theoretical frameworks and concepts to ethical dilemmas in the advanced practice role

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Case Study Ethical Legal Dilemma Advanced Practice Nursing

Course outcomes addressed in this Assignment:

MN506-1: Apply theoretical frameworks and concepts to ethical dilemmas in the advanced practice role.

PC 2.3: Demonstrate integrity through the application of relevant codes of conduct and social responsibility within one’s profession.

Instructions:

1.Create an ethical legal decision-making dilemma involving an advanced practice nurse in the field of education. Apply relevant codes of conduct that apply to the practice of nursing and your chosen field.

2.Include one ethical principle and one law that could be violated and whether the violation would constitute a civil or criminal act based on facts.

3.Construct a decision that demonstrates integrity and that would prevent violation of the ethical principle and prevent the law from being violated.

4.Describe the legal principles and laws that apply to the ethical dilemma.

5.Support the legal issues with prior legal cases or state or federal statutes.

6.Analyze the differences between ethical and legal reasoning and apply an ethical-legal reasoning model in the case study to create a basis for a solution to the ethical-legal dilemma.

7.List three recommendations that will resolve advanced practice nurses’ moral distress in the dilemma you have presented.

8.Based on the issue you presented and the rules of the law, apply the laws to your case and come up with a conclusion.

Note:

•This is a fact-based Assignment that will not include your opinion.

•This will require research and support for what is written.

•The Assignment should be in your words after reading the scholarly and fact-based publications and have proper citations. There should be no quotations. The professor wants to hear your voice as a masters trained nurse.

Description

In the Unit 2 topic 1 Discussion, you will choose an ethical-legal dilemma that would cause the advanced practice nurse moral distress. You will write the introductory paragraphs for the Unit 4 Assignment in the Unit 2 topic 1 Discussion Board and post it for your peers to comment on.

You will continue working on the topic you have chosen and submit the paper using the most recent version of APA format. The paper should have a minimum of seven citations and some of these should be case law or applicable statutes. The Kaplan Library has Westlaw Campus Research database where you can find case laws that relate to your topic.

Unit 4 Individual Paper

Advanced Practice Nursing Decisions that Cause Moral Distress (End of Life)

As an advanced practice nurse, we will sooner or later come across an issue or more than one issue that will cause us moral distress.According to Westrick, moral distress occurs when there is a mismatch or disequilibrium between moral obligations and principles, and the ability to implement them, (2014 p. 310).As a nurse practitioner working in a hospital setting we will come across issues of how to advocate for our patients when it comes to quality of life rather than quantity of life.“Every day nurses make great moral decisions in their workplace, but in practice they cannot always act according to their moral obligations,” (Williams, Wang, & Kitchen, 2014,p.7).One thing that we must assist the patient and family member is to understand and choose the proper treatment.The physicians should speak to the patient and family member about the disease and the prognosis, also be able to answer questions about death, and pain relief.

Patients and families are still under the impression that if they sign up with hospice that the patient will only be alive for a few hours or days.“Accepting and preparing for death is sometimes unbearably frightening for families,” (Bülbül et. al., 2015 p. 1242).Hospice even today is underutilized and family members will only agree to it when death is imminent.As an advance practice nurse caring for a terminally ill patient, who is suffering it will increase your moral distress.Families and patients should also be explained that there is the choice of Palliative care which it’s goal is to prevent or treat the symptoms and side effects of the diseasebesides the social and spiritual problems.According to Williams, Wang, and Kitchen, the terms ‘palliative’ and ‘end-of-life’ care are often used interchangeably by researchers and health practitioners, (2014, p.188).Palliative care will not cure the disease but it provides comfort and supportive care, and management of the symptom.

Ethical Dilemma

Ethical Principle and Law

Preventing Violation of Principle/Law

Legal Principles and Law

Legal Cases

Ethical and Legal Reasoning

Recommendations

Conclusion

References:

Ameri, M.; Safavibayatneed, Z.; Kavousi, A.; (2016),Moral distress of oncology nurses and morally distressing situations in oncology units, Australian Journal of Advanced Nursing

Bülbül, S.; Sürücü, M.; Karavaizoglu, C.; & Eke, M.; Limitations in the approach health caregivers can take in end-of-life care decisions, Child: Care, Health & Development, Nov2015; 41(6): 1242-1245. 4p.

