HCR 576 Module 6: Group Assignment: Mock PLI/PAI Report for a Manufacturing Facility Group Project

HCR 576 Module 6: Group Assignment: Mock PLI/PAI Report for a Manufacturing Facility Group Project

  • Due Oct 2 by 11:59pm
  • Points 150
  • Submitting a file upload
  • Available Aug 28 at 12am – Oct 3 at 11:59pm
Mock PLI/PAI Presentation & Summary
You and your team are preparing your submission and are ready to file.  You know that FDA could show up as soon as the submission is received because FDA requested to view manufacturing during their visit and you have scheduled production to start 2 weeks after submission.
Resources:
Module 6: Group Assignment: Mock PLI/PAI report for a manufacturing facility
  • Due Oct 2 by 11:59pm
  • Points 150
  • Submitting a file upload
  • Available Aug 28 at 12am – Oct 3 at 11:59pm
Mock PLI/PAI Presentation & Summary
You and your team are preparing your submission and are ready to file.  You know that FDA could show up as soon as the submission is received because FDA requested to view manufacturing during their visit and you have scheduled production to start 2 weeks after submission.
Resources:
Prepare a 2-3 slide checklist to prepare for a PLI/PAI.
Prepare an SME list on a separate slide.
Prepare a slide providing an overview of your drug manufacturing.
On a separate slide  describe how you would set up an inspection ready room.
On a separate slide list 5-6 topics that you believe the FDA will review during their visit to your site.
Prepare a 1 page summary, where a paragraph is 5-6 sentences, Times New Roman, 12 font describing the outcome of this presentation and potential next steps.  Add a title page and a separate page for references for a total of 3 pages.  More than 1 page summary will be marked down points.
This is worth up to 100 points.
GROUPS are the same as the group for Module 3.
Rubric
Presentation – PAI
Criteria
Ratings
Pts
This criterion is linked to a Learning OutcomePresentation
Demonstrates knowledge of topic
Slides/notes are not read
Demonstrates linkage to other related topics
50 ptsFull Marks
0 ptsNo Marks
50 pts
This criterion is linked to a Learning OutcomeFormat
9-12 words per line
Readable graphics
Combination of narrative and graphics
Drug name
Description of PAI
References APA format
20 ptsFull Marks
0 ptsNo Marks
20 pts
This criterion is linked to a Learning OutcomeSummary Report
page summary of presentation with a clearly articulated hypothesis, conclusion and recommended next steps.
65 ptsFull Marks
0 ptsNo Marks
65 pts
This criterion is linked to a Learning OutcomeSummary report format
APA format, spelling, grammar, references – 1 MUST be from ASU library
15 ptsFull Marks
0 ptsNo Marks
15 pts
Total Points: 150

Introduction

Preparing for a Pre-License Inspection (PLI) or Pre-Approval Inspection (PAI) is one of the most critical milestones in pharmaceutical manufacturing. These inspections serve as the FDA’s final verification that a facility, its processes, and its quality systems meet regulatory requirements before a product can be approved for market release. For our group project, we are tasked with simulating the steps a company must take to ensure inspection readiness while aligning production timelines with regulatory expectations. This assignment provides an opportunity to integrate our knowledge of pharmaceutical manufacturing, facility design, inspection management, and regulatory frameworks into a cohesive plan that reflects real-world industry standards.

Our mock PLI/PAI presentation focuses on developing a structured checklist, identifying subject matter experts (SMEs), and preparing an inspection-ready room to facilitate effective communication with FDA inspectors. Additionally, we will summarize the key elements of our drug manufacturing process and anticipate the primary topics FDA reviewers are likely to evaluate during their visit. Through this exercise, we aim to demonstrate not only technical and regulatory knowledge but also the critical importance of preparation, organization, and proactive quality assurance in ensuring successful inspection outcomes.

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MHNS5004 Assessment 3 – Motivational Interviewing Report

MHNS5004 Assessment 3 – Motivational Interviewing Report

Title
Motivational Interviewing Report
Type
Report/Essay
Due Date
Week 6 – 11.59pm on Friday October 10, 2025
Length
2,000 words (plus 500 to allow for in-text citations, reference list, tables, figures etc. / maximum all-inclusive total 2,500 words)
Weighting
45%
Academic Integrity
Written assignments are to be composed by the student and the use of Generative Artificial Intelligence (GenAI) tools, such as ChatGPT, to compose assignments is forbidden. Students are encouraged to access and read primary sources rather than using GenAI tools to summarise or synthesise information.
Submission
Microsoft Word document submitted to Turnitin. Please review the guidelines on word counts and check your total count on Turnitin before the submission.
Unit Learning Outcomes
This assessment task maps to the following ULOs:
ULO3: Formulate effective individual and systemic responses to facilitate behaviour change founded on theory, empirical research and recovery principles.
ULO4: Apply motivational interviewing knowledge and strategies to facilitate co-constructed consumer behaviour change.
Rationale
This assessment task provides you with an opportunity to demonstrate knowledge of the spirit and principles of Motivational Interviewing (MI) and to critically evaluate competency in applying MI to support behaviour change. By engaging with a simulated clinical interaction, you will deepen your understanding of how MI strategies are operationalised in practice and reflect on both strengths and areas for improvement. In addition, this task encourages the development of essential academic and professional skills, including critical analysis, research-informed reasoning, and effective written communication. The written report format supports the articulation of complex ideas, integration of theory and practice, and construction of evidence-based arguments. These skills are not only central to academic success but also directly relevant to professional practice, where practitioners must evaluate interventions, communicate their findings, and engage in reflective learning to enhance the quality of mental health care.

