Supporting Document 2: Resistance Risk Mitigation Intervention Table

Overview

Using the same scenario from Identifying the Organizational Learning Issue, you realize that transitioning your organization to a learning environment may not be as easy as first imagined. You have encountered several resistance issues relating to the culture, psychological learning, organization structure, workforce commitment, and dissemination of knowledge. You decide to gather a decision-making team to assist in identifying the high or moderate resistance risks that may stop or slow down the process of this transition. The decision-making team must also recommend some mitigation intervention to lower the identified resistance risks to either moderate or low. For example, a high resistance risk can become moderate or low and moderate resistance risk can become low.
Your final product will be a table that identifies five issues related to the organization’s culture, psychological learning, organization structure, workforce commitment, and dissemination of knowledge. You must also provide a description of each resistance issue and rate the resistance risk before the mitigation intervention as either High (H) or Moderate (M). Then, you must provide a description of your team’s mitigation intervention and determine the resistance risk’s downgrade from High (H) to Moderate (M) or Low (L) and/or Moderate (M) to Low (L) after the mitigation intervention.

Instructions

Create a table in which you:

  1. Determine one challenge in the culture that may cause a major resistance to the transition from individual learning to organizational learning. Next, recommend one mitigation intervention to downgrade the identified resistance in your table. Provide a rationale for your selected mitigation intervention.
  2. Predict one psychological learning threat that may result from the transition and then provide one mitigation intervention to downgrade the identified resistance in your table. Provide a rationale for your selected mitigation intervention.
  3. Assess the current organization structure as it relates to the free flow of knowledge, then specify one issue that may cause a major resistance to the transition. Provide one mitigation intervention to downgrade the identified resistance in your table. Provide a rationale for your selected mitigation intervention.
  4. Critique the workforce commitment to this transition and predict one major resistance you may encounter. Next, provide a mitigation intervention to downgrade the identified resistance in your table. Provide a rationale for your selected mitigation intervention.
  5. Propose one dissemination of knowledge issue with the recipients’ ability to absorb the knowledge and comprehend it into action (that is, motivating the recipient to share knowledge). Next, provide one mitigation intervention to downgrade the identified resistance in your table. Provide a rationale for your selected mitigation intervention.
  6. Use the Resistance Risk Mitigation Intervention Table template located here. You may also use Microsoft Word or other equivalent software to create a table in an equivalent format for this supporting document.

The specific course learning outcome associated with this assignment is:

  • Create a table to identify transition resistance risks and an intervention to mitigate each.
  • attachment

    cf_HRM562_Week6_Resistance_Risk_Mitigation_Intervention_Table1.docx

Theme#1: Defined by the UMUC:
A literature review is a survey of the scholarly work in a particular subject area.  Use scholarly, peer reviewed, or refereed journals in your research. How do I know what a scholarly source is?  Review this UMUC link for clarification:  https://www.umuc.edu/library/libhow/scholarlyjournals.cfm
Defined by the UNC-Chapel Hill:
A literature review discusses published information in a particular subject area, and sometimes information in a particular subject area within a certain time period (within the past 5-7 years is preferred in our course).  A literature review can be just a simple summary of (scholarly) sources.
Why do we write literature reviews? 
Literature reviews provide you with a handy guide to a particular topic. If you have limited time to conduct research, literature reviews can give you an overview or act as a stepping stone. For professionals, they are useful reports that keep them up to date with what is current in the field. For scholars, the depth and breadth of the literature review emphasizes the credibility of the writer in his or her field. Literature reviews also provide a solid background for a research paper’s investigation. Comprehensive knowledge of the literature of the field is essential to most research papers.
References
The University of Maryland University College. Retrieved from: https://www.umuc.edu/library/libhow/scholarlyjournals.cfm
The University of North Carolina-Chapel, The Writing Center.  Retrieved from:  http://writingcenter.unc.edu/handouts/literature-reviews/

