Needs to be 30 page paper with following sections: at least 1 page Abstract, 4 page Introduction/problem statement/background and significance (pathophsy, etc), 4 pages of review of literature (primary problem), 4 pages of related areas (cultural, SES, educational, environmental, political, ethical, spiritual, pathophysiological, management), 2 pages conceptual model or mid-range theory used to guide approach to problem and develop solutions (Lewins change theory, Health Belief Model), 2 page advanced practice nurse role (identify specific roles needed to solve this problem), 8 pages of evidence based intervention plan in specific detail (what will be done, when, and how? Show how theory and APN role are connected with interventions), 1 page of conclusion, reference list and appendices

Must identify population ? such as underserved, age group, female/male, Hispanic, African America, must be related to Nurse Practitioner, find article on Nurse Practitioner role
Congestive heart failure and palliative care, acute renal failure, childhood obesity and creating tool to intervene, colon cancer screen underserved African America, Hispanic, Asian, Alaskan,
The Nurse Practitioner is stimulated to screen colon cancer, we know already proven intervention, reinforce this with literature
Subject: the effectiveness of diet and exercise in reducing childhood obesity in AA children, identify problem, propose intervention
Look through literature and find what works, stay in subject of Nurse Practitioners, find interventions with correlation with nursing content
Care management, give hints about project
Use tools: My Plate and Exercise
Review articles, come up with proposals
Go to NHI
Include Code of ethics, spirituality, politics
Based on research
Come up with tool, this study support this tool, tool based on national guidelines or research
Problem statement (broad), specific population or gender specific, narrow problem to specific aspect of topic, what needs to be changed in nursing, population = African American child, problem statement = disease specific but related to nursing = childhood obesity, intervention = will make a difference
Pull articles, organize literature systematically, understand problem comprehensively
Article is qualitative, address population, address intervention, address nursing
Article is quantitative: descriptive, correlative, quasi-experimental ? descriptive test versus randomized versus quasi experimental design, describe reliability/validity, more standardized
Sample size: larger more reliable/valid power
Qualitative: try to get phenomenological, understand experience, focus groups, separate individuals to understand dynamic
Interviews: capture experience
Topic: the effectiveness of diet and exercise in reducing childhood obesity in AA age 5-12 years old
Evidence based practices/research that can better impact the food choices in this group/the populations
Epigenetic check:
Look for gap not done:
Target population: apply intervention/help change specific situation
Develop protocol that is workable, decrease childhood obesity
Knowledge gap, research question, mid range nursing theorist model
Childhood obesity BMI 95th percentile, statistics available, age 6-11 child obese 7% 1980 to 18% 2012
2012>1/3 child overweight
strategy: individual level, family/household level, community level, hospital level, school level
Create Protocol, tool is STC-S12, identify risk: target population 5-12, African American and Hispanic, use protocol STC, refer to dietician, exercise, communicate with school, culture
Political: insurance coverage, lack of knowledge, health disparity
Child is vulnerable population
Spiritual: faith, church leader
Embrace the distressed, provide compassionated care, never behave prejudicially
Advocate for, protect the rights, RN cultural safety
Must articulate nursing value, maintain integrity, social justice, ethics
Kurt Lewin, group theory, Lewin?s change theory, Albert Bandura, Health Belief Model, Social learning theory, Social efficacy, Health Belief Model, Transtheoretical Model, Self Efficacy, Social cognitive Theory,
Look up Health Belief Model

Health Belief/Model Change to explain tools, tools guided by
Health Belief Model Change to explain tool and define, Trans Theoretical Model, explain step to take to implement tool for each model
Change Theory explains Trans Theoretical Health Belief Model
Why Other one explains model, one defines and one explains
Present tool or protocol
N.P. and M.A. how implement tool, follow patient for outcome and define, define intervention
5-6 articles does not have to be meta-analysis/quantitative/qualitative, how know it
Review of Literature
Literature Review
Theory/Model-Theory guide tools, screen for obesity
What tool? ?8-19 questions, 7 questions out of tool, implement in clinic, target at risk kids, screen
develop protocol, target, age, BMI
What look for? ?1 page protocol with 7 questions – child at risk, refer dietician, call school if at risk, apply this program,?
read article, what say, what are gaps in literature (separate page), what do not know, what are PHMDS – terms, key terms – Low Income, no good food, barriers to good food/nutrition
What terms, say, what future studies need to talk about
Summarize what are the key terms, what are you missing
Do not have to critique, report what found, DO NOT CRITIQUE, WHAT DID YOU FIND, THEMATIC WRITING WITH KEY TERMS
-Pathophysiology/Background, Introduce case/Significance, What is situation in America, situation now, target population, child 5-12, any ethnic group versus blacks


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