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Background
Motivational Interviewing (MI) is an evidence-based, client-centred approach designed to help individuals resolve ambivalence and build motivation for change. With its focus on empathy, collaboration, and respect for autonomy, MI has been shown to be effective across a range of mental health challenges, including addiction, depression, and anxiety, making it a valuable and versatile tool in contemporary mental health care. Practising MI skills – such as reflective listening, affirmations, and open-ended questioning – enables students to develop skills in facilitating meaningful, lasting behaviour change within a supportive and non-judgemental framework. This assignment provides an opportunity to critically reflect on the principles and practical application of MI, considering both observed techniques and missed opportunities for engagement. At the same time, it reinforces scholarly skills by requiring you to integrate theoretical insights with empirical evidence, evaluate practice critically, and communicate your reflections in a clear, academically rigorous manner. Through this dual focus on clinical and academic competencies, the assessment supports both professional readiness and lifelong learning.

Task Description and Instructions
Step 1. Review the following video of a simulated Motivational Interview (MI):

Step 2. Take detailed notes on what features of MI are employed and what opportunities the interviewer may have missed to apply MI strategies. Consider how the interviewer demonstrates (or does not demonstrate) the spirit of Motivational Interviewing, including empathy, collaboration, and respect for autonomy.
Step 3. Write a reflective and theory/literature informed report on the clinical interview process. In your report, you should:
• Critically evaluate what the interviewer has done well.
• Identify areas of Motivational Interviewing that the interviewer still needs to strengthen.
• Reflect on how the simulated client responded to the MI approach, including any observable changes in engagement, ambivalence, or motivation.
• Consider what could have been done differently to promote behaviour change more effectively in this context.

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Your report should integrate theoretical and empirical evidence on MI principles and strategies. It should also demonstrate clear and coherent academic writing, appropriate use of referencing, and critical engagement with the literature to support your reflection and evaluation.
Resources
Course readings and resources on motivational interviewing and behaviour change theory, alongside independent scholarly research.
Submission Format
This assessment should be submitted as a Microsoft Word document through the Assessment 3 submission link on Blackboard.

Note: Prior to final submission, students are encouraged to upload drafts to the Turnitin similarity check portal. Use this process to refine your paraphrasing and correct any matched text before submitting your final assignment. You may upload multiple drafts to the similarity check portal.
• Important: The similarity check portal is not the final submission point. Please ensure you submit your completed assignment to the official Assessment 3 submission portal on Blackboard.
• Please ensure your total document word count does not exceed 2,500 words. This includes all content: headings, in-text citations, reference list, and any tables or diagrams. A cover sheet is not required, but a clear title is always needed. If the word count is exceeded, the assignment will not be graded.

Introduction

Motivational Interviewing (MI) is a collaborative, person-centred approach that supports individuals in resolving ambivalence and strengthening their motivation for change. Originally developed for use in addiction treatment, MI has since been applied across a wide range of mental health contexts, where it helps practitioners promote behaviour change while respecting client autonomy. The purpose of this report is to critically evaluate a simulated Motivational Interview, with particular attention to the strategies applied, the principles demonstrated, and the opportunities for improvement. In doing so, the report will integrate theoretical and empirical perspectives on MI to assess the effectiveness of the interviewer’s approach and reflect on the client’s responses. This analysis will highlight both the strengths and limitations of the interaction, while also considering how MI techniques could be enhanced to more effectively promote behaviour change.

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Assessment 2 – Behaviour Change Report

Assessment 2 – Behaviour Change Report

Title
Behaviour Change Report
Type
Report/Essay
Due Date
Week 4 – 11.59pm on Friday September 26, 2025
Length
2,000 words (plus 500 to allow for in-text citations, reference list, tables, figures etc. / maximum all-inclusive total 2,500 words)
Weighting
45%
Academic Integrity
Written assignments are to be composed by the student and the use of Generative Artificial Intelligence (GenAI) tools, such as ChatGPT, to compose assignments is forbidden. Students are encouraged to access and read primary sources rather than using GenAI tools to summarise or synthesise information.
Submission
Microsoft Word document submitted to Turnitin. Please review the guidelines on word counts and check your total count on Turnitin before the submission.
Unit Learning Outcomes
This assessment task maps to the following ULOs:
ULO1: Critically analyse and deconstruct behaviour change theory and its application within mental health contexts.
ULO2: Evaluate and critique, biological, psychological, social, neurophysiological and systematic factors that impact on behaviour and behaviour change in mental health contexts.
ULO3: Formulate effective individual and systemic responses to facilitate behaviour change founded on theory, empirical research and recovery principles.
ULO4: Apply motivational interviewing knowledge and strategies to facilitate co-constructed consumer behaviour change.

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Rationale
This assessment task provides you with an opportunity to demonstrate your understanding of the application of behaviour change theory within mental health contexts. By engaging in a structured written assignment, you will critically analyse theoretical perspectives, synthesise empirical evidence, and evaluate the complex factors influencing behaviour change in specific populations. This task encourages the development of higher-order skills, including critical thinking, evidence-based reasoning, and integration of psychological, neurophysiological, social, and systemic knowledge. It also mirrors professional practice, where mental health practitioners must justify intervention strategies, anticipate challenges, and design theoretically informed approaches that are responsive to individual and population-level needs.
Background
This assignment focuses on understanding and facilitating behaviour change in mental health populations, where sustainable changes – such as smoking cessation, increased physical activity,

Assessment Brief
Reduced alcohol or illicit drug use, and treatment adherence – are critical for improved health and overall quality of life. Mental health professionals must approach these behaviours using evidence-based strategies that are tailored to the unique characteristics, needs, and barriers of the population being served. By critically analysing behaviour change theories and examining biological, psychological, social, and organisational factors, this assignment prepares you to develop informed, theoretically grounded interventions. It also strengthens the ability to anticipate and address challenges at multiple levels – neurophysiological, individual, interpersonal, and systemic – thereby enhancing the likelihood of meaningful and sustained behaviour change in clinical practice.

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Submission Format
This assessment should be submitted as a Microsoft Word document through the Assessment 2 submission link on Blackboard.
• Note: Prior to final submission, students are encouraged to upload drafts to the Turnitin similarity check portal. Use this process to refine your paraphrasing and correct any matched
MHNS5004
Supporting Behaviour Change in Mental Health Contexts
10
Assessment Brief
text before submitting your final assignment. You may upload multiple drafts to the similarity check portal.
• Note: The similarity check portal is not the final submission. Please ensure you submit your completed assignment to the official Assessment 2 submission portal on Blackboard.
• Please ensure your total document word count does not exceed 2,500 words (this includes all content, headings, citations, reference list, and any tables/diagrams). No cover sheet is needed but a title for your work is required. If the word count is exceeded, the assignment will not be graded.

