Using 800-1,000 words, discuss methods to evaluate the effectiveness of your proposed solution and variables to be assessed when evaluating project outcomes.

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Assignment 1 :
Using 800-1,000 words, discuss methods to evaluate the effectiveness of your proposed solution and variables to be assessed when evaluating project outcomes.
Example: If you are proposing a new staffing matrix that is intended to reduce nurse turnover, improve nursing staff satisfaction, and positively impact overall delivery of care, you may decide the following methods and variables are necessary to evaluate the effectiveness of your proposed solution:
Methods:
1. Survey of staff attitudes and contributors to job satisfaction and dissatisfaction before and after initiating change.
2. Obtain turnover rates before and after initiating change.
3. Compare patient discharge surveys before change and after initiation of change.
Variables:
1. Staff attitudes and perceptions.
2. Patient attitudes and perceptions.
3. Rate of nursing staff turnover.
Develop the tools necessary to educate project participants and to evaluate project outcomes (surveys, questionnaires, teaching materials, PowerPoint slides, etc.).
Refer to the “Topic 4: Checklist.”
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
ASSIGNMENT 2 :
Using 250-500 words, summarize your strategy for disseminating the results of the project to key stakeholders and to the greater nursing community.
Refer to the “Topic 4: Checklist.”
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the

Conduct research on the current scope of practice for your specialty and efforts that are being made to expand that scope and the role of the advanced nurse in positively influencing the health care system.

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Advanced registered nursing graduates are entering the profession at dynamic time when roles and scope of practice are shifting based on developments in legislation and policy in response to the evolving needs of the health care system. Professional nursing organizations play an important role in making sure the perspectives of advanced registered nurses are heard, and in supporting nurse specialties in their efforts to expand their scope of practice and their full participation throughout the health care system.
For this assignment, you will conduct research on the current scope of practice for your specialty and efforts that are being made to expand that scope and the role of the advanced nurse in positively influencing the health care system. Write a 1,250-1,500-word paper that includes the following:
1. A discussion of the scope of your future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope.
2. A discussion of three professional nursing organizations that you think are most influential in advancing the scope and influence of advanced nursing. Of these organizations, evaluate the one that you would most like to join. How do its goals and mission fit in with your worldview and philosophy of care? How might membership in this organization improve your practice?
3. A discussion of a controversial or evolving issue that is most likely to affect your scope of practice or role in the next few years. How do you think this issue could influence the profession and other stakeholders, and why does it matters to the advanced registered nurse?

Discuss the teaching needs you identify for this mother.

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Directions: Read the case study and answer the questions. Your answers should be in full sentences, organized, flow logically and evidence critical thinking and nursing judgment. Use at least two evidence¬based or peer reviewed resources to support your work. Follow APA guidelines. Submit your completed case study to the Drop Box in the Quad by the due date posted by your instructor. Case Study:
Gary, a 4¬month¬old boy, presents to the pediatric office with a 3¬day history of worsening cough, fever 101, tachypnea and retractions. Gary’s 3¬year¬old sibling attends preschool and had upper respiratory symptoms one week ago. Gary’s mother reports he is listless and has not been eating well for at least the last two days, and that he just pushes the bottle away and she has had to change very few diapers. 1. What assessment finding from this description is the most concerning? Why? 2. What questions do you need to ask to gain more information? List the first three questions you would ask this mother, with rationale. 3. List the two priority nursing assessments/interventions you will perform, with rationale. 4. List the diagnoses you feel are most likely based on the provided information. If more than one, explain the relationship between them. 5. Discuss the teaching needs you identify for this mother. 6. Describe the diagnostic tests you anticipate being ordered and the associated nursing implications. AD Nursing Pediatric Nursing Case Study 2: GI 20 Points
Directions: Read the case study and answer the questions

HPI A 65-year-old Caucasian female presents with a chief complaint of cough for two weeks. She has been complaining of dry cough since the past two weeks and low grade fever that started two days ago, and was as high as 101 orally.