Westrick, S.J.; (2014), Nursing Law and Ethics,Edition 2ndJones & Bartlett

Williams, A.M.; Wang, L.; and Kitchen, P.; (2014) Differential impacts of care-giving across three caregiver groups in Canada: end-of-life care, long-term care and short-term care, Health and Social Care in the Community 22(2), 187–196 doi: 10.1111/hsc.12075

Health History and Discharge Orders

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observe the simulated “Home Visit With Sallie Mae Fisher” video (http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).

Refer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment.

Using “Home Visit With Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment:

Essay Portion

After viewing the home visit, write an essay of 500-750-words in which you do the following:

  1. Identify,      prioritize, and describe at least four problems.( problems identify are as follows

Mrs. Fisher’s number one problem is dehydration. In the video her vital signs are: Heart rate 58, blood pressure 90/56, respiratory rate 24 and temperature 97.8F (GCU, 2017). Her physical assessment reveals poor skin turgor, tenting, dry mucus membranes, hypoactive bowel sounds, no bowel movement for three days and a 14 pound weight loss in one week (GCU, 2017). She admits to “not having an appetite.” She is taking Lasix, a diuretic further contributing to her fluid loss.  All of these finding are consistent with dehydration. Dehydration can lead to a kidney injury, seizures and hypovolemic shock (Mayo Clinic, 2017). 

The next problem is an unsafe living environment. In in video we see a loose rug on the floor, prescriptions on the table and mail on the couch. This lack of organization and Mrs. Fisher’s age put at risk for a fall. The Center for Disease Control and Prevention (CDC) states, “One out of five falls in an older adult causes a serious injury such as broken bones or a head injury” (CDC, 2017).

Then we look at her lack of understanding surround her discharge. She is supposed to be on home oxygen but didn’t have it delivered because she thinks she will, “Be in the poor house” due to cost of her medications and medical supplies. The final problem is her depression. Mrs. Fisher explains her husband died. She now lives alone and, “doesn’t even care, is so lonesome and misses him so” (GCU, 2017). 

  1. Provide      substantiating evidence (assessment data) for each problem identified.
  2. Identify      and describe at least four medical and/or nursing interventions.
  3. Discuss      your rationale for the interventions identified.

Prepare this step of the assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Scripted Dialogue Portion

Utilizing the information learned from the home visit, health histories, and discharge orders, write a scripted dialogue in which you provide Sallie Mae with education that describes her problems and the interventions identified to improve her condition. Consider Sallie Mae’s physiological, psychosocial, educational, and spiritual needs when developing your dialogue.

Your dialogue should resemble a script. The following is an example of a few sentences from a scripted dialogue:

Nurse: “Good morning, Salle Mae, my name is ______ and I will be your nurse today. I understand you are experiencing problems with ________.”

APA format is not required for this part of the assignment, but solid academic writing is expected.

Refer to “Home Visit With Sallie Mae Fisher Grading Criteria.”

Entire Assignment

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

the 4 metaparadigm concepts

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I need one page paper in nursing, this is the instruction about this one page paper:
Consider the 4 metaparadigm concepts: nursing; person; environment; and health. Select one and articulate your own beliefs, assumptions, and values related to that concept. Describe a personal experience from clinical practice that demonstrates and reflects the beliefs, assumptions, and values you identified. This is your own, personal philosophy; no references should be used. The table below is provided to serve as an instructional guide for this assignment. You should include the following:Identify 1 metapardigm concept from the following: nursing; person; environment; or healthArticulate your personal beliefs, assumptions, and values related to your selected concept Describe a detailed interaction between you and a client or family that depicts the beliefs, assumptions, and values related to your selected concept