Introduction
This assessment will evaluate your ability to critically analyse and apply behaviour change theories within mental health contexts. You will be required to demonstrate knowledge of key theoretical models, including the Transtheoretical Model of Change, Self-Determination Theory, and the Health Belief Model, as well as the principles of Motivational Interviewing. In addition, the report will assess your capacity to evaluate the biological, psychological, social, and neurophysiological factors that influence behaviour change. You will be expected to integrate empirical research with recovery-oriented principles to design individual and systemic responses that support sustainable behaviour change in mental health populations. The focus will be on behaviours such as smoking cessation, physical activity, treatment adherence, and reduction of substance use, with an emphasis on tailoring interventions to diverse populations and addressing barriers to change. By completing this report, you will demonstrate the ability to justify intervention strategies with theoretical and evidence-based reasoning, reflecting the critical thinking and professional practice skills required of mental health practitioners.

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MHNS5004 Supporting Behaviour Change in Mental Health Contexts

MHNS5004 Supporting Behaviour Change in Mental Health Contexts

Title: Online Quiz
Type: Multiple Choice Quiz
Due Date
Week 2 – Opens at 12:00 (midnight) on Wednesday September 10, 2025; due by 11.59pm (end of day) on Friday September 12, 2025
Length: 10 Questions; 30 minutes
Weighting
10%
Academic Integrity
The use of Generative Artificial Intelligence (GenAI) tools or search tools to assist with completing this task is forbidden.
Submission
The quiz is completed online, via the course Blackboard site within the ‘Assessment Tasks and Submission’ content area
Unit Learning Outcomes
This assessment task maps to the following ULOs: ULO1: Critically analyse and deconstruct behaviour change theory and its application within mental health contexts
Rationale
This assessment task provides you with an opportunity to demonstrate your understanding of key concepts and theories related to behaviour change within mental health contexts. By engaging with multiple-choice questions, you will critically apply foundational knowledge that underpins effective interventions for behaviour change. The online quiz format allows for broad coverage of unit material in a structured and objective manner, reinforcing essential theories and principles, enhancing knowledge retention, and helping you identify areas that require further study. This task also supports preparation for professional practice by familiarising you with the types of structured assessment often used in clinical decision-making, and by providing immediate feedback to consolidate understanding of theory and key principles underpinning co-constructed behaviour change between consumer and clinician.
Background
A sound understanding of behaviour change theories and their application is critical for mental health professionals seeking to support constructive change and recovery in consumers. Behaviour is influenced by complex interactions between neurophysiological, cognitive, emotional, and social factors, which can be further complicated by mental health conditions. Developing theoretical knowledge enables practitioners to critically evaluate these factors, anticipate potential challenges, and design interventions grounded in empirical evidence. Knowledge of foundational theories – such as models of motivation, behaviour change, and the principles of Motivational Interviewing – provides a framework for understanding how consumers engage with change processes. Early engagement with these concepts through structured learning, such as this quiz, ensures that students are prepared to apply theoretical insights effectively in professional contexts, enhancing the capacity to facilitate meaningful, co-constructed behaviour change.

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Task Description and Instructions
This online quiz will assess your knowledge of the key concepts and theories of behaviour change introduced in Week 1 and Week 2 of the unit, as covered in the recommended readings and other unit material presented in PERCI. The quiz consists of 10 multiple-choice questions and is designed to be completed in 30 minutes, allowing you to demonstrate understanding across foundational content while reinforcing key learning outcomes.
The quiz will be opened at 12:00 am (midnight) on Wednesday, 10th September 2025, and will remain open until 11:59 pm on Friday, 12th September 2025. Once you commence the quiz, the 30-minute timer will begin, and you must complete the quiz within this time frame. The quiz is accessible via the Assessment Tasks and Submission content area on the unit Blackboard site.
Before commencing the quiz, you will be required to acknowledge the following declaration:
By proceeding with this exam, I am declaring that:
a. I will complete this exam on my own;
b. I will not discuss it with another student;
c. I will not access any literature or online resources that could assist me in gaining higher grades (including books, readings, personal notes, lecture notes, or tutorial handouts);
d. I will not access/google any websites, social media platforms (e.g., Facebook, Instagram), or AI tools (e.g., ChatGPT) to assist me with this exam.
Should it be identified that I have breached the values of Academic Integrity during this exam, I understand that I will be reported to the Academic Integrity Officer and may be subject to penalties, including a mark of zero (0) or a reduced mark, as outlined in the Rules – Student Academic and Non-Academic Misconduct Rules. Further information regarding expectations of student behaviour in examinations is detailed in the SCU Code of Conduct Rule 3 – Coursework Awards – Student Assessment and Examinations.

Introduction
This online quiz will assess your understanding of the key behaviour change theories introduced in Weeks 1 and 2. The questions will focus on foundational models such as the Transtheoretical Model of Change, Health Belief Model, and Self-Determination Theory, as well as the principles of Motivational Interviewing. You will also be tested on how these theories apply within mental health contexts, including the role of motivation, consumer–clinician collaboration, and factors that influence engagement with change. By completing this quiz, you will demonstrate your ability to critically apply theoretical knowledge to practice, while reinforcing essential concepts that support effective behaviour change interventions.

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NURS-FPX4025 Assessment 4: Presenting Your PICO(T) Process Findings to Your Professional Peers

NURS-FPX4025 Assessment 4: Presenting Your PICO(T) Process Findings to Your Professional Peers

Create a 5–10 minute video of yourself, as a presenter, in which you propose an evidence-based plan to improve the outcomes for your diagnosis.