Theme #2:
Note: Please select one of the following topics and discuss in-depth ONLY one theme, for example, if you selected the first topic please pick up ONE theme, the same for the 2nd topic, select one theme and discuss. You are welcome to discuss both topics, but the requirement is ONE. 
Topic 1: There are four themes in health science learning and teaching which all become more prominent in recent years, for this discussion pick up one of them and discuss:
– Evidence-based practice
– Research-based learning
– Learning research methods
– linking staff research activity and teaching

Background:
Evidence-based practice
https://chalderan.umsu.ac.ir/uploads/Evidence-based_practice_119.pdf
Evidence-based practice step by step: Critical appraisal of the evidence: part I
http://journals.lww.com/ajnonline/Fulltext/2010/07000/Evidence_Based_Practice_Step_by_Step__Critical.26.aspx
Evidence-Based Practice: Step by Step: Igniting a Spirit of Inquiry
http://journals.lww.com/ajnonline/Abstract/2009/11000/Evidence_Based_Practice__Step_by_Step__Igniting_a.28.aspx
The following link is the useful book for most of the class discussion, please remember to review class material as well.

Field Trials of Health Interventions: A Toolbox
http://oxfordmedicine.com/view/10.1093/med/9780198732860.001.0001/med-9780198732860
Topic 2: Health Services Research and Research Question
The goal of health services research is to acquire and disseminate relevant evidence that can advance population health, improve health services and inform health policy in governments and organizational policies in health care for this week pick up one of the following areas and discuss:

What are the major steps in the conceptualization stage of health services research?
What is Health Services Research? What are the overall goals of health system research? What are the functions of health research systems?
Discuss main components of a research question (this is a general discussion and you can discuss health system research as a general term)
What are the unique characteristics of medical care services compared with other market products or services?

Background: Ten steps for conceptualizing and conducting qualitative research studies in a pragmatically curious manner
http://www.nova.edu/ssss/QR/QR16-6/chenail.pdf 
Arrow and the Information Market Failure in Health Care
/content/enforced/348512-027318-01-2192-OL1-6380/Arrow_and_the_Information_Market_Failure_in_Health.pdf
http://www.smith.edu/econ/documents/ArrowandtheInformationMarketFailure.pdf
Participatory Research Methods: A Methodological Approach in Motion
http://www.qualitative-research.net/index.php/fqs/article/view/1801/3334

At least three credible citations needed.

Evidence Based Practice Project: Finding the Evidence Overview This assignment will allow you to create an evidence-based practice project that includes the development of a PICO question and follows the initial steps of the Iowa Model.  You will share your findings using an APA formatted paper.Submitting your assignment • Save this document to your desktop as a Word document. • Open the document from your desktop and review the assignment instructions and grading rubric. • Create a separate Word document for your paper. • Return to Blackboard and upload your paper and your nursing research article that was approved by your coach in Module 2 to the assignment submission link in Module Four.  Please note: if you forget to upload your nursing quantitative research article, a 5 point penalty will be applied to your paper.Grading Rubric Use this rubric to guide your work the assignment.  Points are awarded for each section based on content and clarity of expression. Accomplished (Maximum points awarded) Proficient(Points awarded based on content) Needs Improvement(Minimum points awarded)Initial PICO question completed / nursing research article selected. Research article is a quantitative article, nursing focused, and is 5 years or less from current publication date.Please note: if you forget to upload your nursing quantitative research article, a 5 point penalty will be applied to your paper5 – 4 points Research article is a quantitative article that is nursing focused but is greater than 5 years old.3 – 2 points Research article is not nursing focused or is a qualitative article, systematic review, meta-synthesis, meta-analysis, meta-summary, integrative review, clinical information article or “how-to” article.0 pointsOpening Paragraph(Paragraph #1) Introduction statement(s) present.PICO question with all elements present.  Statement of importance with two facts such as costs, morbidity, mortality, safety. Include related statistics with citation and is 5 years or less from current publication date.10 – 9 points No introduction statement(s).PICO statement is incomplete.  Statement of importance incomplete or missing.Citation is incomplete or missing.8 – 3 points No introduction statement(s).  PICO statement grossly incomplete or missing. Statement of importance missing.No citation2 – 0 points Summary paragraph for your nursing quantitative research article.(Paragraph #2) Three facts clearly identified from quantitative nursing research article and is 5 years or less from current publication date.A least two of the facts include information from the Results and / or Discussion sections.Facts clearly tied to PICO question.Facts connected to your nursing practice.   10 – 9 points Less than three facts clearly identified from quantitative nursing research article.Only one fact includes results or discussion sections.Facts not clearly tied to PICO question.Facts not clearly connected to your nursing practice.

