includes a somewhat detailed and clear comparison and contrast of the three models with a somewhat unclear discussion of the limitations and benefits of each model in addressing the identified problem with a largely insightful but somewhat vague rationale for the choice of the prioritized model provided.
6.75
Unsatisfactory
Fails to prioritize or limitedly selects one of the three decision-making approaches/models to address the identified problem. This fails to include or only limitedly includes a comparison and contrast of the three models with little or no discussion of the limitations and/or benefits of each model to address the identified problem with a vague and unclear rationale for the choice of the prioritized model provided.
4.5
Poor
Does not meet standard
2.25
Excellent
Integrated and full descriptions of an appropriate funding source that addresses your chosen topic. The description includes real-world examples of fundings sources that include either a state, local or federal source.
9
Satisfactory
Somewhat integrated but not full description of an appropriate funding source that addresses your chosen topic. The description includes mostly real-world examples of potential fundings sources at either the state, local or national level.
6.75
Unsatisfactory
Limited to no description of an appropriate funding source that addresses the chosen topic. The description fails to include or limitedly includes a real-world example of a potential funding source at the local, state, or federal level.
4.5
Poor
Does not meet standard
2.25
Excellent
Summarizes the key points made throughout the paper in a succinct but comprehensive manner
9
Satisfactory
Somewhat summarizes the key points made throughout the paper in a mostly clear but not entirely comprehensive manner
6.75
Unsatisfactory
Vague and unclear summary of the key points made throughout the paper that is not succinct or comprehensive.
4.5
Poor
Does not meet standard
2.25
Excellent
Topic used was approved
9
Satisfactory
.
6.75
Unsatisfactory
.
4.5
Poor
Topic used was not approved
2.25
Excellent
Demonstrates clarity, conciseness and correctness. writing is free of grammar and spelling errors. The assignment outline was followed and guides the paper content appropriately. Similarity index and AI index 20% or lower.
9
Satisfactory
Somewhat concise and clear grammar and spelling used. Guidelines was mostly used to guide the paper content. Some spelling and grammar issues (less than 3-4 errors within paper). Similarity index and AI index 25% or lower.
6.75
Unsatisfactory
Many deficiencies in grammar, spelling, or failure to follow the assignment guidelines. Writing has frequent spelling and grammar errors. Similarity index and AI index 30% or lower.
4.5
Poor
Does not meet standard. Similarity index and AI index above 30%.
2.25
Excellent
Page limit has been maintained: minimum 6 pages, maximum 8 pages [not counting cover page and reference pages]
9
Satisfactory
Page limit has been not been maintained: 1 page less 6 pages, exceeded the maximum 8 pages by one page [not counting cover page and reference pages]
6.75
Unsatisfactory
Page limit has been not been maintained: 1.5 pages less 6 pages, exceeded the maximum 8 pages by 1.5 pages [not counting cover page and reference pages]
4.5
Poor
.
2.25
Excellent
APA formatting is followed throughout the paper with correct citations and includes at least 10 scholarly references that are correctly APA 7th ed. citations. All of these were published in the past five years. References clearly and thoroughly support the cited text within the paper. The paper is developed using APA-approved heading within the paper.
10
Satisfactory
APA formatting is mostly followed throughout the paper with mostly correct citations with at least 8 to 9 scholarly but not required 10 with ALL of the references within the past 5 years and/or 2-3 incorrect APA 7th ed. referencing or formatting. References support the cited text within the paper. The paper is developed using an introduction APA-approved heading- but no headings within the rest of the paper.
7.5
Unsatisfactory
Multiple errors in APA formatting throughout the paper identified. Fewer than 8 scholarly references provided with less than 8 of the references in the past 5 years and/or > 3 to 4 errors in APA 7th ed referencing and formatting. References fail to support the cited text within the paper. The APA formatting was not developed to the graduate level- no subheadings, etc..
5
Poor
Does not meet standard
