NR 503 Week 6: Epidemiological Analysis: Chronic Health Problem

Assignment

Purpose

The purpose of this assignment is:

1. Integrate knowledge and skills learned throughout NR503 course
2. Direct application of course objectives utilizing epidemiological analysis of a chronic health problem, along with state and national level data.

Activity Learning Outcomes

This assignment enables the student to meet the following course outcomes:

See weekly outcomes from Weeks 1-6.

Due Date

This assignment must be submitted by Sunday, 11:59 p.m. MT at the end of Week 6.

Total Points Possible

This assignment is worth 200 points.

Preparing the Assignment

Requirements

This paper should clearly and comprehensively discuss a chronic health disease. Select a topic from the list provided by your course faculty.

The paper should be organized into the following sections:

1. Introduction (Identification of the problem) with a clear presentation of the problem as well as the significance and a scholarly overview of the paper’s content. No heading is used for the Introduction per APA current edition.
2. Background and Significance of the disease, to include: Definition, description, signs and symptoms. Incidence and prevalence of statistics by state with a comparison to national statistics pertaining to the disease. If after a search of the library and scholarly data bases, you are unable to find statistics for your home state, or other states, consider this a gap in the data and state as much in the body of the paper. For instance, you may state something like, “After an exhausting search of the scholarly data bases, this writer is unable to locate incidence and/or prevalence data for the state of…” This indicates a gap in surveillance that will be included in the “Plan” section of this paper.
3. Surveillance and Reporting: Current surveillance methods and mandated reporting processes as related to the chronic health condition chosen should be specific.
4. Epidemiological Analysis: Conduct a descriptive epidemiology analysis of the health condition. Be sure to include all of the 5 W’s: What, Who, Where, When, Why. Use details associated with all of the W’s, such as the “Who” which should include an analysis of the determinants of health. Include costs (both financial and social) associated with the disease or problem.
5. Screening and Guidelines: Review how the disease is diagnosed and current national standards (guidelines). Pick one screening test (review Week 2 Discussion Board) and review its sensitivity, specificity, predictive value, and cost.
6. Plan: Integrating evidence, provide a plan of how a nurse practitioner will address this chronic health condition after graduation. Provide three specific interventions that are based on the evidence and include how you will measure outcomes (how will you know that the interventions have utility, are useful?) Note:  Consider primary, secondary, and tertiary interventions as well as the integration of health policy advocacy efforts. All interventions should be based on evidence connected to a resource such as a scholarly piece of research.
7. Summary/Conclusion: Conclude in a clear manner with a brief overview of the keys points from each section of the paper utilizing integration of resources.
8. The paper should be formatted and organized into the following sections which focus on the chosen chronic health condition.
9. Adhere to all paper preparation guidelines (see below).

Preparing the Paper

1. Page length: 7-10 pages, excluding title page and references.
2. APA format current edition
3. Include scholarly in-text references throughout and a reference list.
4. Include at least one table that the student creates to present information. Please refer to the “Requirements” or rubric for further details. APA formatting required.
5. Length: Papers not adhering to the page length may be subject to either (but not both) of the following at the discretion of the course faculty: 1.  Your paper may be returned to you for editing to meet the length guidelines, or, 2. Your faculty may deduct up to five (5) points from the final grade.
6. Adhere to the Chamberlain College of Nursing academic policy on integrity as it pertains to the submission of original work for assignments.

