How might this scenario play out or impact you in your role as a nurse practitioner?

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Contemporary Issue Position Essay

Choose a case from the AMA Journal of Ethics Case Index(https://journalofethics.ama-assn.org/cases) and take a position. For this assignment you will evaluate the ethical arguments for or against the issue. Identify the potential legal arguments (consider current federal guidelines), indicate any potential professional code conflicts you foresee, and support your position with an explanation of your own ethical/moral foundation.

Identify the issue and state your ethical position.

How might this scenario play out or impact you in your role as a nurse practitioner?

Defend your position with legal, ethical, and professional evidence.

As part of your position, propose strategies and solutions for addressing the issues.

What other ethical issues does this case bring to light, if any?

Support your position with at least one scholarly source (it may be your text).  Be sure to cite the article you choose, use APA format, and include a title page and reference page.

Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?

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Consider the “Four Topics Approach” (or Four Box method) to ethical decision making on page 61, Table 2.1 in Butts (below).  Apply this model to a challenging situation in your

  1. Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?

that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic a rea as they pertain to your situation.

In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way?  Does this seem like a valid process for you to apply in your practice?

Adhere to APA formatting throughout, and cite any outside sources you may use

TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics Cases

Medical Indications: The Principles of Beneficence and Nonmaleficence

  1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?
  2. What are the goals of treatment?
  3. In what circumstances are medical treatments not indicated?
  4. What are the probabilities of success of various treatment options?
  5. In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?

Patient Preferences:  The Principle of Respect for Autonomy

  1. Has the patient been informed of benefits and risks, understood this information, and given consent?
  2. Is the patient mentally capable and legally competent, and is there evidence of incapacity?
  3. If mentally capable, what preferences about treatment is the patient stating?
  4. If incapacitated, has the patient expressed prior preferences?
  5. Who is the appropriate surrogate to make decisions for the incapacitated patient?
  6. Is the patient unwilling or unable to cooperate with medical treatment? If so, why?

Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy

  1. What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?
  2. On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?
  3. Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?
  4. What ethical issues arise concerning improving or enhancing a patient’s quality of life?
  5. Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?
  6. What are plans and rationale to forgo life-sustaining treatment?
  7. What is the legal and ethical status of suicide?

Contextual Features: The Principles of Justice and Fairness

  1. Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?
  2. Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?
  3. What are the limits imposed on patient confidentiality by the legitimate interests of third parties?
  4. Are there financial factors that create conflicts of interest in clinical decisions?
  5. Are there problems of allocation of scarce health resources that might affect clinical decisions?
  6. Are there religious issues that might influence clinical decisions?
  7. What are the legal issues that might affect clinical decisions?
  8. Are there considerations of clinical research and education that might affect clinical decisions?
  9. Are there issues of public health and safety that affect clinical decisions?
  10. Are there conflicts of interest within institutions and organizations (e.g., hospitals) that may affect clinical decisions and patient welfare?

 

Source

Butts, J. B. (2015). Nursing Ethics. [VitalSource Bookshelf]. Retrieved from https://online.vitalsource.com/#/books/9781284099096/

Explain the role group’s importance in implementing the new policy and practice guidelines.

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Summarize evidence-based strategies for working with the role group to obtain their buy-in and prepare them to implement the new policy and apply the associated practice guidelines to their work.
Why will these strategies be effective?
What measures might provide early indications of success?
Explain the impact of the new policy and practice guidelines.
How they will be implemented?
How will they affect the daily work routines and responsibilities of the role group?
Justify the importance of the new policy and practice guidelines with regard to improving the quality of care or outcomes related to the role group’s work.
How will the policy and guidelines help improve the quality of care or outcomes?
Explain the role group’s importance in implementing the new policy and practice guidelines.
Why is the work and buy-in of the role group important for successful implementation?
How could you help the group feel empowered by their involvement during implementation?
Determine appropriate and effective instructional content, learning activities, and materials for the training session.
How will each proposed activity on your agenda support learning and skill development?
Can you complete the training within the allotted two hours?
Organize content so ideas flow logically with smooth transitions.
Proofread your strategy summary and training agenda, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your strategies.
Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.
Be sure to apply correct APA formatting to source citations and references.

Provide individualized education to diverse patient populations in a variety of health care settings.

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The benchmark assesses the following competencies:

3.3 Provide individualized education to diverse patient populations in a variety of health care settings.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Based on the feedback offered by the provider, identify the best approach for teaching. Prepare a presentation based on the Teaching Work Plan and present the information to your community.