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HPI
A 65-year-old Caucasian female presents with a chief complaint of cough for two weeks.
She has been complaining of dry cough since the past two weeks and low grade fever
that started two days ago, and was as high as 101 orally. She has had a decreased
appetite but no nausea and vomiting. The cough occurs during the night and she needs
to sit up in a chair to be able to breathe easier. The cough is mainly dry, rarely
productive.
She had been prescribed inhalers in the past; they have been helpful but she does not
use them on a routine basis. She has been prescribed antibiotics in the past as well and
that seems to help when she is acutely ill. She has been suffering from shortness of
breath for the past two weeks following any kind of activity mainly because of the dry
cough. She thinks it’s possible that there’s some problem with her “heart.” She is also
complaining of slight sore throat, especially in the morning and feels she may have lung
cancer.
The patient’s symptoms have been worsening over the past two days.
She has had similar episodes in the past. The last was three months ago when she had
to go to the emergency room and they told her that she needed to be hospitalized. She
declined hospitalization at that time and was treated and released. She says they gave
her antibiotics and an inhaler before discharging her. She mentioned that though it took
some time to feel better, there was gradual improvement in her condition following that
treatment. According to her, this is the worst episode that she can remember. She’s very
concerned today that she could have pneumonia and might require hospitalization.
She is seeking medical attention today because of the fever and prolonged nature of her
illness. PMH
Though she has been treated for this problem in the past with antibiotics and inhalers,
she has not been hospitalized. The patient had a chest investigation the last time she
had this problem. She states that she did not have pneumonia but did have
“emphysema.” The healthcare professionals wanted to do pulmonary function tests, but
she declined.
X-ray report:
X-ray results: Hyperinflation of both lungs with an increased AP diameter. There is
evidence of emphysema. . She states that she had asthma as a child and is a cigarette smoker. She also had a
hysterectomy way back in 1970s. Besides these, she has no known chronic medical
problems.
ROS
Shortness of breath with activity. No diaphoresis. She has had a fever. No nausea and
vomiting. Denies chest pressure sensation with physical activity. No palpitations.
MEDICATIONS
The patient does not take any prescription medicines. She takes occasional over-thecounter Tylenol for pain.
Tylenol 650 mg, 2 PO as needed.
ALLERGIES/REACTIONS
She is allergic to sulfa drugs that cause a rash. SOCIAL HISTORY
The patient has been widowed for 20 years. She is receiving an annual pension of
$40,000.00 and has some money that she has saved in the bank. She has a high school
diploma and owns her house. Though she has little disposable income, her finances are
essentially stable. She has little knowledge of community resources that are at her
disposal.
She has a primary care provider, whom she sees three to four times every year for a
physical examination. The physician is very busy and does not spend much time with
her. She has insurance but it does not cover all her prescription medications. She relies
on a lot on samples.
She has two grown-up daughters who live in the nearby community. They are both in
their forties and are alive and well. The patient would like her daughters to be more
involved in her life, but she is not sure how to approach them about this. The patient’s
perception of self-efficacy has been declining over the past ten years. She feels that she
could be feeling depressed because she does not get out of the house very often and
this depression is only getting worse with each passing year.
The patient has very low level of day-to-day stress. However, she realizes that her
depressive symptoms may be causing some of her physical symptoms.
She goes to church and has some contacts there. She sees her daughters once a
month. These people are her support system, but she has no one to talk to on a routine
basis.
HABITS
• Diet habits She has a healthy diet and her dietary intake is adequate. The patient has positive
health beliefs and knows that she should be doing more to maintain a healthy lifestyle.
She does not get adequate exercise because of her shortness of breath. She enjoys
visiting her physician. Smoking: She has smoked one pack per day for 40 years.
Alcohol: She denies alcohol use
Substance Use: She denies any street drug use
WORK HABITS
She has always been a hairdresser; is retired now. She goes to church and occasionally
attends some of their functions. Her hobbies include sewing. She is from the United
States and lives in a suburban setting. Crime rate in her locality is low with easy access
to public transportation. There are a variety of community groups, but she is not aware of
these resources.
FAMILY HISTORY
Her two older sisters are alive and well, one with osteoporosis and one with breast
cancer. Her 75-year-old sister was diagnosed with osteoporosis at the age of 55. Her 72year-old sister was diagnosed with breast cancer at 60 years of age.