Introduction

As part of the critical role that EBP plays in nursing, professional nurses share their findings with their peers and others. A big part of research is sharing knowledge so that others can also learn. Professional nurses attend seminars and read journals specific to their practice, and they also publish and present what they have learned. This assessment prepares you to share your knowledge with others.

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Instructions

For this assessment, you are a presenter! You will create a 5–10 minute video using Kaltura or similar software. In the video and written narrative:

  • Review your findings from Assessment 3.
  • Create a poster presentation based on your findings from Assessment 3 (see the samples in the Assessment 4: Poster Template Examples reading list). Include:
    • An explanation of the diagnosis.
    • The research question you developed using PICO(T).
    • A summary of your sources.
    • The answer to your PICO(T) question based on your analysis of evidence.
  • Describe the key steps of care you are recommending based on your evidence.
  • Give a professional presentation to your peers, showing your poster with your voice narration using Kaltura or similar software.
  • Include your written narrative/script of the presentation in a Word document. Add the link to your video at the end of your written narrative.

Refer to Using Kaltura Campus resource as needed to record and upload your video.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.edu to request accommodations. If, for some reason, you are unable to record a video, please contact your faculty as soon as possible to explore options for completing the assessment.

Additional Requirements

Your assessment should also meet the following requirements:

  • Length of video: 5–10 minutes.
  • References: Cite at least three professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements.
  • APA reference page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video. Be sure to format the reference page according to current APA style.
  • Video and narrative: You must submit a written narrative of all of your video content. Add the link to your video at the end of your written narrative.

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Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

  • Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
    • Explain a diagnosis in terms of outcomes, risks, and complications.
    • Summarize the content of at least three sources of evidence, including the credibility and relevance of the articles to a specific diagnosis issue.
  • Competency 4: Plan care based on the best available evidence.
    • Describe a research question developed using the PICO(T) process to address a chosen issue related to a diagnosis.
    • Explain the answer to a PICO(T) question based on an analysis of the evidence.
    • Describe key steps of care based on the evidence.
  • Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
    • Organize content in a poster presentation and written narrative so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
    • Communicate effectively in a professional audiovisual presentation with clear light and sound.
    • Apply APA formatting to in-text citations and references, exhibiting adherence to most aspects of APA format.

Introduction
Evidence-based practice (EBP) is not only about identifying credible research and applying it to patient care, but also about sharing findings with peers to strengthen nursing practice. Professional communication of research ensures that knowledge is disseminated, evaluated, and applied across healthcare settings to improve outcomes. In this presentation, I will review my findings from the previous assessment and translate them into an evidence-based plan of care for the selected diagnosis. Using the PICO(T) framework, I developed a focused research question, gathered and analyzed credible evidence, and identified best practices that can directly improve patient outcomes. This presentation highlights the diagnosis, the guiding PICO(T) question, a summary of the most relevant sources, and the proposed steps of care supported by the evidence. By presenting these findings, I aim to demonstrate how EBP can be used not only to guide individual decision-making but also to lead broader practice changes that support safe, effective, and patient-centered care.

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NURS-FPX4025 Assessment 3: Applying the PICO(T) Process

NURS-FPX4025 Assessment 3: Applying the PICO(T) Process

Create a 3–5 page submission in which you develop a PICO(T) question for the diagnosis you worked with in the first two assessments and analyze the evidence you locate to answer the question.

Introduction

PICO(T) is an acronym that helps researchers and practitioners define aspects of a potential study or investigation.

It stands for:

  • P – Patient/population/problem.
  • I – Intervention.
  • C – Comparison (of potential interventions, typically).
  • O – Outcomes.
  • T – Time frame (if time frame is relevant).

The end goal of applying PICO(T) is to develop a question that can help guide the search for evidence (Boswell & Cannon, 2015). From this perspective, a PICO(T) question can be a valuable starting point for nurses who are beginning to apply an evidence-based model. By taking the time to precisely define the areas in which the nurse will be looking for evidence, searches become more efficient and effective. Essentially, by precisely defining the types of evidence within specific areas, the nurse will be more likely to discover relevant and useful evidence during their search. When applying the PICO(T) approach, the nurse can isolate the interventions of interest and compare to other existing interventions for the evidenced impact on the outcome of the concern.

Reference

Boswell, C., & Cannon, S. (2015). Introduction to nursing research. Jones & Bartlett Learning.

Professional Context

As a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, healthcare systems, and nursing practice outcomes are positively impacted.

PICO(T) is a framework that can help you structure your definition of the issue, potential approach that you are going to use, and your predictions related to the issue. Word choice is important in the PICO(T) process because different word choices for similar concepts will lead you toward different existing evidence and research studies that would help inform the development of your initial question. When writing a PICO(T)-formatted research question, you want to focus on the impact of the intervention and the comparison on the outcome you desire.

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Scenario

For this assessment, please use the diagnosis you worked with in the first two assessments.

Instructions

After reviewing the materials you created to research a specific diagnosis in the first two assessments, apply the PICO(T) process to develop a research question and research it.

Your initial goal is to define the population, intervention, comparison, and outcome. In some cases, a time frame is relevant and you should include that as well, when writing a question you can research related to your issue of interest. After you define your question, research it, and organize your initial findings, select the two sources of evidence that seem the most relevant to your question and analyze them in more depth. Specifically, interpret each source’s specific findings and best practices related to your chosen diagnosis, and explain how the evidence would help you plan and make decisions related to your question.

If you need some structure to organize your initial thoughts and research, the PICO(T) Question and Library Search template (accessible from the Create PICO(T) Questions page) might be helpful.

In your submission, make sure you address the following:

  • Review the PICO(T) process.
  • Explain your diagnosis from Assessment 1 in terms of outcomes, risks, and complications. In your explanation, be sure to include the risks and complications for vulnerable populations or those affected by healthcare disparities and the impact of those disparities.
  • Consider your diagnosis from Assessment 1. Develop a research question using the PICO(T) process to address an issue of your choosing related to your diagnosis.
  • Properly format your PICO(T) question to guide your search of the literature.
  • Describe your search of the literature, noting search engines, key words, and credibility factors.
  • Locate evidence that explores your intervention and comparison of your PICO(T) question with an emphasis on your specific outcome (at least three diagnosis-issue-specific sources of evidence (scholarly articles)).
  • Explain the content of each of your scholarly articles.
  • Explain the credibility and relevance of each of the articles you chose to your diagnosis issue.
  • Analyze the evidence. Determine the answer to your PICO(T) question based on your analysis of the evidence.

