Purpose
Community health nurses practice in a variety of settings. The purpose of this paper is to describe the community setting and analyze the role of a nurse in the assigned setting. Health promotion nursing interventions and a professional nursing organization related to this role will also be examined.

The topic for this paper is the role of a nurse in a home health setting (can include home hospice).The community health setting for this paper must be a home health setting (can include home hospice).
Locate and read at least one scholarly peer-reviewed journal article that is not assigned in the course related to a nurse’s role in health promotion in this setting. Go to the Chamberlain library at http:/library.chamberlain.edu (Links to an external site.). Search peer reviewed journals to find a scholarly article on this topic. The article must be less than 10 years old (less than 5 years is best).
Thoroughly address the following categories using the APA Template that is provided.
Introduction (one paragraph):
The introduction should be interesting and capture the reader’s attention.
Introduce the assigned community setting
Briefly identify CHN role(s) in this setting
Identify vulnerable population(s) served in this setting
Include a purpose statement

Community Setting (two to three paragraphs)
Describe the assigned community setting, including vulnerable population(s) served.
Discuss three health services provided by the a CHN in the assigned setting.
Use your textbook or an outside scholarly source to address these sub-points.

Health Promotion Nursing Intervention (two to three paragraphs)
Describe in detail health promotion intervention(s) that a CHN could implement in the assigned community setting.
Identify people/organizations/community members this CHN role may collaborate with in health promotion interventions.
Utilize at least one peer-reviewed scholarly article related to a health promotion intervention.

Professional Nursing Organization (two paragraphs)
Provide a detailed description of a professional nursing organization related to the assigned community setting. Search the text, your article, or the Internet for one professional organization that supports nurses in this role. If you can’t find an organization specific to this group, search the American Nurses Association (ANA) website for information on this role. Cite the organization in the body of the text with (organization name, year), and include a complete reference on the reference page.
Discuss one professional issue that this organization is addressing related to the assigned community setting.
Summary (one paragraph)
The summary reiterates key points about:

The community setting and the CHN role(s)
Health promotion intervention
Professional organization
Includes a concluding statement.
Reference Page: The reference page should start on a new page (insert a page break). All references should be cited within the body of the paper as (author or organization, year), and the full reference should be included in APA format on the reference page. A URL link alone is not an adequate reference. See the Chamberlain Guidelines for Professional Writing in the APA Folder in Program Resources for examples of properly formatted references.
Guidelines
The setting for this paper must be a home health setting (can include home hospice).

Length: This paper is expected to be no more than 4 pages in length (not including the title page and reference list).
Quotations should be minimal—please paraphrase your sources. A maximum of one quotation should be used for this paper.

Quality Improvement (QI) Initiatives in the Workplace

Please follow APA format with proper grammar and citation.
As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
Reflect on quality improvement (QI) initiatives in your workplace:
What makes a QI initiative a success? What elements must be incorporated?
What opportunities are there for interprofessional collaboration on a QI initiative in your workplace?
Proficiency in interpretation of data is critical to understanding and communicating QI outcome measures. What can be done to improve data literacy across interprofessional teams?

The instructions for this paper are listed below:

1. a) identify and articulate key concepts of your leadership vision
2. b) provide empirical, scholarly evidence to support your position
3. c) communicate ideas in a clear, succinct, and scholarly manner.

APA format (6^th edition) is required in this assignment, including a title page and reference page.

Use APA level 1 headings for the organizational structure of this assignment.

Remember that the introduction does not carry a heading that labels it as a level heading in APA format. The first part of your paper is assumed to be the introduction.

Use the suggested format and headings to organize the assignment:

1. 1. Include introduction (do not label as a heading in APA format)
   2. Key concepts of vision
   3. Critique of evidence

1. Importance to nursing
2. Summary or concluding statements

Preparing the paper

1. Clear introduction of the leadership vision in the introduction paragraph.
2. Clearly articulate key concepts of your vision.
3. Provide a critique of a minimum of three sources of scholarly, empirical evidence that supports your vision.
4. Provide specific examples of the impact and/or importance of your vision on nursing.
5. Provide concluding statements that should summarize your overall content.
6. The paper will be three pages maximum, excluding title and reference page(s).

7. Title and reference page(s) must be in APA format (6^th edition).

8. Use 12 Times New Roman Font and one-inch margins on all sides of the paper.

My vision revolves around the mission statement and vision statement of the hospital I work in.  My hospital’s mission statement is “to provide compassionate patient care.”  Their vision statement is “to continue to grow and challenge convention through forward-thinking leadership, and using a collaborative approach to providing exceptional patient care.”

