Assigment .Apa seven . All instructions attached.

Active Learning Assignment: TOPIC and OUTLINE Assignment

Instructions for Writing Your Topic Outline Submission Paper

Here I will be approving your TOPIC and verify that you are on the right tract. THIS IS NOT your PAPER Submission- just topic and outline. DO NOT EMAIL ME your topic.

1. Select a Topic- include topic CATEGORY AND NUMBER AS YOUR TITLE

· Choose a Meaningful Issue: Identify a significant issue in your field (for example, a nursing challenge, leadership dilemma, or a specific patient-care decision-making process). Your topic should be both relevant and complex enough to support an in-depth analysis in your final paper.

· Topic Approval: Make sure your selected topic is approved by your instructor before proceeding to begin work on your final submission. This approval ensures that your subject matter is appropriate and focused.

2. Develop Your Thesis Statement

· Craft a Clear Thesis: Write a concise thesis statement that conveys the main argument or primary inquiry your final paper will address. Your thesis should hint at the multidimensional decision-making approaches and leadership strategies you plan to explore.

3. Outline the Structure of Your Paper

Your outline should provide a clear roadmap of your paper. Use APA-style level headings and subheadings to reflect the organization. Consider including the following sections:

· I. Introduction

· A. Background Information: Introduce the broad topic and its significance to your field.

· B. Statement of the Problem: Describe the key issue or challenge that your paper will address.

· C. Thesis Statement: Present your central argument or purpose.

· II. Literature Review/Background

· A. Overview of Existing Research: Provide a brief summary of scholarly research relevant to your topic.

· B. Key Theories and Models: Identify and describe the major theories or decision-making models that will inform your analysis [minimum 2].

· III. Main Body/Discussion

· A. Section One – Topic Analysis or Context: Outline the first major point or perspective you plan to examine.

· Subpoints: Include supporting evidence or examples.

· B. Section Two – Comparative Analysis: Detail how different decision-making approaches or leadership styles impact the issue.

· Subpoints: Compare the bedside nurse’s approaches with those of advanced practice nurses or nurse leaders.

· C. Section Three – Application and Implications: Explain how the chosen models or theories could be applied in practical settings, using specific examples or case studies.

· Subpoints: Describe potential benefits, limitations, and recommendations.

· IV. Conclusion

· A. Summary of Key Points: Recap the main sections of your outline.

· B. Implications and Next Steps: Highlight how your final paper will synthesize the information and propose possible solutions or recommendations.

V. Preliminary References [5 required for full credit in this assignment]

· Include a short list of scholarly sources you plan to use. Follow APA 7th edition formatting.

· Include a short list of key scholarly sources that will support your research and analysis in the full paper. Follow APA 7th Edition formatting.

See visual sample below:

4. Formatting and Submission Requirements

· Formatting:

· Use APA 7th Edition guidelines for heading levels, in-text citations (if applicable), and your reference list.

· The outline can be presented in a combination of narrative paragraphs and bullet points. Ensure your formatting is clear and easy to follow.

· Your topic and outline submission may be a concise document (typically 2-3 pages)- DO NOT EXCEED THIS as this is NOT your PAPER- I will STOP reading at PAGE 3 [reference page and cover page DO NOT COUNT].

· Structure:

· Title Page: Although this is a preliminary outline, follow any institutional guidelines regarding the inclusion of a title page.

· Clear Headings: Use clear, descriptive headings and subheadings that mirror the structure of your eventual paper.

· Page Organization: Though the outline does not need to be lengthy, it should provide a logical sequence of ideas that can be expanded later into a full paper.

· Review the Grading Rubric:

· Before submission, review the assignment rubric carefully to ensure that your outline meets all the specified elements (e.g., clarity of topic, logical organization, relevance of sections, APA formatting).

5. Final Checks and Submission

· Proofread: Ensure your outline is free of grammatical and formatting errors.

· Clarity and Focus: Verify that each section of your outline clearly supports your thesis and that the topics flow logically from one section to the next.

· Submission: Submit your topic and outline by the assigned due date through the appropriate course submission portal. Remember, this outline is solely to help you structure your thoughts and will be approved before you proceed with your final paper.

Here is a great resource on how to write an outline [please review]: How to write an outline

Here I will be approving your TOPIC and verify that you are on the right tract. THIS IS NOT your PAPER Submission- just topic and outline

Please access the assignment tab and/or read below and begin working on the Shared Decision Paper due week 7 - Saturday by 1159 PM EST. No Late assignments will be accepted.