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Additional Requirements

Your assessment should also meet the following requirements:

  • Length of submission: Create a 3–5-page submission focused on defining a research question and interpreting evidence relevant to answering it.
  • Number of references: Cite a minimum of four sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.
  • APA formatting: Format references and citations according to the current APA style.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

  • Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies.
    • Describe a search of the literature noting search engines, key words, and credibility factors.
  • Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
    • Explain a diagnosis in terms of outcomes, risks, and complications, including the risks and complications for vulnerable populations or those affected by healthcare disparities, and the impact of those disparities.
    • Explain the content of at least three sources of evidence, including the credibility and relevance of the articles to a specific diagnosis issue.
  • Competency 4: Plan care based on the best available evidence.
    • Describe a research question developed using the PICO(T) process to address a chosen issue related to a diagnosis.
    • Analyze evidence to explain the answer to a PICO(T) question.
  • Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
    • Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
    • Apply APA formatting to in-text citations and references, exhibiting adherence to most aspects of APA format.

Introduction
Developing clinical questions with a structured framework is essential for guiding effective evidence-based practice (EBP). The PICO(T) model, patient, intervention, comparison, outcome, and time, serves as a valuable tool for nurses to refine their focus and conduct efficient searches for scholarly evidence. By clearly defining each element, the nurse can better identify studies that directly address a patient’s condition and evaluate which interventions are most effective in improving outcomes. This process not only enhances the quality of evidence retrieved but also ensures that clinical decisions are grounded in credible research rather than tradition or assumption. Building upon the diagnosis examined in previous assessments, applying the PICO(T) framework offers an opportunity to transform a clinical issue into a focused research question. Doing so promotes the integration of reliable findings into practice, ultimately supporting safe, patient-centered care.

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NURS-FPX4025 Assessment 2: Applying an EBP Model

NURS-FPX4025 Assessment 2: Applying an EBP Model

Develop a 3–5 page scholarly paper in which you explain the diagnosis you researched for Assessment 1, and then apply the steps of an EBP model to your search for evidence to address your diagnosis issue.

Introduction

The goal of using evidence-based research findings is to enhance safety and quality of patient care and ensure optimal outcomes are achieved. It is not uncommon to hear a nurse say, “why change it as we’ve always done it this way.” However, this is no longer acceptable in today’s practice environment. The profession of nursing has evolved, and the expectation is that the professional nurse has a scientific foundation to support the care that is provided. As the profession of nursing continues to evolve and engage in healthcare transformation, baccalaureate-prepared nurses are expanding, taking on leadership roles that include incorporating EBPs. To be able to do this, the nurse needs to understand the criteria that make a resource credible, as this is crucial when deciding if the research is valid and reliable for implementation into healthcare settings. The nurse will need to incorporate the use of EBP models.

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EBP models are designed to assist the nurse in developing a plan to gather evidence to answer a practice problem or question. It is a systematic approach to direct the user to incorporate scholarly findings into current practice. These EBP models lead the nurse through the decision-making process of evaluating the literature to determine the best practice evidence for the practice issue or question.

Professional Context

As a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, healthcare systems, and nursing practice outcomes are positively impacted.

Preparation

Review all resources for this assessment, as well as the scoring guide for details of how this assessment will be graded. You will use the specific diagnosis or health issue you selected for Assessment 1. You can refer to the overview of common EBP models in the Evidence-Based Practice Models media for help in choosing the most appropriate EBP model for your issue.

Instructions

Complete the following:

  • Consider your diagnosis from Assessment 1.
  • Explain an issue associated with this diagnosis that could benefit from an EBP approach.
  • Choose the EBP model you wish to implement.
  • Describe each step of the EBP model of your choice.
  • Apply the steps of the model to your search for evidence for your diagnosis issue, and describe how you applied them.
  • Locate at least three separate resources of evidence to assist with your diagnosis issue.
  • Analyze the credibility and relevance of each resource as it relates to your diagnosis.

This is a paper and should be 3–5 pages, not including the title page or reference page. The paper must be in APA format.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

  • Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
    • Analyze the credibility and relevance of each resource as it relates to a diagnosis.
  • Competency 3: Apply an evidence-based practice model to address a practice issue.
    • Explain an issue associated with a chosen diagnosis that could benefit from an EBP approach.
    • Describe each step of a chosen EBP model.
    • Describe how the steps of a chosen EPB model were applied to search for evidence for a diagnosis issue.
  • Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
    • Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
    • Apply APA formatting to in-text citations and references, exhibiting adherence to most aspects of APA format.

Introduction
The use of evidence-based practice (EBP) is crucial for delivering safe, effective, and high-quality patient care. In modern nursing, clinical decisions cannot rely solely on tradition or routine, but must be guided by research findings that are both credible and relevant. EBP provides a structured process that allows nurses to evaluate evidence, integrate it with clinical expertise, and apply it to patient needs for improved outcomes. Within the context of the diagnosis selected in Assessment 1, examining an associated practice issue through an EBP lens creates an opportunity to strengthen clinical reasoning and apply research directly to patient care. EBP models play a critical role in this process by providing a systematic framework for identifying, appraising, and translating evidence into practice. By applying such a model, the professional nurse ensures that interventions are not only scientifically grounded but also aligned with the realities of patient care settings. Ultimately, this approach enhances the nurse’s ability to act as a leader and change agent in the delivery of evidence-informed care.

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NURS-FPX4025 Assessment 1: Analyzing a Research Paper

NURS-FPX4025 Assessment 1: Analyzing a Research Paper

Identify and write a summary of the various factors that contribute to the credibility of a research article related to a diagnosis of interest that you identified from the Sentinel U simulation on Patient Management & Delegation. In the module, there are 10 patients listed with various diagnosis. Select one diagnosis of interest to you from the simulation.