ASSIGNMENT CONTENT
Category	Points	%	Description
Identification of the Health Problem	15	7.5%	Comprehensively and succinctly states the problem/concern. Clear presentation of the problem as well as the significance with a scholarly overview of the paper’s content.
Background and Significance of the Health Problem	30	15%	Background and significance is complete, presents risks, disease impact and includes a review of incidence and prevalence of the disease within the student’s state compared to national data. Evidence supports background. If the student discovers a gap in data (no state level data), this is stated within the section. A student created table is included using APA format. In the case of a gap in data the student will select two other sets of data to use in the student created table.
Current Surveillance and Reporting Methods	30	15%	Current state and national disease surveillance methods are reviewed along with currently gathered types of statistics and information on whether the disease is mandated for reporting. Supported by evidence.
Descriptive Epidemiological Analysis of Health Problem	35	17%	Comprehensive review and analysis of descriptive epidemiological points for the chronic health problem. The 5 W’;s of epidemiological analysis should be fully identified. Supported by scholarly evidence.
Screening, Diagnosis, Guidelines	30	15%	Review of current guidelines for screening and diagnosis. Screening tool statistics related to validity, predictive value, and reliability of screening tests are presented.
Plan of Action	30	15%	Integrating evidence, provide a plan of how a nurse practitioner will address this chronic health condition after graduation. Provide three specific interventions that are based on the evidence and include how you will measure outcomes (how will you know that the interventions have utility, are useful?) Note:  Consider primary, secondary, and tertiary interventions as well as the integration of health policy advocacy efforts. ;All interventions should be based on evidence – connected to a resource such as a scholarly piece of research.
Conclusion	15	7.5%	The conclusion thoroughly, clearly, succinctly, and logically presents major points of the paper with clear direction for action. Includes scholarly references
	185	92%	Total CONTENT Points = 185 pts
ASSIGNMENT FORMAT
Category	Points	%	Description
APA current ed.	10	5%	APA is consistently utilized according to the current edition throughout the paper.
Grammar, Syntax, Spelling	5	3%	The paper is free from grammar, unscholarly context or “voice” and spelling is accurate throughout.
	15	8%	Total FORMAT Points = 15 pts
	200	100%	DISCUSSION TOTAL = 125 points