*Philosophical Statement Instruction GuideNote: The questions below are designed to help get ideas flowing and are not the only focus of your statement.Nursing (i.e., nursing actions)
What is your definition of nursing?Is the metaparadigm concept nursing an art, a science, or both? Is it a process or a product (set of tasks)?What is nursing mainly (e.g., caring, therapeutic healing, building relationships)?What is the role reflected in nursing (e.g., doing for, being with [being present with], working with)?Where does ethics fit in?Who or what is the object of nursing’s concern?
HealthWhat is your definition of health (e.g., includes absence of disease, ability to perform social roles)?Is health on a continuum?Can clients have a chronic illness and still be termed healthy in your definition of health?What if the client’s view of health and your view of health are different?
PersonWhat is your definition of person (e.g., set of behavioral systems, biopsychosocial and spiritual being, energy field)?Who is the person being nursed (e.g., client, family, community)?What is your definition of person (e.g., set of behavioral systems, biopsychosocial and spiritual being, energy field)?Who is the person being nursed (e.g., client, family, community)?EnvironmentWhat is it? Where is it found?Are there different components to environment (e.g., emotional, spiritual, social, cultural, mainly physical)?Is environment separate from person?What is the nurse’s role in terms of environment?Are there internal and external environments, or is what is internal to a person part of the person?
Description and ExamplesThis whole philosophical statement is a statement of beliefs. However, for the purpose of teasing out and articulating your beliefs, these beliefs are divided into three types: definitions and description, assumptions, and values. Each of these should be written in separate paragraphs to ensure clarity and comprehensiveness.Beliefs: This should be a succinct definition (one or two sentences), followed by a broader description. For example, if part of your definition of person was the person is a biopsychosocial and spiritual being, then each of the component parts (e.g., spiritual being) would be described more fully.Assumptions: A given, something that you take for granted that it is true. Examples are: Humans are rational beings. Individuals desire to work collaboratively with their nurses.Values: Something you consider good (i.e., desirable, worthy, or of esteem). Examples are: All persons are of value and are worthy of respect. Clients should be treated with dignity. Confidentiality and privacy are essential throughout all interactions with clients. Persons should be given choice in their treatment regimens.*adapted from Table 1 in Hernandez, C. A. (2009). Student Articulation of a Nursing Philosophical Statement: An Assignment to Enhance Critical Thinking Skills and Promote Learning. Journal of Nursing Education, 48(6), 343-349.Submission Instructions:Post your content by clicking the “Create Thread” button in the Metaparadigm Concepts: Personal Philosophy Forum. It is recommended that you compose (and spellcheck) your post in Microsoft Word, then copy and paste it into the ‘message’ field. Enter a descriptive title that reflects the ideas of your post In the ‘subject’ field. When replying to your classmates’ posts, be sure you click the “Reply” button below the message to which you intend to reply

Evidence-based practice

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Initial Post Instructions

Evidence-based practice requires…evidence. The careful collection of evidence is the first job of every medical practitioner, not least the nurse, who has the most extensive and intimate contact with the patient. However, it does not stop with the nurse. Whatever your role – social worker, hospital administration, human services – whether your problem is the allocation of scarce resources, where to add or cut staff, or the treatment plan for a patient, you will need to present and defend your position in a clearly structured argument

For this discussion, address the following:

Explain how applying the methods of analyzing an argument can help you make and win your point.

As you collect and prepare to present your evidence-based argument, how might diagramming your findings be helpful in clearly and accurately conveying your findings?

Provide an example of how you might diagram your findings.

Follow-Up Post Instructions

Respond to at least two peers or one peer and the instructor. Further the dialogue by providing more information and clarification.

Writing Requirements

Minimum of 3 posts (1 initial & 2 follow-up)

APA format for in-text citations and list of references

Evidence-based practice requires…evidence. The careful collection of evidence is the first job of every medical practitioner, not least the nurse, who has the most extensive and intimate contact with the patient. However, it does not stop with the nurse. Whatever your role – social worker, hospital administration, human services – whether your problem is the allocation of scarce resources, where to add or cut staff, or the treatment plan for a patient, you will need to present and defend your position in a clearly structured argument

For this discussion, address the following:

Explain how applying the methods of analyzing an argument can help you make and win your point.

As you collect and prepare to present your evidence-based argument, how might diagramming your findings be helpful in clearly and accurately conveying your findings?

Provide an example of how you might diagram your findings.

Follow-Up Post Instructions

Respond to at least two peers or one peer and the instructor. Further the dialogue by providing more information and clarification.