Options for Delivery

Select one of the following options for delivery and prepare the applicable presentation:

PowerPoint presentation – no more than 30 minutes

Pamphlet presentation – 1 to 2 pages

Audio presentation

Poster presentation

Selection of Community Setting

These are considered appropriate community settings. Choose one of the following:

Public health clinic

Community health center

Long-term care facility

Transitional care facility

Home health center

University/School health center

Church community

Adult/Child care center

Community Teaching Experience Approval Form

Before presenting information to the community, seek approval from an agency administrator or representative using the “Community Teaching Experience Approval Form.” Submit this form as directed in the Community Teaching Experience Approval assignment drop box.

General Requirements

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Examine effective verbal and written communication; utilizing communication skills of the professional role to promote and improve quality and safety in healthcare.

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Purpose

The purposes of this assignment are to: (a) identify and articulate key concepts of one of the following: either your future pathway to excellence or your shared-governance model you wish to initiate at one of the three areas: 1. Saint Louis Medical Center (SLMC)/community or critical access hospital, 2. Home health/community transition, or 3. Long term care/skilled nursing facility (SNF) or memory care (CO 5), (b) provide empirical, scholarly evidence to support your proposed project (CO 4), and (c) communicate your information in a clear, succinct, and scholarly manner (CO 5).

Note: You are completing this assignment as if you are the nurse executive. You are to decide whether you wish to focus on implementing your pathway to excellence or a shared governance model. You will choose one of the areas to implement either your pathway to excellence or your shared governance model. What elements would like to adopt and implement for your organization?

NR531 W3 Shared Governance Journey Guidelines and Rubric

Resource Documents:

*NR531 Case Study Background Information Ironridge SC
*NR531 Case Study St Louis Medical Center Mission and Vision

*Please note that in NR531 students must use at least three scholarly sources and keep all assignments to a maximum of three pages, excluding the title page and reference list.

Course Outcomes

Through this assignment, the student will demonstrate the ability to:

(CO4) Apply the use of research in the evaluation of healthcare outcomes, utilizing critical thinking skills, and interprofessional research strategies. (PO 4)

(CO5) Examine effective verbal and written communication; utilizing communication skills of the professional role to promote and improve quality and safety in healthcare. (POs 1, 2, 5)

Total Points Possible: 200

Requirements

1. This paper will be graded on quality of paper information, use of citations, use of standard grammar, sentence structure, and organization based on the required components.
2. Create this assignment using Microsoft (MS) Word, which is the required format for all Chamberlain documents. You can tell that the document is saved as a MS Word document because it will end in .docx.
3. Submit to the appropriate assignment area by 11:59 p.m. MT on Sunday of the week due. Any questions about this paper may be discussed in the weekly Q & A discussion topic.
4. The length of the paper is to be no greater than three pages, excluding title page and reference page.
5. APA format, using most current edition, is required for this assignment, including a title and reference pages. Use APA level 1 headings for the organizational structure of this assignment. Remember that the introduction does not carry a heading that labels it as a level heading in APA format. The first part of your paper is assumed to be the introduction. See the APA manual sixth edition for details. Use the suggested format and headings to organize your assignment.
a. Include introduction; include your which of the three areas of focus you have chosen (do not label as a heading in APA format)
b. Key components of pathway to excellence or shared-governance model
c. Supporting evidence
d. Importance to nursing examples
e. Conclusion

Preparing the Paper

Note: Use the documents related to SLMC to assist in the completion of this assignment, as needed.

1. Include a clear introduction of your focus area (choose one of the three above) in the introduction paragraph, including a sentence that states the purpose of your paper.
2. Clearly articulate key components (at least two) of either your pathway to excellence or your shared-governance model project to be implemented.
3. Include a minimum of three sources of scholarly, empirical evidence that supports your area of focus. See resources related to SLMC if you need to review the information for that area.
4. Provide specific examples (at least two) of the impact and importance of either your pathway to excellence or shared-governance model project related to nursing. Consider how you will engage your staff and leadership team in this project.
5. Provide concluding statements that should summarize your overall assignment content.
6. The paper will be three pages maximum, excluding title and reference pages.
7. Title and reference pages must be in APA format following the sixth edition manual.
8. Use 12 point, Times New Roman font and one-inch margins on all sides of the paper.

PLEASE KINDLY READ ALL INSTRUCTIONS CAREFULLY. REFERENCES MUST BE CURRENT AND WITHIN 5 YEARS. PLEASE CHOOSE 1. Saint Louis Medical Center (SLMC)/community or critical access hospital. THANK YOU. ATTACHED ARE THE GRADING RUBRICS/GUIDELINES, AND ALL THE RESOURCE DOCUMENTS.

Write about a personal experience of oppression.