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Introduction

Evidence-based practice (EBP) integrates the best evidence available to guide optimal nursing care, with a goal to enhance safety and quality. EBP is crucial to nursing practice because it incorporates the best evidence from current literature, along with the expertise of the practicing nurse. The concern for quality care that flows from EBP generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise. To gain the knowledge, you require a good understanding of how to search for scholarly resources, as well as make decisions regarding the content of the scholarly resources.

Professional Context

As a baccalaureate-prepared nurse, you will be responsible for providing patient-centered, competent care based on current evidence-based best practices. You will be required to do research, analysis, and dissemination of best evidence to stay abreast of these best practices. Understanding where to go to find credible evidence, determining the type of evidence and being able to make decisions based on the findings of credible evidence is the foundation of evidence-based care.

Preparation

Review the What Is Scholarly? Campus page. Specifically, look at the following two items on the page:

  • What Are Peer-Reviewed Articles?
  • Anatomy of a Scholarly Article.

These will give you the factors that contribute to credibility, which you will need to identify in the article you choose for this assessment.

Also, look at the “Find EPB Articles” section of the Evidence-Based Practice in Nursing & Health Sciences library guide (found in the guide’s left-hand menu). This may help you locate an article to use for this assessment.

Instructions

Write a 2-page analysis of a scholarly research article, demonstrating your ability to locate credible, useful evidence related to a diagnosis of interest selected from the Sentinel U simulation on Patient Management & Delegation. There are 10 patients, each with a different medical diagnosis. Select one patient with a diagnosis of interest to you.

Once you have chosen your diagnosis of interest from the Sentinel U simulation, complete the following:

  • Use a credible search engine to locate a research article on your topic.
  • Review the article for the following criteria:
    • Type of study (quantitative or qualitative, the level on the pyramid of evidence, methodology).
    • Credibility factors.
    • Importance of content to selected diagnosis.
    • The ability to apply the content in your current workplace or patient population.
  • Take a screenshot of the abstract and paste it into a Word document (see the Example of Screenshot [PDF] document). You can refer to the instructions in the Taking Screenshots [PDF] document.
  • Create a table or series of text boxes next to or below the screenshot and use that to label each criterion.
  • Also take a screenshot of the patient and the diagnosis from Sentinel U simulation you used.
  • Write up a summary of your findings on the second page. Note what information is important to your specified diagnosis. How credible is the article you’ve found and how useful is it related to your specified diagnosis and your ability to apply it?
  • Include a link to your article.
  • Include a reference to your article in APA format.

Review the Analyzing a Research Paper scoring guide for specific details of grading prior to submission.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

  • Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies.
    • Determine the type of study and the level of evidence according to the pyramid of evidence.
    • Identify the credibility factors of an article.
    • Summarize the findings of an article, noting what information is important to a specified diagnosis.
  • Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
    • Summarize the ability to generalize article findings in a specified work space and patient population.
  • Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
    • Provide an APA-formatted reference and link to an article.

Introduction
Evidence-based practice (EBP) is the cornerstone of quality nursing care, combining current best evidence, clinical expertise, and patient values to improve health outcomes. For nurses, the ability to identify credible research is critical, as decisions must be grounded in reliable evidence that directly informs patient care. Within the Sentinel U Patient Management & Delegation simulation, each diagnosis presents unique challenges that require careful evaluation of supporting research to guide practice. Selecting a diagnosis of interest and analyzing the credibility of a related research article provides an opportunity to strengthen skills in evaluating scholarly sources. Factors such as peer review, study design, methodology, and alignment with clinical needs all contribute to determining whether evidence can be trusted and applied in practice. By understanding and applying these elements, nurses can ensure that the care they deliver is not only competent but also based on the most credible and relevant evidence available.

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NURS-FPX4035 Assessment 4: Improvement Plan Tool Kit

NURS-FPX4035 Assessment 4: Improvement Plan Tool Kit

For this assessment, you will develop a Word document or an online resource repository of at least 12 annotated professional or scholarly resources that you consider critical for the audience of your safety improvement plan to understand or implement to ensure the success of the plan.

Introduction

Communication in the healthcare environment consists of an information-sharing experience whether through oral or written messages (Chard & Makary, 2015). As healthcare organizations and nurses strive to create a culture of safety and quality care, the importance of interprofessional collaboration, the development of tool kits, and the use of wikis become more relevant and vital. In addition to the dissemination of information and evidence-based findings and the development of tool kits, continuous support for and availability of such resources are critical. Among the most popular methods to promote ongoing dialogue and information sharing are blogs, wikis, websites, and social media. Nurses know how to support people in time of need or crisis and how to support one another in the workplace; wikis in particular enable nurses to continue that support beyond the work environment. Here they can be free to share their unique perspectives, educate others, and promote healthcare wellness at local and global levels (Kaminski, 2016).

You are encouraged to complete the Determining the Relevance and Usefulness of Resources activity prior to developing the repository. This activity will help you determine which resources or research will be most relevant to address a particular need. This may be useful as you consider how to explain the purpose and relevance of the resources you are assembling for your tool kit. The activity is for your own practice and self-assessment, and demonstrates course engagement.

References

Chard, R., & Makary, M. A. (2015). Transfer-of-care communication: Nursing best practices. AORN Journal, 102(4), 329–342.

Kaminski, J. (2016). Why all nurses can/should be authors. Canadian Journal of Nursing Informatics, 11(4), 1–7.

Overview

Nurses are often asked to implement processes, concepts, or practices—sometimes with little preparatory communication or education. One way to encourage sustainability of quality and process improvements is to assemble an accessible, user-friendly tool kit for knowledge and process documentation. Creating a resource repository or tool kit is also an excellent way to follow up an education or in-service session, as it can help to reinforce attendees’ new knowledge as well as the understanding of its value. By practicing creating a simple online tool kit, you can develop valuable technology skills to improve your competence and efficacy. This technology is easy to use and resources are available to guide you.

