Change Proposal Project Components

Change Proposal Project Components

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

1. Background
2. Problem statement
3. Purpose of the change proposal
4. PICOT
5. Literature search strategy employed
6. Evaluation of the literature
7. Applicable change or nursing theory utilized
8. Proposed implementation plan with outcome measures
9. Identification of potential barriers to plan implementation, and a discussion of how these could be      overcome
10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• The is a great resource

Review the feedback on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

Prepare this assignment according to the guidelines found in the APA Style Guide.

Literature Review

Childhood obesity is one of the leading public health issues facing the United States of America. This problem is characterized by children having a Body Mass Index (BMI) of more than 30. The rate of childhood obesity in the United States has been increasing significantly in the past decade. This has put many children at the risk of physical, social, and psychological issues; some of which are extended to their adulthood. Therefore, it is important to study this problem and develop interventions that can help reduce the rate of obesity in children. This study was designed to provide an evidence-based solution to obesity in children. The PICOT statement, “children with a BMI above 30 who are undergoing nutritional monitoring compared to not being monitored nutritionally can achieve significant weight loss in a period of a year” will be answered with help of a study aiming at evaluating how diet changes can be helpful in reducing the rates of obesity. This paper evaluates literature on childhood obesity, which helps to understand information on the public health issue that can be used to develop better interventions.

Comparison of Research Questions

The literature that has been included in this research mainly focuses on the causes and the effects of childhood obesity. Some of the studies evaluate the effects in childhood while others evaluate the adulthood effects. There are also studies on prevention and intervention methods for dealing with the public health issue. The study by GBD 2015 Obesity Collaborators (2017) has a different approach because it evaluates the trends in obesity across the world. This research is important because it helps to understand the extent of childhood obesity as a public health issue not only in America, but also in other countries.

Sahoo et al. (2015), evaluates the causes and effects of childhood obesity. The research takes an overall approach in evaluating all types of causes and effects of obesity in children. Xu and Xue (2016) also have a similar research question. This research also evaluates the causes and effects of obesity but is extended to evaluate the prevention strategies to avoid the occurrence of obesity in children. These two studies help to understand more about the factors that cause obesity in children, which is helpful in developing the intervention for this research. Other studies that have investigated the effects of childhood obesity pay attention to the possible effects in adulthood. Ayer et al. (2015) investigates the possible lifetime risks of cardiovascular disease because of childhood obesity. The authors hypothesize that a person has a higher lifetime risk of cardiovascular disease if they are overweight or obese as a child. Simmonds et al. (2016) investigates the risk of being obese as an adult when one is obese as a child. The study’s research question asks whether the risk of obesity in adulthood is increased by childhood obesity.

The remaining studies evaluated in the literature answer research questions aiming at understanding the dynamics of prevention and intervention techniques for childhood obesity. Oelscher et al. (2015) seeks to understand whether a system’s-based approach would work better than a primary based approach in preventing obesity in low income and ethnically diverse communities. Allender et al. (2016) evaluates how community action can influence childhood obesity prevention initiatives. Lastly, Davis et al. (2016) investigates whether mothers’ perceptions on obesity risk factors influence the rate of obesity in the communities. These three studies help to give an insight into the effective strategies of preventing and reducing obesity in children.

Comparison of Sample Populations

Half of the studies evaluated for this study were reviews of other studies done in the past either in the form of systematic literature reviews or meta-analyses. Sahoo et al. (2015) evaluated literature reviews but does not mention the methodological process; hence, the sample size is not clear. Similarly, Xu and Xue (2016) has a random evaluation of literature with no review of the methodology; hence, the exact sample is unknown. Ayer et al. (2015) sample is made up of primary cohort studies on cardiovascular disease and obesity. The study evaluates 8 research studies to with a total sample of over 300 participants. Lastly, Simmonds et al. (2016) conducted a meta-analysis that included 15 cohort studies with a total sample size of 200,777 participants.

The remaining literature includes primary studies. Oelscher et al. (2015) conducted a primary study with 576 children between 2 and 12 years as the participants. Allender et al. (2016) also did a primary study with a sample of 5050 children from 84 primary schools as the participants. GBD 2015 Obesity Collaborators (2017) performed a study of 67.8 million people in 175 countries across the world. Lastly, Davis et al. (2016) only had 40 Mexican American mothers as the participants of the research.

Comparison of the Limitations of the Studies

The most common limitation in the selected studies is in the sample size of the studies. Sahoo et al (2015) and Xu and Xue (2016) fail to mention the sample selection process. Therefore, the applicability of the information they present is limited. Davis et al (2016) only used 40 Mexican-American women in their study. This is a very small sample to apply the results to a wider community and includes the members of only one community. Therefore, cultural factors such as the beliefs and attitudes of Mexicans towards factors affecting obesity could affect the results. Oelscher et al. (2015) also has a very small sample of slightly above 500 kids; hence, the results may not be representative of the entire population. The limitation of GBD 2015 Obesity Collaborators (2017) study is that it is done in many countries but does not evaluate the unique cultural factors that affect obesity rates in each of the populations evaluated. It may be unwise to generalize the results for all populations.

Conclusion

Generally, there is consistency is the results of the studies evaluated in this literature review. All the studies show obesity as a serious public health issue regardless of the population within which the study has been conducted. The causes and effects of obesity are also similar in the studies that evaluate these factors. The prevention and intervention techniques that have been examined also revolve around diet and exercise in all studies.