The following is the instructions for the assignment- REMEMBER ONLY THE OUTLINE/Topic is due this week.

Decision-Making Process Paper 

Instructions

In this assignment, you will be writing a 6–8-page paper [excluding cover and reference pages] identifying, 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 topic  MUST BE APPROVED and selected from the list below before writing the writing begins.

You are required to use APA 7th edition format and the page count does not include the title page or 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 within issues in practice. To complete this assignment, do the following:

 

1. 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 and what is suggested to address this problem. Essentially, this review must support your choices of 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).

2. 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 that are supported by the literature review. This must first include a 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 is 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 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 by course readings, literature, clinical scenarios, and other evidence-based and scholarly sources.

3. 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 contrast of the 3 chosen decision-making models that clearly illustrate why the choice was made, that is consistent with the decision-making model, and how it would address the chosen topic or problem.

4. Identify a possible funding source that would address 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 needs to be specifically applied with sufficient details

5. Use at least 10 current scholarly references [not older than 5 years] other than your main text. Uses APA 7th edition formatting. 

  

Here is a SAMPLE OUTLINE- DIABETES IN NOT AN APPROVED TOPIC.

Sample Outline: Pediatric Diabetes as a Nursing Issue Impacting All Levels of Practice

I. Introduction

· Brief overview of pediatric diabetes (Type 1 and Type 2 in children).

· Statement of significance: why pediatric diabetes is a critical nursing issue across all levels of practice.

· Preview of key themes: prevalence, causes, systemlevel impact, and decisionmaking approaches.

II. Background and Significance of the Problem

A. Overview of Pediatric Diabetes

· Definition and differentiation of Type 1 vs. Type 2 diabetes in children.

· Pathophysiology and unique considerations in pediatric populations.

B. Impact Across Nursing Levels

· How bedside nurses, nurse managers, and advanced practice nurses encounter and manage pediatric diabetes.

· Why this issue requires coordinated action across the nursing continuum.

III. Literature Review: Causes, Contributing Factors, and Recommended Interventions

A. Etiology and Contributing Factors

· Genetic predisposition, autoimmune mechanisms, environmental triggers.

· Lifestyle and social determinants influencing pediatric Type 2 diabetes.

· Psychosocial and developmental considerations.

B. Consequences of Poorly Managed Pediatric Diabetes

· Acute complications (DKA, hypoglycemia).

· Longterm risks (cardiovascular disease, renal impairment, neuropathy).

· Family burden and qualityoflife implications.

C. EvidenceBased Interventions

· Recommended clinical management strategies.

· Familycentered education and selfmanagement support.

· Schoolbased diabetes management programs.

· Technologyassisted monitoring (CGMs, insulin pumps).

IV. DecisionMaking Models (Three Models Required)

A. Overview of Selected DecisionMaking Models

· Shared DecisionMaking (SDM) Model Description, theoretical foundation, and relevance to pediatric care.

· Clinical Judgment Model (Tanner or NCSBN) Description and application in acute and chronic pediatric management.

· Transformational Leadership DecisionMaking Model Description and relevance for nurse leaders and APNs.

V. Application of DecisionMaking Models to the Problem

A. Bedside/Staff Nurse

· Use of the Clinical Judgment Model to assess symptoms, monitor glucose, prevent complications, and educate families.

· Use of Shared DecisionMaking to involve parents and children in daily care routines.

B. Nurse Leader/Manager

· Use of Transformational Leadership to implement unitwide diabetes protocols, staff training, and qualityimprovement initiatives.

· Use of SDM to support familycentered care policies.

C. Advanced Practice Nurse (NP or CNO)

· Use of SDM to develop individualized care plans and longterm management strategies.

· Use of Transformational Leadership to advocate for institutional resources, community partnerships, and policy changes.

· Use of Clinical Judgment Model to guide diagnostic reasoning and treatment adjustments.

VI. Comparison and Prioritization of DecisionMaking Models

· Compare strengths and limitations of each model.

· Identify which model is most effective for addressing pediatric diabetes across settings.

· Provide rationale grounded in evidence (e.g., SDM may be prioritized due to the need for family engagement and longterm adherence).

VII. Funding Source for Proposed Approach

· Identify a realistic funding source (e.g., HRSA, CDC, NIH, local children’s health foundations, Sigma Theta Tau).

· Explain why this source aligns with the proposed intervention or improvement project.

· Describe how funds would be used (training, technology, education programs, QI initiatives).

VIII. Conclusion

· Summarize the significance of pediatric diabetes as a nursing issue.

· Reinforce the importance of coordinated decisionmaking across all nursing levels.