For this assessment, build on the work done in your first three assessments and create an online tool kit or resource repository that will help the audience of your in-service understand the research behind your safety improvement plan pertaining to a specific patient safety issue and put the plan into action.

Preparation

Google Sites is recommended for this assessment; the tools are free to use and should offer you a blend of flexibility and simplicity as you create your online tool kit. Please note that this requires a Google account; use your Gmail or Google Docs login, or create an account following the directions under the “Create Account” menu. Visit Wiki Resources for help.

Instructions

Using Google Sites, assemble an online resource tool kit containing at least 12 annotated resources that you consider critical to the success of your safety improvement initiative. These resources should enable nurses and others to implement and maintain the safety improvement you have developed.

It is recommended that you focus on the three or four most critical categories or themes with respect to your safety improvement initiative. For example, if your initiative concerns improving workplace safety for practitioners, you might choose broad themes such as general organizational safety and quality best practices; environmental safety and quality risks; individual strategies to improve personal and team safety; and process best practices for reporting and improving environmental safety issues.

Following the recommended scheme, you would collect at least three resources on average for each of the four categories. ;Each resource listing should include the following:

  • An APA-formatted citation of the resource with a working link.
  • A description of the information, skills, or tools provided by the resource.
  • A brief explanation of how the resource can help nurses better understand or implement the safety improvement initiative.
  • A description of how nurses can use this resource and when its use may be appropriate.

Remember that you must make your site public so that your faculty can access it. Check out the Google Sites resources in the Wiki Resources above for more information.

Here is an example entry:

  • Ko, S., Hsieh, M., & Huang, R. (2023). Human error analysis and modeling of medication-related adverse events in Taiwan using the human factors analysis and classification system regression. Healthcare, 11(14), 2063. https://doi.org/10.3390/healthcare11142063
    • Nurses have a crucial responsibility in preventing medication errors. They should follow the “five rights of medication” to reduce the risk of such errors. These include the “right patient,” “right medication,” “right time,” “right dose,” and “right documentation.” By understanding these rights, nurses can manage medication administration effectively and ensure patient safety.

Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the rubric. Please study the rubric carefully so you understand what is needed for a distinguished score.

  • Identify necessary resources to support the implementation and sustainability of a safety improvement initiative.
  • Analyze the usefulness of resources to the role group responsible for implementing quality and safety improvements.
  • Analyze the value of resources to reduce patient safety risk.
  • Present reasons and relevant situations for use of resource tool kit by its target audience.
  • Communicate resource tool kit in a Word document or Google Sites in a clear, logically structured, and professional manner that partially follows APA style and formatting.

Example Assessment: You may use the following example to give you an idea of what a Proficient or higher rating on the scoring guide would look like but keep in mind that your tool kit will focus on promoting safety with the quality issue you selected in Assessment 1. Note that you do not have to submit your bibliography in addition to the Google Site; the example bibliography is merely for your reference.

To submit your online tool kit assessment, paste the link to your Google Site in the assessment submission box.

Example Google Site: You may use the example Google Site found in Assessment 4: Improved Heparin Infusion Safety to give you an idea of what a Proficient or higher rating on the rubric would look like for this assessment but keep in mind that your tool kit will focus on promoting safety with the quality issue you selected in Assessment 1.

Note: If you experience technical or other challenges in completing this assessment, please contact your faculty member.

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Additional Requirements

  • Number of resources: Your tool kit must include at least 12 professional or academically relevant resources that support the continued learning and implementation of knowledge and processes related to a safety improvement initiative. See the BSN Nursing Program Library Guide as needed.
  • APA format: Use proper APA formatting for in-text citations and each annotated resource. See the APA Module.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

  • Competency 1: Analyze the elements of a successful quality improvement initiative.
    • Analyze the usefulness of resources to the role group responsible for implementing quality and safety improvements.
    • Present reasons and relevant situations for resource tool kit use by its target audience.
  • Competency 2: Analyze factors that lead to patient safety risks.
    • Analyze the value of resources to reduce patient safety risk or improve quality.
  • Competency 3: Identify organizational interventions to promote patient safety.
    • Identify necessary resources to support the implementation and continued sustainability of a safety improvement initiative pertaining to a specific patient safety issue.
  • Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
    • Communicate resource tool kit in a Word document or Google Sites in a clear, logically structured, and professional manner that partially follows APA style and formatting.

Safety Improvement Resource Repository

Introduction

This resource repository has been developed to support nurses and other healthcare professionals in implementing and sustaining the Medication Error Reduction Plan. Each resource has been carefully selected to provide evidence-based knowledge, practical strategies, and professional guidance. By engaging with these resources, staff will strengthen their skills, reduce safety risks, and promote a culture of high-quality care.

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NURS-FPX4035 Assessment 3: Improvement Plan In-Service Presentation

NURS-FPX4035 Assessment 3: Improvement Plan In-Service Presentation 

For this assessment, you will develop an 8–14 slide PowerPoint presentation with thorough speaker’s notes designed for a hypothetical in-service session related to the improvement plan you developed in Assessment 2.

Introduction

As a practicing professional, you are likely to present educational in-services or training to staff pertaining to quality improvement (QI) measures of safety improvement interventions. Such in-services and training sessions should be presented in a creative and innovative manner to hold the audience’s attention and promote knowledge acquisition and skill application that changes practice for the better. The teaching sessions may include a presentation, audience participation via simulation or other interactive strategy, audiovisual media, and participant learning evaluation.

The use of in-services and/or training sessions has positive implications for nursing practice by increasing staff confidence when providing care to specific patient populations. It also allows for a safe and nonthreatening environment where staff nurses can practice their skills prior to a real patient event. Participation in learning sessions fosters a team approach, collaboration, patient safety, and greater patient satisfaction rates in the healthcare environment (Patel & Wright, 2018).

As you prepare to complete the assessment, consider the impact of in-service training on patient outcomes as well as practice outcomes for staff nurses. Be sure to support your thoughts on the effectiveness of educating and training staff to increase the quality of care provided to patients by examining the literature and established best practices.