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8 – 3 points No facts clearly identified from the article.No facts from the results or discussion sectionsNo attempt to connect facts from the article back to the PICO question. No attempt to connect facts from the article back to your nursing practice.         2 – 0 pointsReliability paragraph for your nursing quantitative research article.(Paragraph #3) Definition of reliability offered with citation.Discussion of reliability clearly connected to data collection or measurement methods with examples from the student’s research article. Type of reliability is identified and named.Hint: This information is covered in Chapter 10. Use Table 10-1 in your textbook to identify the type of reliability of the measurement instrument / tool. 10 – 9 points Vague or no definition of reliability.Minimal reference to data collection or measurement methods in discussion of reliability with no reference to specific information from the student’s article.Type of reliability is not clearly identified / named.8 – 3 points Vague statements about reliability made with no discussion of data collection or measurement methods offered.Type of reliability is not identified / named.2 – 0 pointsValidity paragraph for your nursing quantitative research article. (Paragraph #4) Definition of validity offered with citation.Discussion of validity clearly connected to data collection, or measurement methods with examples from the student’s research article.Type of validity is identified and named. Hint: This information is covered in Chapter 10. Use Table 10-1 in your textbook to identify the type of validity of        the measurement
instrument / tool. 10 – 9 points Vague or no definition of validity.Minimal reference to data collection, or measurement methods in discussion of validity with no reference to specific information from the student’s article.Type of validity is not clearly identified / named.8 – 3 points Vague statements about validity made with no discussion of data collection or measurement methods offered.Type of validity is not identified / named.2 – 0 pointsTwo additional strengths or weaknesses from your nursing quantitative research article. (Paragraph #5) Two strengths or two weaknesses or one strength and one weakness are specifically identified from your nursing quantitative research article.The student choices for strengths / weaknesses must focus on the methods used by the authors for sampling, measurement methods used (ex. a questionnaire), or how the data was collected (data collection) with examples from the student’s research article. 10 – 9 points Only one strength / or weakness explained well with second strength / weakness only identified.Strengths / weaknesses not based on sample, measurement methods, or data collection. 8 – 3 points Strength / weaknesses identified are not based on these three critique skills. No strengths / weaknesses identified.            2 – 0 pointsClinical practice guideline summary.(Paragraph #6) Name of the clinical practice guideline and specific website identified.  Guideline is the most recent version or published within the past five years.Three facts clearly identified that were found within the guideline and relate to the practice of a BSN.Facts clearly tied to PICO question.Facts connected to your nursing practice.       10 – 9 points Name of the clinical practice guideline or website not clearly identified.Fewer than three facts clearly identified that were found within the guideline or facts not specifically related to the practice of the nurse.Facts vaguely tied to PICO question.Facts vaguely connected to your nursing practice.           8 – 3 points Name of the clinical practice guideline or website not stated.No clearly identified facts from the guideline.Facts not tied to PICO question or nursing practice.