Asperger's and diabetes in the community Presentation

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PDR-222068 Asperger’s and diabetes in the community Presentation • 2.5 cm margins and double line space your work,. • Font must be 12pt, unless otherwise indicated. • All pages must be numbered. • Student name and number must be included in the header or footer of every page of every assignment. • Assessment item 1- Asperger’s and diabetes in the community Essay: Addressing complexity in health care Value: 40% Length: 2000 words APA reference, minimum 10 references, from 2013 and younger Assignment 1 People with chronic conditions and disabilities often experience a range of concurrent physical and mental health issues that result in a complex scenario. It is known that chronic disease is the leading cause of death across the world (Johnson & Chang, 2014, p.2). Nurses need to be able to provide care to all health consumers, with a significant role in assessing a person, planning care, communicating with colleagues and ensuring that the holistic needs are met and evaluated.The ongoing nature of the conditions can result in longer term debilitating outcomes if not addressed appropriately. Children, young people, adults and older adults all experience the full range of health issues. This assignment encourages you to explore issues facing individuals confronted with long term health issues, to draw upon recent reports and current journal articles to present a paper that informs the reader about the key issues the group may face, the current trends in Australia and the key roles of the nurse within the health environment. Specifically, you will need to: Reflect on the complex issues related to both issues facing an individual child, young person, adults or older person with a combination of either: Criteria Part 1: 25% Reflects on complex issues facing a individual child, young person, adult or older person with a specific condition Part 2: 25% Discussed the key issues facing populations with the specific condition. Part 3: 25% Critically analyzed the nursing strategies for the person using guiding principles Presentation (nil marks) but marks will be deducted if poorly presented. Structure: 25% Introduction 5% Body 15% Conclusion 5% Referencing: marks will be lost for poor referencing style. Utilizes more than 10 papers, current, relevant and from a range of sources 7 pages, 15 APA references

Innovative Nursing Care Delivery Model.