Rubric

NR503_Week 6 Chronic Health_Sept19

Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeAssignment Content Possible Points = 185 PointsIntroduction of Healthcare Problem/Concern	15 ptsExcellentComprehensively and succinctly states the problem/concern. Clear presentation of the problem as well as the significance with a scholarly overview of the paper’s content.14 ptsV. GoodIdentifies the problem/concern with adequate but not in-depth presentation.12 ptsSatisfactoryIdentification of problem/concern is limited.8 ptsNeeds ImprovementImprovement- Identification of problem/concern is unclear.0 ptsUnsatisfactoryImprovement- Identification of problem/concern is unclear.	15 pts
This criterion is linked to a Learning OutcomeBackground/Significance	30 ptsExcellentBackground and significance is complete, presents risks, disease impact and includes a review of incidence and prevalence of the disease within the student’s state (or other data sets) compared to national data. Evidence supports background. A student created table is included.27 ptsV. GoodBackground is complete, presents risk, disease impact and at least one set of incidence and prevalence statistics supported by evidence, for instance state data or national data is presented, but not both. Or, full data is presented but student table is not included.26 ptsSatisfactoryBackground missing one or more key points and at least one set of incidence and prevalence statistics are presented. Lack of evidence or limited presentation of the background. A table is included which may or may not be student created; may be limited in data.15 ptsNeeds ImprovementBackground missing more than one key point and at least one set of incidence and prevalence statistics are presented, or there is no supported evidence. Unclear conclusions or presentation. No student created table is included; or if included is limited in scope or is not student created.0 ptsUnsatisfactoryBackground and significance of the disease is not provided.	30 pts
This criterion is linked to a Learning OutcomeSurveillance and Reporting	30 ptsExcellentCurrent state and national disease surveillance methods are reviewed along with currently gathered types of statistics and information on whether the disease is mandated for reporting. All writing is supported by evidence.27 ptsV. GoodState and national disease surveillance methods are reviewed, currently gathered types of statistics is scant, reporting requirements discussed. All writing is supported by evidence.26 ptsSatisfactoryState or national surveillance statistics are discussed as an overview, lacking detail / depth. Mandated reporting may be absent. Writing is supported by evidence but may be inconsistent.15 ptsNeeds ImprovementOne of either state or national disease surveillance methods reviewed; currently gathered types of statistics may be missing or information on whether the disease is mandated for reporting is missing. There is a lack of depth with inconsistent use of evidence.0 ptsUnsatisfactoryContent not discussed.	30 pts
This criterion is linked to a Learning OutcomeDescriptive Epidemiology	35 ptsExcellentComprehensive review and analysis of descriptive epidemiological points for the chronic health problem. The 5 W’s of epidemiological analysis should be fully identified. Supported by scholarly evidence.32 ptsV. GoodReview and analysis has depth in general but may be missing one of the 5 W’s OR may be scant in one area of the 5 W’s. All writing is supported by evidence.29 ptsSatisfactoryReview and analysis superficial in all of the 5 W’s OR may be scant or missing 2 or more of the W’s. Evidence is present but may not be throughout all content areas.18 ptsNeeds ImprovementReview and analysis is missing depth throughout all of the content areas. Evidence may or may not support the writing.0 ptsUnsatisfactoryNo analysis provided.	35 pts
This criterion is linked to a Learning OutcomeScreening, Diagnosis, Guidelines	30 ptsExcellentComprehensive review of current guidelines for screening and diagnosis. Screening tool statistics related to validity, predictive value, and reliability of screening tests are presented.27 ptsV. GoodAdequate review of guidelines for screening, diagnosis, and statistics related to validity, predictive value, and reliability of screening tests is presented.26 ptsSatisfactoryLimited review of guidelines for screening, diagnosis, and statistics related to validity, predictive value, and reliability of screening tests.15 ptsNeeds ImprovementMinimal or unclear review of guidelines for screening, diagnosis, and statistics related to validity, predictive value, and reliability of screening tests. There is a lack of depth with inconsistent use of evidence.0 ptsUnsatisfactoryReview of guidelines for screening, diagnosis, and statistics related to validity, predictive value, and reliability of screening tests not provided.	30 pts
This criterion is linked to a Learning OutcomePlan	30 ptsExcellentIntegrating evidence, provide a plan of how a nurse practitioner will address this chronic health condition after graduation. Provide three specific interventions that are based on the evidence and include how you will measure outcomes (how will you know that the interventions have utility, are useful?) Note:  Consider primary, secondary, and tertiary interventions as well as the integration of health policy advocacy efforts. All interventions should be based on evidence – connected to a resource such as a scholarly piece of research.27 ptsV. GoodAn adequate, but not fully comprehensive, plan of action specific to the problem, and the geographic area is presented with 3 evidenced based actions that will be taken to address the impact, outcomes, or prevalence of the disease.26 ptsSatisfactoryA limited plan of action specific to the problem, and the geographic area, outcomes, or prevalence of the disease. Three actions or less may be presented with limited or little evidence.15 ptsNeeds ImprovementMinimal or unclear review of guidelines for screening, diagnosis, and statistics related to validity, predictive value, and reliability of screening tests. Actions are minimal or unclear, or lack specificity, are not supported directly by evidence or are not direct actions the student can take in practice. There is a lack of depth with inconsistent use of evidence.0 ptsUnsatisfactoryPlan of action not provided.	30 pts
This criterion is linked to a Learning OutcomeSummary/Conclusion = 185 Points	15 ptsExcellentThe conclusion thoroughly, clearly, succinctly, and logically presents major points of the paper with clear direction for action. Includes scholarly references.14 ptsV. GoodThe conclusion adequately and logically presents major points of the paper with clear direction for action, but lacks one major point or is not succinct. Includes scholarly references.12 ptsSatisfactoryThe conclusion is a limited review of key points of the paper, is not succinct, or lacks one or more major points of the paper or clear direction for action. Scholarly references may or may not be included.8 ptsNeeds ImprovementConclusion is unclear or significantly limited in overview of the paper. Scholarly references may or may not be included.0 ptsUnsatisfactoryNo Summary/conclusion is included.	15 pts
This criterion is linked to a Learning OutcomeAssignment Format Possible Points =15 PointsAPA 7th ed.	10 ptsExcellentAPA is consistently utilized according to the 7th edition throughout the paper.9 ptsV. GoodOne or two errors in APA format8 ptsSatisfactoryThree-Five errors in APA format5 ptsNeeds ImprovementSix errors in APA format0 ptsUnsatisfactoryGreater than six errors in APA formatting.	10 pts
This criterion is linked to a Learning OutcomeGrammar, Syntax, Spelling	5 ptsExcellentThere are no grammar, unscholarly context or “voice” errors in the paper and spelling is accurate throughout.4 ptsV. GoodOne or two errors3 ptsSatisfactoryThree-five errors2 ptsNeeds ImprovementSix errors0 ptsUnsatisfactoryGreater than six errors	5 pts
This criterion is linked to a Learning OutcomeLate penalty deductionsStudents are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.	0 ptsMinus Points0 ptsMinus Points	0 pts
Total Points: 200