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2 – 0 points“Fourth resource” summary.(Paragraph #7) Three facts clearly identified from the fourth resource which is 5 years or less from current publication date.Facts clearly tied to PICO question.Facts connected to your nursing practice.        10 – 9 points Less than three facts clearly identified from the fourth resource.Facts not clearly tied to PICO question.Facts not clearly connected your nursing practice.           8 – 3 points No facts clearly identified from the fourth resource.No attempt to connect facts from the fourth resource back to the PICO question. No attempt to connect facts from the fourth resource back to your nursing practice.Instructions for Completing Your Assignmento Step one:  Using the topic you chose for Module 2 Searching for a Quantitative Nursing article, identify a nursing clinical practi It may not be a qualitative article, systematic review, meta-synthesis, meta-analysis, meta-summary, integrative review or a retrospective / quality improvement study. For more information on how to recognize these types of article see Grove, Gray, and Burns (2015)§ It must include implications and / or interventions that are applicable to nursing practice. § It must be no more than 5 years old from the current publication year.§ It must be from a nursing research journal or have a nurse as an author.§ It must be based on the topic list attached here.§ce question that you would like to explore.   o Step two: Complete the readings from Module Four.  Use the readings from Module Four to put your nursing clinical practice question into a PICO format.  o Step three:  Search for a nursing quantitative research article (or two) that relates to your PICO question using Academic Search Complete, CINHAL, Pubmed, Google Scholar, or any other database that contains nursing research articles.  Please note: you may be able to use the article that you submitted in Module Two to meet this requirement.o The article you will find must meet the following mandatory requirements:
 It may not be a clinical information article or “how-to” article.o Step four:  If you have questions about your PICO question formatting or the nursing quantitative research article that you found, post them to the Q§pp. 22-24. & A discussion board for feedback from your peers.o Self-check: if you choose the wrong type of nursing quantitative research article for your paper (the one that you will be using to write paragraph 2, 3, 4, &  Find a clinical practice guideline at http://ift.tt/2w6fYMV that relates to your question.  It must have information that relates to the role of the nurse.  Guideline is the most recent version or published within the past five years. (It is true§ Find a resource published within the past 5 years that provides you with at least two facts (ex. costs, morbidity, mortality, safety, or other related statistics) for why your clinical problem is important (provide statistics).  (The internet is a great place to get this information…just don’t forget to cite this information and add it to your reference page).§5) the best grade you could make is a 55.  Yikes!!!  Please make sure that yu have selected a nursing quantitative research article that meets the criteria for this assignment and ask for help if you are not sure. Please note: you may be able to use the article that you submitted in Module Two to meet this requirement.o Step Five: Collecting More Evidence (Do the research)
 Hint: Did you notice that you will be finding a total of four different sources of information for your PICO question?  To re-cap, these four sources are:• Statistics you are reporting in paragraph one.• Nursing quantitative research article for paragraphs 2, 3, 4, and 5.• Clinical Practice Guideline (paragraph 6)• A source of your choosing (paragraph 7)o Step Six: Write up your findings in APA format and submit them to Blackboard by the due date and time listed in your syllabus.  Here’s§ Find a clinical “how-to” article, a nursing professional practice website, a systematic literature review, a meta-analysis, or a manufacturer’s website published within the past 5 years that relates to your practice question. §that guidelines are not always updated within 5 years so you will need to discuss this.)
 Paragraph #3: Define reliability as it is used in your textbook. Critique the reliability of the nursing quantitative research article you used.  Go back to what you learned in your article critique about measurement methods and data collection in Module 3 to make sure you are being thorough in your assessment. Use Table 10-1 in your textbook to identify the type of reliability for your measurement instrument / tool.§ Paragraph #2:  What did your nursing quantitative research article add to your knowledge on this topic?  Share at least three facts (two must be from the Results or Discussion sections) that you found within the article in this paragraph that is relevant to your PICO question and your practice as a nurse. § Paragraph #1: This is your opening paragraph. Start with an introduction statement. What is your PICO question? Describe why was it important (share the dollars, morbidity / mortality, statistics, safety stats you found with citation)?§ Start with a UTA CONHI approved cover page.§how to write up your findings:

