GOAL:Analyze and evaluate a middle range theory. You will select a middle range theory and identify application of nursing theories into clinical practice.CONTENT REQUIREMENTS:Components of the theoryDiscuss the major concepts of the theoryPhilosophical basis or worldview change, advancing healthStructural aspects of the theoryDiscuss the framework of the theory.Identify an area of your practice where this theory could be applicableWhat question does the theory help to answer?Describe the area of interest in relationship to the theory/theoretical model.Is it appropriate for the practice setting and is it applicable?Discuss the strength and weakness of the theory. If there is weakness, discuss what makes it difficult to be used in practice.Use of theory in clinical practice.Performing a literature review is essential to completing this section. If there is no literature available about the application of this theory in practice, address reason(s) why based on your findings.Evaluation of theoryIs this theory used to understand and apply into practice?What difficulties did you encounter or would anticipate encountering in using this theory?What would make this theory more usable or applicable to practice?SUBMISSION INSTRUCTIONS:The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.The paper should be formatted per current APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions.)The paper is to be 3 - 5 pages in length, excluding the title, abstract and references page.Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to current APA style.

Write a 4-6-page policy proposal and practice guidelines for improving quality and performance associated with the benchmark metric underperformance you advocated for improving in Assessment 1. Introduction In advocating for institutional policy changes related to local, state, or federal health care laws or policies, health leaders must be able to develop and present clear and well-written policy and practice guideline proposals that will enable a team, a unit, or an organization as a whole to resolve relevant performance issues and bring about improvements in the quality and safety of health care. This assessment offers you an opportunity to take the lead in proposing such changes. As a master's-level health care practitioner, you have a valuable viewpoint and voice to bring to discussions about policy development, both inside and outside your care setting. Developing policy for internal purposes can be a valuable process toward quality and safety improvement, as well as ensuring compliance with various health care regulatory pressures. This assessment offers you an opportunity to take the lead in proposing such changes. Propose organizational policy and practice guidelines that you believe will lead to an improvement in quality and performance associated with the benchmark underperformance you advocated for improving in Assessment 1. Be precise, professional, and persuasive in demonstrating the merit of your proposed actions. Note: Remember that you can submit all, or a portion of, your draft policy proposal to Smarthinking for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback. Requirements The policy proposal requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence. Explain the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal health care policies or laws. What is the current benchmark for the organization and the numeric score for the underperformance? How is the benchmark underperformance potentially affecting the provision of quality care or the operations of the organization? What are the potential repercussions of not making any changes? What evidence supports your conclusions? Recommend ethical, evidence-based practice guidelines to improve targeted benchmark performance prescribed by applicable local, state, or federal health care policy or law. What does the evidence-based literature suggest are potential strategies to improve performance for your targeted benchmark? How would these strategies ensure performance improvement or compliance with applicable local, state, or federal health care policy or law? How would you propose to apply these strategies in the context of Eagle Creek Hospital or your own practice setting? How can you ensure these strategies are ethical and culturally inclusive in their application? Analyze the potential effects of environmental factors on your recommended practice guidelines. What regulatory considerations could affect your recommended guidelines? What resources could affect your recommended guidelines (staffing, financial, and logistical considerations, or support services)? Explain why particular stakeholders and groups must be involved in further development and implementation of your proposed policy and practice guidelines. Why is it important to engage these stakeholders and groups? How can their participation produce a stronger policy and facilitate its implementation? Organize content so ideas flow logically with smooth transitions. Proofread your proposal, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your proposal. Use paraphrasing and summarization to represent ideas from external sources. Be sure to apply correct APA formatting to source citations and references. Policy Proposal Format and Length It may be helpful to use a template or format for your proposal that is used in your current organization. The risk management or quality department could be a good resource for finding an appropriate template or format. If you are not currently in practice, or your organization does not have these resources, many appropriate templates are freely available on the Internet.Your policy should be succinct (about one paragraph). Overall, your proposal should be 4–6 pages in length.Supporting Evidence Cite 3–5 references to relevant research, case studies, or best practices to support your analysis and recommendations. Guidelines to follow, all must be included: Explains the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal health care policies or laws. Clearly articulates the effects of benchmark underperformance and draws sound conclusions about the potential repercussions of inaction, based on credible evidence. Recommends ethical, evidence-based practice guidelines to improve targeted benchmarked performance prescribed by applicable local, state, or federal health care policies or laws. Provides clear and compelling justification, substantiated by credible evidence, for applying ethical and culturally inclusive performance improvement strategies. Analyzes the potential effects of environmental factors on recommended practice guidelines. Identifies clear cause-and-effect relationships and the influence of those factors on specific recommendations. Provides a perceptive and succinct explanation of why particular stakeholders and groups must be involved in further development and implementation of a proposed policy and practice guidelines. Offers clear and convincing rationale for stakeholder and group engagement and how it strengthens policy and facilitates changes in practice. Organizes content so clarity is enhanced and all ideas flow logically with smooth transitions. Uses concise, paraphrasing or summarization to accurately represent ideas from external sources. Exhibits an insightful interpretation and synthesis of credible sources.  

REQUIREMENTS Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from TASK OVERVIEW You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course. Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt). A. Discuss the impact of a clinical practice problem on the patient(s) and the organization it affects. 1. Identify the following PICO components of the clinical practice problem: • patient/population/problem (P) • intervention (I) • comparison (C) • outcome (O) 2. Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part A and the PICO components identified in part A1. Note: Refer to “Appendix B: Question Development Tool” for information on the creation of an EBP question. B. Select a research-based article that answers your EBP question from part A2 to conduct an evidence appraisal. 1. Discuss the background or introduction (i.e., the purpose) of the research article. 2. Describe the research methodology. 3. Identify the level of evidence using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model. Note: The article you select should not be more than five years old. Note: Refer to “Appendix E: Research Evidence Appraisal Tool” for information on how to level a research-based article. 4. Summarize how the researcher analyzed the data in the article. 5. Summarize the ethical consideration(s) of the research-based article. If none are present, explain why. 6. Identify the quality rating of the research-based article according to the JHNEBP model. Note: Refer to “Appendix E: Research Evidence Appraisal Tool” for information on how to establish the quality rating. 7. Analyze the results or conclusions of the research-based article and explain how the article helps answer your EBP question. C. Select a non-research article from a peer-reviewed journal that helps to answer your EBP question from part A2 to conduct an evidence appraisal. 1. Discuss the background or introduction (i.e., the purpose) of the non-research article. 2. Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline). 3. Identify the level of evidence using the JHNEBP model