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Clinical Experience Paper
Purpose of Signature Assignment:
Signature assignment requires students to demonstrate and apply their proficiency in one or more
key learning outcomes. This often means synthesizing, analyzing, and applying cumulative
knowledge and skills through problem-or inquiry-based assignments or projects. This design
invites students to produce meaningful examples of their learning that document their progress
and culminating skills and abilities.
Purpose of the Assignment
The purpose of this activity is to evaluate, in the context of one patient encounter, the full
spectrum of primary health care services to include health promotion disease prevention, health
protection, anticipatory guidance, counseling, disease management, palliative and end of life
care. Additionally, evaluate the results of interventions using accepted outcomes criteria, revise
the plan accordingly, consult/refer when needed, and perform peer review of outcomes.
Standards & Learning outcome
This course meets the AACN Essentials of Master’s Education for Advanced Practice Nursing
(2011) In addition the course incorporates the NONPF Nurse Practitioner Core Competencies
(2017) and the Population-Focused Nurse Practitioner Competencies for Family/Across the
Lifespan (2013).
1. Learning outcomes:
a. Students will utilize standards of care in health promotion and anticipatory
guidance.
b. Students will evaluate management of disease processes using evidence-based
guidelines.
c. Students will evaluate the results of interventions and describe how to revise plans
for continuous improvement.
Directions:
A. Student will select an actual patient case and address all 6 core competencies as described
in Quality and Safety Education for Nurses (QSEN).
B. The following questions need to be addressed:
1.
Patient Centered Care: Were the patient’s and/or family’s preferences assessed?
If so, how was this was done? Were patient wishes carried out? How do you
know? Were there cultural considerations? Were barriers to care identified?
2.
Teamwork and Collaboration: Describe the encounter in terms of your
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3.
4.
5.
6.
7.
collaboration with the preceptor. What communication strategies worked well?
What could have been improved?
Evidence Based Practice: What reputable evidence was used to formulate plan
of care for this patient? How did you know it was appropriate for this specific
patient?
Continuous Quality Improvement: How could this encounter have been
improved for the patient? What went right for this patient? What could have been
done differently?
Safety: What risks are identified for this patient and what is a reasonable way to
address them today? What steps need to be taken regarding medication
reconciliation with this patient? What places this patient at highest risk? What can
go wrong? What could you have done to further address this issue?
Informatics: What types of electronics (EHR, data bases) were used for this
patient? Was the technology helpful? How so? What additional form of electronic
information could have been useful to you or would have been helpful to your
patient?
Plan for Improvement: Reflects on a plan on how to improve practice, when
faced with a similar situation.
C. Submit a maximum of 5-page paper addressing all the questions in appropriate APA
format with correct grammar, usage, and mechanics as expected of a nursing graduate
professional.
D. Each student will access the appropriate research literature that includes scholarly
periodicals (journals) that are peer-reviewed, and that are prepared specifically for a
scholarly or professional audience. At least three reference sources in APA format
from the scholarly periodical (journal) literature must be included. Other sources,
such as textbooks, electronic resources such as web sites, and publications for the lay
public may be included, but are in addition to the scholarly periodical references
required.
E. Include a title page and an APA-format abstract that briefly describes the content of
your discussion (see grading rubric).
Grading Rubric
This paper is worth 20 points and will be judged according to the following criteria
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Introduction
Excellent
(91-100)
Introduction clearly
conveys topic, subtopic,
and a general thesis
statement.
Topic
The topic is presented
clearly, and its relevance
and significance are
explicitly stated.
Body of paper
The paper is strongly
organized with transitions
linking all topics.
Clear evidence of critical
thinking as demonstrated.
The body of paper is
thorough, thoughtfully
discussed and supported
by evidence.
Conclusion
Conclusion strongly
reflects key points and
integrates these ideas is
the thesis statement.
Evidence/sources Sources are credible, come
largely from peerreviewed journals and are
cited correctly.
All references in the
reference section appear in
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Average
(80-90)
Introduction clearly conveys topic,
subtopic, and a general thesis
statement.
Developing/ Needs work
(79 and below)
Introduction does not convey
topics, subtopics and thesis
statement.
The topic is clearly presented but it
is not clear to the reader as to its
relevance or importance.
The topic is not clearly stated
in the introduction, nor is
there any supporting data
showing its significance and
relevance
Paper is organized with clear
transitions.
Paper is not logically
organized and lacks
transitions between sentences
and paragraphs.
Writing generally demonstrates
evidence of critical thinking.
The body of paper is supported by
evidence.
Weight
(%)
5%
40%
Evidence of critical thinking
and support of evidence is
lacked.
Conclusion moderately reflects key
ideas that relate to the thesis
statement.
Conclusion does not reiterate
and lacks synthesis of
information
5%
Sources contain some elements of
research that support the thesis
statement.
Sources are non-existent or
not considered scholarly in
nature
10%
Some sources from the reference
section are missing in the text, and
Several sources in the
reference section are missing
from the text, and vice versa.
the paper, and all
references in the paper can
be found in the reference
section.
Title page
Correct running head
Title of project follow
APA
School name, student
name all centered
Abstract
Follow APA
150–250-word count
Key words
No APA errors are seen
with page format.
APA style,
citations, and
references
Grammar and
mechanics
Paper is written in a
scholarly style.
All sources are correctly
written in the in-text
citation and references
page.
The paper is free of
grammatical, spelling, and
punctuation errors.
some in the text are not listed in the
reference list.
APA Format
Correct running head
Title of project does not follow APA
Missing one of the defined
requirements for the title page
5%
Word count < 150 Key words missing Not-correct running head Title of project does not follow APA Missing more than one of the defined requirements for the title page Missing requirements for the abstract page APA page format is mostly correct. APA page format is incorrect. 10% Paper is written in a scholarly style with occasional headings. Some source is incorrectly written in either the in-text and in the references page. Paper is informal in tone and word choice. Errors with in-text citations Reference page with incorrect APA format Grammatical, spelling, and punctuation errors occur occasionally in the paper and do not interfere with reading the paper. Grammatical errors, punctuation errors, and spelling errors significantly interfere with reading the paper. Sentences are complete. Total N253 Su22 Updated 5.17.22 Infrequent content match between text sources and reference list. 5% 20% 100% Purchase answer to see full attachment

  
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