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WRITE a paper (at least 750 words) on a Innovative Nursing Care Delivery Model. Read the two (2) articles below:
? Norlander, L. (Ed.). (2011). Transformational models of nursing across different care settings. Report: The future of nursing: Leading change, advancing health (Appendix G). Washington, DC: National Academy of Sciences, Institute of Medicine.
(CLICK on PDF file: TRANSFORMATIONAL NURSING MODELS)
NOTE: For this assignment, ignore curriculi/nurse education models
? Hughes, F. (2006). Nurses at the forefront of innovation. International Nursing Review, 53, 94-101.
(CLICK on PDF file: NURSING PRACTICE INNOVATIONS)
Baccalaureate-prepared nurses are expected to function as managers, educators, collaborators, advocates, and leaders within a variety of settings. These articles describe a variety of innovative or “transformational” models in nurse-managed care across various care settings. Another source of ideas are the vignettes and case studies found in your textbook chapters.
For this paper, you will develop an innovative nursing care delivery model for a vulnerable population, care specialty, and setting in the United States OR a low income global country that reflects nurse managed care, collaboration, care across settings, and technology.
For your paper, it is easiest to focus on one (1) population, one (1) health issue/disease, and one (1) type of setting within a country. Be specific. If you use a low income country, name your low income country (see list in module 1) and adjust your model to the disease(s) and conditions found within that country. Consider that low income countries will not have access to the same level of facilities, technology related to diagnostics and communication, medications, and the health care professionals found in the U.S.
? A vulnerable population can include low income children and/or adults; elderly; homeless; migrants; immigrants; racial & ethnic minorities, people with chronic health or terminal conditions/diseases (or any group at risk for obtaining appropriate health care).
? A care specialty can include preventative care; primary care; acute care; chronic care; palliative or end-of-life care (including the targeting of any disease or condition that results in a health risk).
??????????
? A setting can include rural or urban community housing and/or clinic; school; specialty unit in a hospital; emergency room; health provider office; armed services facility; rehabilitation facility; hospice facility; ambulatory health care center; client home; nursing home; prison or detention center; short term stay housing (or any setting where a vulnerable client/patient population is available for care).
a) Content of paper:
Title of Paper (top of page 2, centered) Innovative Nursing Care Delivery: [Name of Your Model]
PAPER HEADING: Introduction [Level 1] What is your model’s population, setting, care specialty, and your model’s goal(s) and/or purpose(s)? For example, are you targeting a particular group or disease/condition? Choose a name for your model and include it in your paper title.
PAPER HEADING: Description of the [Name of Your Model] [Level 2] You are welcome to use your creativity in the model–develop your own or base it on an existing model. For ideas, start with the articles found with the assignment, textbook (Global Health 101) scenarios, or do literature searches on the internet. However, be sure that the model is nurse-led or nurse-managed. Registered nurses have authority to make decisions regarding nursing diagnoses, interventions, and referrals. Registered nurse practitioners have additional authority related to medical diagnoses and interventions (prescriptions).
Be sure to include the themes crucial to meeting the challenges of the future: nurse- managed care, collaboration, continuity of care and technology in describing your model. Be aware of cost-effectiveness; you could develop the “Cadillac” of models, but no one would consider implementing it because the cost would be too high.
Nurse led and nurse managed health care. [Level 3] Were nurses instrumental in the development and implementation of your model? How is your model nurse managed? Are nurses consulted and/or make decisions re: budget, personnel, and the communication, referral, and evaluation processes?
Partnerships and collaboration. [Level 3] What partnerships and collaborations exist for your model? Are they at the professional level (i.e., social workers, nutritionists, community leaders) and/or the organizational level (home health care agencies, public health departments, hospitals)?
Continuity of care across settings. [Level 3] What happens when a patient/client moves to a different setting, i.e., home, hospital, hospice, clinic, emergency room, etc. How is communication handled so the patient/family needs are consistently met when moved across settings?
????????
Technology. [Level 3] What technology is used? Is it low-technology (basic assessment tools, screening tests) or high-technology (i.e, patient diagnostic, monitoring, and/or data processing systems) or a combination of both?
PAPER HEADING: Development/Implementation Team for the [Name of Your Model] [Level 2] Your team is important to carry out model’s goal(s). Depending on your model and setting, your team may include other registered nurses, nurse practitioners, community workers, nurse assistants, licensed practical nurses, nutritionists, physical therapists, occupational therapists, dentists, social workers, community leaders, psychologists, clergy, administrators, informatics technicians, physicians (if physicians are part of the team, they should function as consultants, not “captain of the ship”). Include your team members and briefly discuss their functions in carrying out the model goal(s)/purposes(s). How would communication and referrals be handled? Again–think about the cost effectiveness–could ancillary staff (nurse assistants, trained community workers) be used just as effectively?
PAPER HEADING: Evaluation of [Name of Your Model]: Outcome Measurement [Level 2] After implementation of the model, what outcomes would you measure Would you look at cost comparisons and/or savings? Patient satisfaction? Staff satisfaction? Fewer ER visits and/or re-hospitalizations? Decreased incidence of a particular disease/condition? Increased number of therapies? Increased knowledge of a disease or intervention?
For outcomes, be specific on what, who, when and how. For example, if you do a survey:
What type of survey is it (i.e., satisfaction, data gathering)?
Who would you survey (i.e., staff, patients, administrators)?
When would you do the survey (i.e., time period; pre/post tests)?
How would you conduct the survey (handout, mailing, computer analysis)?
b) An example of a nurse-managed model:
Below is an idea for a nurse-managed model. Your paper would be organized per the assignment instructions and more detailed regarding the health care delivery (nurse-led, collaboration/partnerships, continuity of care, and technology), and the functions of each of the team members, etc., but this is the start of an idea:
Let’s say you are a nurse working in community health and you are aware of three large migrant communities located in the rural areas around Homestead, Florida. The migrant workers who reside in these communities include their families–from infants to elderly. The communities are isolated and lack transportation and the ability to pay for and access local health care facilities.
????????
You develop a model named Bus Stop for Health. You obtain funding (donor and/or grant) to refurbish a bus or utilize a refurbished bus already owned by a local health care organization. The bus will include an examination room (with assessment devices, such as BP cuffs, otoscopes, exam tables), supplies for health screenings (i.e., diabetes, cholesterol, pap smears, etc.), and two rooms for consultation.
The purpose of the bus is to provide primary health care (preventative care, such as immunizations and well child exams), monitor chronic diseases (such as hypertension and diabetes), diagnose and treat minor illnesses, and provide health-related education for this population. A referral system will be established for specialty care, such as obstetrics. An informatics technician (IT) will establish a computerized (e-tablet) system to input, store, and access data in the field. Smart phones will be used for real time communication.
After consultation with and permission from the local community leaders in the migrant communities, the bus is scheduled to drive to and spend 1-2 days/week at each migrant community. Some folding chairs and a tarp will be carried in the bus so small covered outdoor or indoor health education sessions can be provided.
Regular team members on the bus will consist of a nurse practitioner, registered nurse, and receptionist/translator. Other team members will rotate in and out of the scheduled bus times on a regular basis. For example, you could include a social worker and dentist, (describe their specific functions/purposes for this migrant population) as rotating team members. A nurse midwife could also be included in the bus rotation for managing low risk pregnancies. A consultant and referral relationship with a physician or physicians could be established for more complicated health care problems. Commonly prescribed medications can often be obtained through pharmacies at reduced costs or free from donors.
Evaluation? Some outcomes looked at could be increased immunization rates, increased knowledge related to common chronic diseases, child safety, etc. (by using pre & post tests), reduced visits to the local ERs for minor illnesses), earlier prenatal care, or other outcomes of interest. You could also use surveys to determine patient and community leader satisfaction with the model.
c) In-text citations and a reference list MUST be found in your paper. See the Nursing Student Writing Guidelines Checklist for APA formatting.
d) UPLOAD completed paper (file) into the Assignment TURNITIN folder by the due date.
e) WRITING EVALUATION: See rubric on Course Content page
Paper: Innovative Nursing Care Delivery (750 words min)
Innovative Nursing Care Model; Development/Implementation Team for Innovative Nursing Care Model; Evaluation of Model: Outcome Measurement
Critical Thinking Skills (15 pts); Content Development (15 pts); Organization (15 pts)
???
References (15 pts); Format (15 pts); Computer/Technology Skills (25 pts)

