Health Care  Policy, Teaching Plan, Culminating Experience in Nursing and  Nursing Research (Due 24 hours)

1) Minimum 5 full pages (No word count per page) and complete the template- Follow the 3 x 3 rule: minimum three paragraphs per part.


Part 1: Minimum 3 pages

Part 2: minimum 1 page 

Part 3: Minimum 1 page

Part 4: minimum Complete the template – Advocacy Through Legislation

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraph

          Bulleted responses are not accepted

          Don’t write in the first person 

          Don’t copy and paste the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

Part 1: Minimum 5 references n to older than  5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next


Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 


Part 1.doc 




Part 1: Nursing Research

Purpose: Write a critical appraisal that demonstrates comprehension of two quantitative research studies

PICOT Question:

Population: Nurses

Intervention: Preventive education

Comparison: Lack of preventive education

Outcome: Incidence


Is there a lower incidence in the administration of medications to hospitalized patients when nurses have preventive education on medication errors in practice and the importance of the use of medication marking compared to nurses without preventive education?

Use the practice PICOT QUESTION and two quantitative, peer-reviewed research articles (See File attached).

According to the template “Research Critique Guidelines Part II”.

1. Summarize two  quantitative  studies (See files  quantitative  2 and 3)

2. Explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

3. Provide a rationale

4. Include examples


Part 2: Trends and Issues in Health Care

 Choose a legislator on the state or federal level who is also a nurse 

1. Discuss the importance of the legislator/nurse’s role as an advocate for improving health care delivery.

2.  What specific bills has the legislator/nurse sponsored or supported that have influenced health care.

Part 3: Trends and Issues in Health Care


Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy. 

1. Describe the legislation and what was accomplished. 

2. What additional steps need to be taken to continue advocacy for this issue?

Part 4: Trends and Issues in Health Care


Topic:  Advocacy Through Legislation

Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.

Identify a problem or concern in your state (Florida), community, or organization that has the capacity for advocacy through legislation. 

Research the issue and use the “Advocacy Through Legislation” (See file attached) template to complete this part

Research Critique Guidelines – Part II

The first time you mention each article, put the name of the study in quotation marks and indicate the authors and the date of publication. Then, every time you refer to the article, mention the authors and the date.


The article “Research Critique Guidelines” by Smith in 2020 states the nursing is a profession…….

Smith (2020), in his article, affirms that

Use this document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the studies in your responses.

Quantitative Studies


1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.

How do these two articles support the nurse practice issue you chose?

1. Discuss how these two articles will be used to answer your PICOT question.

2. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.

Method of Study:

1. State the methods of the two articles you are comparing and describe how they are different.

2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.

Results of Study

1. Summarize the key findings of each study in one or two comprehensive paragraphs.

2. What are the implications of the two studies you chose in nursing practice?

Outcomes Comparison

1. What are the anticipated outcomes for your PICOT question?

2. How do the outcomes of your chosen articles compare to your anticipated outcomes?

© 2019. Grand Canyon University. All Rights Reserved.



Proportion of medication error reporting
and associated factors among nurses: a
cross sectional study
Abebaw Jember1*, Mignote Hailu1, Anteneh Messele2, Tesfaye Demeke3 and Mohammed Hassen1


Background: A medication error (ME) is any preventable event that may cause or lead to inappropriate medication
use or patient harm. Voluntary reporting has a principal role in appreciating the extent and impact of medication errors.
Thus, exploration of the proportion of medication error reporting and associated factors among nurses is important to
inform service providers and program implementers so as to improve the quality of the healthcare services.

Methods: Institution based quantitative cross-sectional study was conducted among 397 nurses from March 6 to May
10, 2015. Stratified sampling followed by simple random sampling technique was used to select the study participants.
The data were collected using structured self-administered questionnaire which was adopted from studies conducted in
Australia and Jordan. A pilot study was carried out to validate the questionnaire before data collection for this study.
Bivariate and multivariate logistic regression models were fitted to identify factors associated with the proportion of
medication error reporting among nurses. An adjusted odds ratio with 95% confidence interval was computed to
determine the level of significance.

Result: The proportion of medication error reporting among nurses was found to be 57.4%. Regression analysis showed
that sex, marital status, having made a medication error and medication error experience were significantly associated
with medication error reporting.

Conclusion: The proportion of medication error reporting among nurses in this study was found to be higher than
other studies.