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Paragraph #4: Define validity as it is used in your textbook.  Critique the validity of the nursing quantitative research article you used. Go back to what you learned in your article critique about measurement methods, and data collection to make sure you are being thorough in your assessment. Use Table 10-1 in your textbook to identify the type of validity for your measurement instrument / tool. Be specific, so§Be specific, so that your instructor, if reading the article, can find them too.
 Paragraph #5: Using the skills you have learned in your critique of a research article, describe two strengths or two weaknesses (or one strength and one weakness) that you found as you read this article.  Go back to what you learned in your article critique about sampling methods, measurement methods (ex. questionnaires), and data collection (how did they collect the data to make sure you are being thorough in§that your instructor, if reading the article, can find them too.  
 Note to students about writing up your findings: o This is a formal APA paper.  Look at the Rubric for more APA information for this paper.o Don’t forget to use your APA resources that were reviewed in Module Two!o Don’t forget to use the Module Four discussion board for additional questions about your paper.o Turn your paper (as a word document) and article (in pdf format) that you used for paragraphs 2, 3, 4,§ Paragraph #8 (and #9 if needed): re-state your PICO question and briefly summarize what you have learned through your search.  What would you recommend, if anything, as a change in practice for nurses?  Why?  Remember, this is your closing paragraph(s).§ Paragraph #7: Identify the fourth resource you found (clinical “how-to” article, a nursing professional practice website, a systematic literature review, a meta-analysis, or a manufacturer’s website) that relates to your practice question.  Share at least three facts that you found within this source that is relevant to the PICO question and your practice as a nurse, and cite appropriately. § Paragraph #6:  What is the name and website of the clinical practice guideline that you found?  Share at least three facts that you found within the guideline that is relevant to the PICO question and your practice as a BSN nurse and cite the guideline appropriately.§your assessment. Be specific, so that your instructor, if reading the article, can find them too.  Do not re-state the limitations provided by the authors of your study unless they have to do with the study’s sampling, measurement methods, or data collection.  Do not discuss the descriptive or inferential statistics used by the authors as a strength or weakness of the study, as this is not related to with the study’s sampling, measurement methods, or data collection. & 5 in to the assignment submission link in Module Four at the due date and time listed in your syllabus.o Possible points for this assignment: 100 points

QUESTION

Contemporary nursing theories

Analyze the effectiveness of contemporary nursing theories in relation to your healthcare setting and comment whether theories shape your practice. 

 PLEASE FOLLOW THE INSTRUCTION BELOW
5  REFERENCES
ZERO PLAGIARISM

  • Develop diagnoses for clients receiving psychotherapy*
  • Analyze legal and ethical implications of counseling clients with psychiatric disorders*

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 10.Select a child or adolescent client whom you observed or counseled this week. Then, address the following in your Practicum Journal:

  • Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
  • Using the DSM-5, explain and justify your diagnosis for this client.
  • Explain any legal and/or ethical implications related to counseling this client.
  • Support your position with evidence-based literature.

QUESTION

please critique your peers’ works, such as purpose, concepts, assumptions, and theory’s implications for nursing practice, nursing education, and nursing research.  Does each group use concepts and

  • please critique your peers’ works, such as purpose, concepts, assumptions, and theory’s implications for nursing practice, nursing education, and nursing research.  Does each group use concepts and the conceptual framework/theoretical framework/model of the theory to guide the nursing implications?
  • Discuss theory applications from their selected articles.
  • Please provide suggestions or opportunities for improvement.
  • Ask a challenge question to encourage your peers’ participations and critical thinking, for example a question about a unique situation and theory’s application, such as infection prevention.
  • Critique the packet of materials and APA format.

n this assignment, you are to select a theory of nursing that fits with your understanding of effective nursing values and practices. Prepare a thorough review of the theory, including a discussion of how this theory will guide your planning to implement the theory in your work as a nurse, will inform you anticipation of barriers to implementation and will assist you in creating a plan to evaluate the effectiveness of care provided while employing this theory.(Imogene king’s theory of goal attainment)

Use the following process to guide your work:

Select one nursing theory that is useful to your practice setting.
Research the literature for refereed journal articles (include current, classic – by theorist, and relevant scholarly sources) that discuss the use of the theory in practice. Use a sufficient number of scholarly sources in your paper, but at least five.
Critically review the nursing theory and develop a plan for how you would utilize this theory in your practice. Be sure to include thoughts related to holistic spiritual nursing care. (Use Chapter 3 of Smith & Parker to review theory.)
In a 6-8 page (not including the title and reference pages, no abstract required for this paper) 6th edition APA paper using spelling/grammar following APA guidelines:
Introduction (Overview, purpose, your rationale for selecting the nursing theory, and plan for paper)
Synthesis of selected nursing theory
Examine the nursing theory’s components
Design plan for implementing nursing theory into practice
Anticipate potential barriers/challenges to implementation
Create plan for evaluating the effectiveness of care provided using this nursing theory
Construct examples.
Summary (explain how you have met the purpose of this paper