Cardiovascular Alterations

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Cardiovascular Alterations

At least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to outline the importance of physical exams and health screenings for teenagers, especially those who play sports. During these health screenings, examiners check for cardiovascular alterations such as heart murmurs because they can be a sign of an underlying heart disorder. Since many heart alterations rarely have symptoms, they are easy to miss if health professionals are not specifically looking for them. Once cardiovascular alterations are identified in patients, it is important to refer them to specialists who can further investigate the cause.

Consider the following scenario:

A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.

To Prepare

Review the scenario provided, as well as Chapter 25 in the Huether and McCance text. Consider how you would diagnose and prescribe treatment for the patient.

Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.

Post a description of how you would diagnose and prescribe treatment for the patient in the scenario. Then explain how the factor you selected might impact the diagnosis and prescription of treatment for that patient. 

Required Readings

** Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

Chapter 23, “Structure and Function of the Cardiovascular and Lymphatic Systems”

This chapter examines the circulatory system, heart, systemic circulation, and lymphatic system to establish a foundation for normal cardiovascular function. It focuses on the structure and function of various parts of the circulatory system to illustrate normal blood flow.

Chapter 24, “Alterations of Cardiovascular Function”

This chapter presents the pathophysiology, clinical manifestations, evaluation, and treatment of various cardiovascular disorders. It focuses on diseases of the veins and arteries, disorders of the heart wall, heart disease, and shock.

Chapter 25, “Alterations of Cardiovascular Function in Children”

This chapter examines cardiovascular disorders that affect children. It distinguishes congenital heart disease from acquired cardiovascular disorders.

** Hammer, G. G. , & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.

Chapter 11, “Cardiovascular Disorders: Vascular Disease”

This chapter begins with an overview of the vascular component of the cardiovascular system and how the cardiovascular system is normally regulated. It then describes three common vascular disorders: atherosclerosis, hypertension, and shock.