You are encouraged to explore the AONL (American Organization of Nursing Leadership) Nurse Executive Competencies Review activity before you develop the Improvement Plan In-Service Presentation. This activity will help you review your understanding of the AONL Nurse Executive Competencies—especially those related to competencies relevant to developing an effective training session and presentation. This is for your own practice and self-assessment, and demonstrates your engagement in the course.

Reference

Patel, S., & Wright, M. (2018). Development of interprofessional simulation in nursing education to improve teamwork and collaboration in maternal child nursing. Journal of Obstetric, Gynecologic & Neonatal Nursing, 47(3), s16–s17.

Overview

As a baccalaureate-prepared nurse, you will often find yourself in a position to lead and educate other nurses. This colleague-to-colleague education can take many forms, from mentoring to informal explanations on best practices to formal in-service training. In-services are an effective way to train a large group. Preparing to run an in-service may be daunting, as the facilitator must develop their message around the topic while designing activities to help the target audience learn and practice. By improving understanding and competence around designing and delivering in-service training, a BSN practitioner can demonstrate leadership and prove to be a valuable resource to others.

For this assessment, build on the work that you have done in your first two assessments and create an agenda and PowerPoint of an educational in-service session that would help a specific staff audience learn, provide feedback, and understand their roles and practice new skills related to the safety improvement plan you created.

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Instructions

Develop a PowerPoint presentation with detailed speaker’s notes representing the material you would deliver at a one-hour in-service session to raise awareness of your chosen safety improvement initiative and explain the need for it. Additionally, you must educate the audience as to their role and importance to the success of the initiative. This includes providing examples and practice opportunities to test out new ideas or practices related to the safety improvement initiative.

Be sure that your plan addresses the following, which corresponds to the grading criteria in the rubric. Please study the rubric carefully so that you understand what is needed for a distinguished score.

  • Describe the purpose and at least three goals of an in-service session for nurses.
    • Include a one-line purpose statement followed by the goals.
    • Start each goal with a verb, such as 1) Explain reasons for medication administration errors, 2) Discuss the importance of preventing medication errors, and 3) Describe strategies to prevent medication errors.
  • Explain the need for and process to improve safety outcomes related to a specific patient-safety issue.
  • Explain to the audience their role and the importance of making the improvement plan successful.
  • Create resources or activities to encourage skill development and process understanding related to a safety improvement initiative.
    • Create a resource slide OR do an activity with the audience to assist them in learning and applying a new skill. A resource slide could consist of in-house materials, posters, or credible websites. An activity slide may include a quiz, simulation, group work, a case study, and so forth.
  • Communicate with nurses in a respectful and informative way that clearly presents expectations and solicits feedback on communication strategies for future improvement.

There are various ways to structure an in-service session; below is just one example:

  • Part 1: Agenda and Outcomes.
    • Explain to your audience what they are going to learn or do, and what they are expected to take away.
  • Part 2: Safety Improvement Plan.
    • Give an overview of the current problem, the proposed plan, and what the improvement plan is trying to address.
    • Explain why it is important for the organization to address the current situation.
  • Part 3: Audience’s Role and Importance.
    • Discuss how the staff audience will be expected to help implement and drive the improvement plan.
    • Explain why they are critical to the success of the improvement plan.
    • Describe how their work could benefit from embracing their role in the plan.
  • Part 4: New Process and Skills Practice.
    • Explain new processes or skills.
    • Develop an activity that allows the staff audience to practice and ask questions about these.
    • In the notes section, brainstorm potential responses to likely questions or concerns.
  • Part 5: Soliciting Feedback.
    • Describe how you would solicit feedback from the audience on the improvement plan and the in-service.
    • Explain how you might integrate this feedback for future improvements.

Remember to account for activity and discussion time.

Additional Requirements

  • Presentation length: There is no required length; use just enough slides to address all the necessary elements. Remember to use short, concise bullet points on the slides and expand on your points in the speaker’s notes. If you use 2 or 3 slides to address each of the parts in the above example, your presentation would be at least 10 slides and no more than 15 slides (not including the title, conclusion, or references slide).
  • Speaker notes: Speaker notes (located under each slide) should reflect what you would actually say if you were delivering the presentation to an audience. This presentation does NOT require audio or a transcript. Another presenter would be able to use the presentation by following the speaker’s notes.
  • APA format: Use APA formatting for in-text citations. Include an APA-formatted reference slide at the end of your presentation. See APA Module.
  • Number of references: Cite a minimum of three sources of scholarly or professional evidence to support your assertions. Resources should be no more than five years old. Use the BSN Nursing Program Library Guide as needed to guide your research in the Capella library.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

  • Competency 1: Analyze the elements of a successful quality improvement initiative.
    • Explain the need for and process to improve safety outcomes related to a specific patient safety issue.
    • Create resources or activities to encourage skill development and process understanding related to a safety improvement initiative.
  • Competency 4: Explain the nurse’s role in coordinating care to enhance quality and reduce costs.
    • Describe the purpose and at least three goals of an in-service session on a specific patient safety issue.
    • Explain to an audience its role and importance of making an improvement plan successful.
  • Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
    • Slides are easy to read and error free. Detailed speaker notes are provided. Speaker notes are clear, organized, and professionally presented.
    • Organize content with clear purpose and goals and with relevant and evidence-based sources published within the last five years.

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Empowering Nurses Through Education: Advancing Patient Safety with Evidence-Based Improvement Strategies 

Introduction

In-service training is an essential tool for strengthening nursing practice and advancing patient safety. These sessions allow nurses to learn about current quality improvement (QI) initiatives, practice new skills in a supportive environment, and engage in collaboration that promotes better outcomes. When delivered effectively, in-services not only increase staff confidence but also foster teamwork and patient-centered care (Patel & Wright, 2018). By connecting education to practice, nurses become active participants in reducing risks, improving safety, and creating a culture of accountability. This presentation is designed to introduce a safety improvement plan, explain the need for change, and guide nurses in their roles as key drivers of success. 

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