· Emphasize the potential impact of the prioritized decisionmaking model on patient outcomes, family engagement, and systemlevel improvements.

Your TOPIC must be selected from the list below:

🤖 Artificial Intelligence & Clinical Decision Support

1. Algorithmic Bias in Triage: Deciding when to override AI predictive risk scores that under-rank deterioration risk in racially diverse or marginalized patient populations.

2. Liability & Accountability: Navigating legal and clinical accountability when an APRN follows an automated clinical decision support tool that results in an adverse outcome.

3. Ambient AI Documentation Protocols: Balancing privacy consent, liability, and audit trails when deploying real-time ambient AI listening tools during sensitive patient consultations.

4. Predictive Analytics in Palliative Care: Decision-making framework for integrating AI mortality-prediction algorithms into goals-of-care conversations without causing premature withdrawal of treatment.

5. APRN Oversight of Autonomous AI Diagnostics: Protocols for APRN validation vs. override of autonomous AI diagnostic systems (e.g., automated AI diabetic retinopathy screening or AI radiology pre-reads).

📱 Digital Health & Innovation

1. Remote Patient Monitoring (RPM) Alert Fatigue: Structuring APRN decision-making protocols to filter high-volume RPM telemetry data and reduce liability/alert fatigue while maintaining safety.

2. Hospital-at-Home Inclusion Criteria: Establishing risk-stratification criteria for identifying acute-care patients safe for Hospital-at-Home models versus those needing physical ICU/floor admission.

3. Digital Health Equity Barriers: Clinical decision-making frameworks for remote care management when patients lack digital literacy, stable broadband, or compatible cellular hardware.

4. Virtual Nursing Delegation Models: Determining task-allocation limits and clinical boundaries when integrating virtual nurses into bedside acute-care teams during code blue or rapid response events.

5. Wearable Device Data Integration: Establishing clinical threshold guidelines for acting on unvalidated consumer health wearable data (e.g., smartwatches) brought in by patients.

🩺 Advanced Practice Nursing & Clinical Governance

1. GLP-1 Medication Prioritization & Scarcity: Formulating ethical allocation criteria when prescribing GLP-1 receptor agonists amidst severe supply chain shortages or restrictive insurance coverage.

2. Scope of Practice Transition: Decision-making frameworks for APRNs transitioning from collaborative agreements to full practice authority in rural or medically underserved regions.

3. Value-Based Care vs. Fee-for-Service Dilemmas: Balancing institutional pressure for volume-driven patient turnover against quality metrics in APRN-led specialty clinics.

4. Off-Label Prescribing Governance: Establishing institutional criteria and evidence-based decision matrices for off-label APRN prescribing in complex or refractory conditions.

5. Collaborative Agreement Restructuring: Formulating APRN leadership strategies to negotiate hospital credentialing and privileging rights during health system mergers.

👥 Workforce, Safety & Organizational Leadership

1. Second Victim Support Systems: Developing standardized peer-support and duty-assignment protocols for clinicians immediately following a severe catastrophic medical error.

2. Diagnostic Overconfidence & Cognitive Bias: Implementing multidisciplinary peer-review tools designed to interrupt diagnostic momentum and anchor bias in high-acuity settings.

3. Workforce Allocation During Critical Shortages: Ethical decision-making frameworks for crisis-standards-of-care staffing allocations when traveler/agency coverage is unavailable.

4. Disruptive Behavior & Safety Culture: Navigating administrative action vs. retention strategies when addressing high-performing but clinically disruptive medical or nursing staff.

5. Cross-Training Deployment Criteria: Establishing competency verification matrices before reassigning non-ICU nurses to step-down or critical care units during surge capacity events.

🌍 Population Health & Emerging Healthcare Systems

1. Severe Maternal Morbidity Protocols: Designing rapid-response decision trees for non-obstetric emergency departments treating post-partum complications.

2. Polypharmacy Deprescribing Cascades: Decision matrices for systematically tapering high-risk medications in frail, multi-morbid geriatric patients with conflicting clinical practice guidelines.

3. Psychiatric ED Boarding & Divert Decisions: Formulating clinical placement protocols for managing long-stay psychiatric patients occupying acute ED beds under strict resource constraints.

4. Financial Toxicity Mitigation: Integrating real-time out-of-pocket cost considerations into clinical treatment planning without compromising evidence-based standard of care.

5. Antimicrobial Stewardship Conflict Resolution: Navigating decision-making when APRN antimicrobial stewardship protocols conflict with attending physician preferences in high-risk patients.

Submission

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