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A Memory of Oppression–freewrite

Your assignment here is to free write about a personal experience of oppression.

First, take a look at the ADRRESSING Framework, and locate a rank in the framework where you personally are a target, or someone who you care about is a target. This could be in the rank of Age, Disability, Race, Religious Culture, Ethnicity, Sexual Orientation, Social Class Culture, Indigenous heritage, National Origin, or Gender. Tell us specifically which rank area you are focusing on.

Next, think of a specific time in your life when you have experienced or witnessed oppression in this target area. Your memory should be of a specific incident that took place at a specific time and place, with specific people. Avoid general statements!

Tell us as much detail as possible so that we can get a good idea of what happened. Please focus on giving us information, rather than assessing, analyzing, or judging the situation or the people in it. Describing the emotions that came up for you is helpful.

I personally being target at (you can choose one and write about it)

  • Race (Asian – people of color)
  • Ethnicity (Vietnamese)
  • Religious Culture (Buddhism)
  • National origin (non US born)
  • Gender (female)

Does an inadequate understanding of the various medication such as Protonix and prophylaxis medication, that are purchased over the counter tend to pose a significant risk as well as causes adverse effects on human health?

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As you develop a research proposal, you must consider the ethical issues related to it.

–Determine the ethical considerations related to the research question you developed in Week 1.

Does an inadequate understanding of the various medication such as Protonix and prophylaxis medication, that are purchased over the counter tend to pose a significant risk as well as causes adverse effects on human health?

–Consider the seven main principles of ethical research introduced in this week’s learning activity, Research Ethics Guidance:

-Social and clinical value
-Scientific validity
-Fair subject selection
-Favorable risk-benefit ratio
-Independent review
-Informed consent
-Respect for potential and enrolled subjects

–Cite at least one peer-reviewed and one evidence-based resource in APA format.

Create a 2-4 page report on an interview you have conducted with a health care professional.

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For this assessment, you will create a 2-4 page report on an interview you have conducted with a health care professional. You will identify an issue from the interview that could be improved with an interdisciplinary approach, and review best practices and evidence to address the issue.

As a baccalaureate-prepared nurse, your participation and leadership in interdisciplinary teams will be vital to the health outcomes for your patients and organization. One way to approach designing an improvement project is to use the Plan-Do-Study-Act (PDSA) cycle. The Institute for Healthcare Improvement describes it thus

Analyze research findings and evidence-based practice to advance holistic care initiatives that promote positive healthcare outcomes.

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Purpose

This assignment provides the opportunity for the student to find and appraise resources related to the PICOT question from Week 2. The focus of this assignment is to evaluate pertinent literature that supports the practice change intervention.

Note: You are to locate original studies with research conducted and published by the primary investigator. You may also use systematic reviews or Clinical Practice Guidelines (CPGs).

Course Outcomes

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

CO1: Integrate evidence-based and research to support advancement of holistic nursing care in diverse healthcare settings. (PO 1,4)

CO2: Integrate knowledge related to evidence-based practice and person-centered care to improve health outcome. (PO 1, 2)

CO4: Develop knowledge related to research and evidence-based practice as a basis for designing and critiquing research studies. (PO 1, 5)

CO5: Analyze research findings and evidence-based practice to advance holistic care initiatives that promote positive healthcare outcomes. (PO 1, 2, 5)

Due Date: Sunday 11:59 PM MT at the end of Week 5

Total Points Possible: 200 Points

Requirements

Find and review ten (10) scholarly, peer-reviewed research articles, systematic reviews, or CPGs in support of the practice change intervention. Complete the Research Summary Worksheet table for each article.

  1. State the PICOT question
  2. For each article, supply the following:
    1. The complete reference for the article in current APA format
    2. Description of the purpose of the study/review/practice guideline
    3. Description of the evidence type
      • Research article/systematic review/CPG
      • If a source is a research article
        1. Is the study quantitative, qualitative, or mixed methods?
        2. Is the study experimental, quasi-experimental, or descriptive?
  1. Description of the sample, sample size, and setting (not used for CPG)
  2. Discussion of the data collection methods used (not used for CPG)
  • Discussion of the study findings or CPG content
  1. Assessment of the limitations of the study (not used for CPG)
  2. Discussion of the relevance the study to the PICOT question and advanced practice nursing

Preparing the Assignment:

  1. Use the designated Research Summary Table Worksheet to supply the required information.
  2. All scholarly, peer-reviewed research articles must be current – within a 5-year time frame – unless a valid rationale is provided, and the instructor has approved the use of an older reference.
  3. Use APA formatting for references

Compare and contrast followership and servant leadership

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My essay is to compare and contrast followership and servant leadership