Keywords: Medication error, Medication error reporting, Federal Level Governmental Hospital, Nurse

Medication therapy is the most common intervention pre-
scribed for healthcare consumers [1] and safe medication
administration represents one of the routine, highly com-
plex and essential nursing care responsibilities [2]. Medica-
tion administration is amongst the potentially hazardous
nursing tasks in hospitals because of liability to errors [3].
The reporting of error incidents and specific phases of
healthcare delivery such as the safe use of medications can
improve the safety of patients [4].
A single medication error (ME) may prolong hospital

stay or even end up in death. This affects the quality and

continuity of the healthcare services [5] by affecting pa-
tient safety which is an important indicator of healthcare
quality and encompasses various nursing care procedures.
Executing a ME has been seen to be psychologically dev-
astating to the nurse and harmful to the patient [6].
Globally, MEs present a substantial contribution

Enfermería Global Nº 56 Octubre 2019 Página 45


Safety in drug administration: Research on nursing practice and
circumstances of errors
Segurança na administração de medicamentos: Investigação sobre a prática de
enfermagem e circunstâncias de erros
Seguridad en la administración de medicamentos: investigación sobre la práctica de
enfermería y circunstancias de errores

Bruna Figueiredo Manzo


Célia Luciana Guedes Barbosa Brasil

Flávia Felipe Thibau Reis

Allana dos Reis Correa

Delma Aurélia da Silva Simão

Anna Caroline Leite Costa

1 Ph.D. Adjunct Professor, Department of Maternal-Infant Nursing and Public Health, Nursing School,
Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. [email protected]
Nurse. Graduated by the Nursing School of the Federal University of Minas Gerais. Belo Horizonte,

Minas Gerais, Brazil.
Ph.D., Adjunct Professor, Department of Basic Nursing, Nursing School, Federal University of Minas

Gerais, MG, Brazil.
Undergraduate student in Nursing. UFMG Nursing School. Belo Horizonte, Minas Gerais, Brazil.


Received: 6/10/2018
Accepted: 21/01/2019

Introduction: To provide safe, effective, timely and individualized care is a major challenge in health
care. Currently, the main errors in health care are related to medication errors. These errors can cause
damages, especially in pediatrics, because of organs’ immaturity and variation in the weight and body
surface. In this way, the importance of nursing in this scenario is perceived to guarantee a safe care.
Objective: To investigate the practice of nursing professionals about drug administration process, as
well as the circumstances that lead to errors.
Method: Descriptive, quantitative study with 147 nursing professionals in Neonatal and Pediatric
Intensive Units. To collect data, a questionnaire was used elaborated and based on the
recommendations of the Guideline for Prevention of Intravascular catheter-related infections with
questions related to the practice of drug administration and afterwards a descriptive data analysis was
Results: The professionals pointed out weaknesses in the practice, such as double checking of
medications, administration of medication prepared by the colleague, delays and lack in checking the
prescriptions. The most common errors were derived from the wrong dose and the environmental
factors were presented as a critical point.

Advocacy Through Legislation

Identify a problem or concern in your state, community, or organization that has the capacity to be advocated through legislation. Research the issue and complete the sections below. For each topic that requires the listing of criteria, a minimum of two criteria should be identified and discussed. Add more rows as is appropriate for the topic/proposal.


In no more than 250 words, describe the problem, who is affected, and the current ramifications. Explain the consequences if the issue continues.

Idea for Addressing Solution

In no more than 250 words, outline your idea for addressing the issue and explain why legislation is the best course for advocacy.

Research the Issue

Perform research and compile information for your idea. Present substantive evidence-based findings that support your idea for addressing the problem (studies, research, and reports). Include any similar legislation introduced or passed in other states.

Evidence 1

Evidence 2

Stakeholder Support

Discuss the stakeholders who would support the proposed idea and explain why they would be in support.

Stakeholder(s) Supporting 1

Stakeholder(s) Supporting 2

Stakeholder Opposition

Discuss the stakeholders who would oppose the proposed idea. Explain why they would be in opposition and how you would prepare to debate or converse about these considerations.

Stakeholder(s) Opposed 1

Stakeholder(s) Opposed 2

Financial Incentives/Costs

In no more than 250 words, summarize the financial impact for the issue and the idea (added costs, cost savings, increased revenue, etc.). Provided support.

Legislature: Information Needed and Process for Proposal

Discuss the how to advocate for your propos