**American Heart Association. (2012). Retrieved from http://www.heart.org/HEARTORG/ 

**Million Hearts. (2012). Retrieved from http://millionhearts.hhs.gov/index.html 

**National Heart, Lung, and Blood Institute. (2012). Retrieved from http://www.nhlbi.nih.gov/

Instructor Requirements

As advanced practice nurses, we are scholars, nurse researchers and scientists. As such, please use Peer-Reviewed scholarly articles and websites designed for health professionals (not designed for patients) for your references. Students should be using the original citation in Up

to Date and go to that literature as a reference. The following are examples (not all inclusive) of resources/websites deemed inadmissible for scholarly reference:

1. Up to Date (must use original articles from Up to Date as a resource)

2. Wikipedia

3. Cdc.gov- non healthcare professionals section

4. Webmd.com

5. Mayoclinic.com

– This work should have  Introduction and  Conclusion

– It should have at least 3 current references

– APA format

– At least 2 pages, references page not included

knowledge of nursing theory, nursing ethics, and professional accountability

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Introduction:

The purpose of this task is to develop a working knowledge of nursing theory, nursing ethics, and professional accountability and apply these concepts to your professional clinical practice. You will be required to think about real-life scenarios and how they relate to nursing codes in your professional practice.

Requirements:

  1. Explain the functional differences between a regulatory agency, such as a board of nursing, and a professional nursing organization as it pertains to your professional nursing practice.
  1. Identify two provisions from the American Nurses Association (ANA) Code of Ethics (available in the web links section below).
  1. Explain how each provision identified in part B influences your professional nursing practice by using a clinical example.
  1. Identify four professional traits from the ANA Code of Ethics provisions.
  1. Explain how you will bring the professional traits identified in part C to an interdisciplinary team of healthcare professionals.
  1. Identify a nursing theory that has influenced your professional practice.
  1. Explain how this theory fits your professional practice.
  1. Discuss how the contributions of one historical nursing figure have impacted your professional nursing practice, including modern-day application.
  1. Describe a real-world situation or hypothetical scenario in which you, as a nurse, protected two of the following principles for the patient:
  • beneficence
  • nonmaleficence
  • respect for autonomy
  • justice

Note: Do not include confidential patient information (e.g., name, location).

  1. When you use sources, include all in-text citations and references in APA format.

Note: For definitions of terms commonly used in the rubric, see the Rubric Terms web link included in the Evaluation Procedures section.

Note: When using sources to support ideas and elements in a paper or project, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the paper or project.

Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from outside sources, even if cited correctly. For tips on using APA style, please refer to the APA Handout web link included in the APA Guidelines section.

how advanced registered nurse roles relate to and collaborate with different areas of nursing practice

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Advanced registered nurses work in highly collaborative environments and must collaborate with interdisciplinary teams in order to provide excellent patient care. Besides knowing the role and scope of one’s own practice, it is essential to understand the role and scope of other nurse specialties to ensure effective collaboration among nurses, the organization, and other professionals with whom advanced registered nurses regularly interact.

Use the “Nursing Roles Graphic Organizer Template” to differentiate how advanced registered nurse roles relate to and collaborate with different areas of nursing practice. Compare your future role with one of the following: nurse educator; nurse leader; family nurse practitioner; acute care nurse practitioner; graduate nurse with an emphasis/specialty in public health, health care administration, business, or informatics; clinical nurse specialist; doctor of nursing practice. Indicate in the appropriate columns on the template which roles you are comparing.

Make sure to compare the following areas of practice in your graphic organizer:

1. Ethics

2. Education

3. Leadership

4. Public Health

5. Health Care Administration

6. Informatics

7. Business/Finance

8. Specialty (e.g., Family, Acute Care)

Include any regulatory bodies or certification agencies that provide guidance or parameters on how these roles incorporate concepts into practice.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

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.

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the concepts of informatics and knowledge work as presented in the Resources.

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NURS 6051N

1. In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

To Prepare:

Reflect on the concepts of informatics and knowledge work as presented in the Resources.

Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

Part 2:

Assignment: The Nurse Leader as Knowledge Worker

The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?

Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways.

In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a presentation with an info graphic to educate others on the role of nurse as knowledge worker.

Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.

To Prepare:

Review the concepts of informatics as presented in the Resources.

Reflect on the role of a nurse leader as a knowledge worker.

Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

Explain the concept of a knowledge worker.

Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.

Develop a simple infographic to help explain these concepts.

NOTE: For guidance on infographics, including how to create one in PowerPoint, see “How to Make an Infographic in PowerPoint” as presented in the Resources.

Present the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ replies.