HSA 500Demographic Distribution, Mortality Trends, and Access to Health Care Services.Analyze the growing consumer demographics in a diverse U.S. society in terms of consumer satisfaction with health care services, and provide a rationale for the use of present health services in todays diverse demographical social framework. (This is an interesting topic and I look forward to the discussion. The United States is a diverse country and one size does not fit all. For example, in Florida the demographics are older folks, whereas Alaska, the demographics are diverse and very rural).Analyze the demands and growing trends in new diseases (e.g., heart disease and cancer) affecting the present U.S. population. Summarize the impact of these demands on available health services. (There are too many examples to list for this discussion. I look forward to hearing your thoughts. The one demand on health care that is in the media is Ebola and the respiratory virus that has killed several children. There is also the swine flu, sexually transmitted disease, chronic disease).Analyze the mortality trends in the U.S. and compare the demographic distribution associated with these trends. Evaluate the importance of societys role in promoting a healthy lifestyle, as well as adopting lifestyle choices.(This will be an interesting discussion. For example, in the 1950s before the polio vaccine was discovered, most children either died or had a physical impediment. I look forward to the discussion.)

Effective Approaches in Leadership and Management (Benchmark Assessmen Details: In this assignment, you will be writing a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following: 1. issue: nursing shortage and nurse turn-over, 2. Compare and contrast how you would expect nursing leaders and managers to approach nursing shortage and nurse turn-over. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings. 3. Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style. ( my best style will be Brandi Dahlin or Baxter Cecilia personal Philosophy of Nursing). The writer use whatever you think is easier to use. I personally would like people to participate in their work. I f I was a leader or a manager I would hold a monthly meeting to review our work and see if improvement is needed. I will use my employees ideas and add mine and explain them why. Team work is my highest goal. 4. Use at least two references other than your text and those provided in the course. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

You Decide Reflection Guidelines Purpose The purpose of this applicationis to provide the student an opportunity to reflect on selected DNP competencies acquired through the NR706 course. Course Outcomes This assignment provides documentation of student ability to meet the following course outcomes: CO1: Explore computer technology issues in nursing informatics (PO #7). CO2: Distinguish between the contributions of computer science, information science, and nursing science to nursing informatics (PO #7). CO5: Determine human factor issues in nursing informatics (PO #7). CO7: Analyze systems management issues in nursing informatics (PO #7). CO10: Formulate strategies using healthcare technology and informatics to improve patient safety and health outcomes for quality improvement of advanced nursing practice (PO #6). Points This assignment is worth a total of 100 points. Due Date Submit your completed application  MT of Week 8 as directed. Requirements 1. The You Decide Reflectionis worth 100 points and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric. 2. Create your essay using Microsoft Word(a part of Microsoft Office), which is the required format for all Chamberlain College of Nursing documents. You can tell that the document is saved as a MS Word document because it will end in “.docx” 3. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q&A forum. 4. The length of the reflection is to be within three to six pages excluding title page and reference pages. 5. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered): Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association(2010, p. 63). a. You Decide Reflection b. Conclusion Preparing Your Reflection The DNP Essentials (AACN, 2006)outline a number ofinformation systems and technologycompetencies for theDNP-prepared nurse. Reflect on the NR706 course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to: 1. “Design, select, use, and evaluate programs that evaluate and monitor outcomes of care, care systems, and quality improvement including consumer use of healthcare information systems. 2. Analyze and communicate critical elements necessary to the selection, useand evaluation of healthcare information systems and patient care technology. 3. Demonstrate the conceptual ability and technical skills to develop and executean evaluation plan involving data extraction from practice informationsystems and databases. 4. Provide leadership in the evaluation and resolution of ethical and legal issueswithin healthcare systems relating to the use of information, informationtechnology, communication networks, and patient care technology. 5. Evaluate consumer health information sources for accuracy, timeliness, and appropriateness” (AACN, 2006, p. 13). Reference: American Association of Colleges of Nursing [AACN]. (2006). The essentials of doctoral education for advanced nursing practice.Washington, DC: Author.