Out of their mission and vision statements, the key concepts of my vision would be:

1. Delivering/practicing compassionate and enhanced patient care
2. Using a Transformational Leadership approach on my vision and key concepts
3. Promoting a positive environment that will encourage teamwork and collaboration among health care workers

Assignment 1 Ostomy- Surgical Procedures
Purpose: The purposes of this assignment are for the student to define and describe the
common surgical procedures that result in a stoma and to develop introductory patient teaching
skills. In addition, you will be demonstrating your understanding of common continent urinary
diversions. Length and Value of Assignment: This is an individual assignment worth 15% of your
final mark. Limit the assignment to a total of 13 pages excluding the cover page and the
reference list. Assignments longer than 13 pages may be returned unmarked and given a 0%.\

Assignments must follow the recommendations in the WOC-EP Guideline for Preparing
Assignments and use APA formatting for citations and references. This assignment has specific
directions as to how to format a table, follow these for the specific question applicable. For all
remaining questions (# 2-5) use a subtitle identifying the question you are answering for
example: Three Types of Continent Urinary Diversions and write your answers in a sentence or
short paragraph as needed. Knowledge Acquisition Focus: Gain in-depth knowledge about the
common surgical procedures that result in a stoma and how this impacts output. Gain an
understanding of continent urinary diversions. Expand your understanding of end and loop type
stomas. Knowledge to Practice Focus: Develop a patient oriented vocabulary to explain surgical
procedures during pre-op teaching. For the six surgical procedures listed below, briefly describe
in point form, single space, table format the following: a. The surgical procedure: The description
of the surgical procedure should be as you would explain it to the patient when doing pre-op
teaching. (5 marks x 6 = 30 marks) b. The indications for the surgery. (2.5 marks x 6 = 15 marks)
c. The specific risks/complications associated with the particular surgery. Include how this
surgery will affect the patient. (2. 5 marks x 6 =15 marks) (Please note: Not general surgical risks
such as PE, DVT, MI, stroke or pneumonia). d. The diversion type, type of stoma (end, loop) and
location resulting from the surgery. (1.5 mark x 6 = 9 marks) 1 -Abdominoperineal Resection 2 –
Low Anterior Resection
3-Proctocolectomy Total and Restorative 4 -Hartmann’s Procedure 5 – Cystectomy and Radical
Cystectomy
6 -Pelvic Exenteration (anterior, posterior, and total)

An example of a table format: Surgical Procedure: 1 a) Description of surgery (5 marks x 6= 30)
Be concise but thorough. Include the details the person needs to know about their procedure.
Use layman’s terms for this question as you would when explaining it to a person during pre-op
teaching. 1 b) Indications (2.5 marks x 6= 15) Citations should occur with items listed, if multiple
items come from the same source you only need to list it once after the last item.
1 c) Specific risks, complications and the effect on the patient’s life (2.5 x 5=15 marks) Citations
as above. Consider all aspects of the effect on the patient not just the physical.
1 d) Type of Diversion Type of stoma (end or loop) Location (1.5 marks x 6 = 9)
2. Identify the immediate post op (initial few days) and the long-term characteristics of the output
for an ileostomy, a colostomy and an ileal conduit. (2 marks for each (total of 4 /diversion) =12
marks) 3. Provide a short description of how a loop stoma and an end stoma are made and why.
Explain the difference between the two (Please note do not explain what a loop-end stoma is.) (2
marks each = 4 marks) 4. Give a brief description of the following continent urinary diversions:
the Indiana pouch, the Koch (Kock) pouch and the Mitrofanoff. (2 marks each = 6 marks). 5.
Identify the key points of the immediate care and long-term care of an Indiana pouch. (4 marks)
Presentation: Grammar, spelling, length and format, (cover page, introduction, conclusion,
citations and reference list). (5 marks)

The role delineation section allows the reader to identify how you will actualize each competency
outlined by the National Organization of Nurse Practitioner Faculty (NONPF) and the AACN. It is
as unique as each student. You may write a narrative and include supporting documents to
highlight your activities. Ultimately it shows the progression towards the program goals.
Essential Components of Role Delineation
Examples /Supporting Evidence
Role Delineation based on NP Competencies

Narrative format plus evidence is required at least 2 paragraph per point below.
1. Management of Patient Health/Illness Status
Reflections on class lectures, discussions, clinical experiences, readings, assignments
2. NP-Pt Relationship
Reflections on class lectures, discussions, clinical experiences readings, assignments
3. Teaching-Coaching Function
Sample of outline of teaching rounds, poster, in-service etc
4. Professional Role
May be evident in C-V, ,Proof of attendance at BON meeting
5. Negotiating HC Delivery Systems
Attendance at Lambda Chi Meeting, Pri-Med, CMS seminar
6. Monitoring/ Ensuring Quality of HC
Sample of peer reviews, quality improvement activities, Magnet offerings
7. Cultural Competence
Article citation, Web References