Overview

Develop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles. Describe the issues and a possible solution in a 3 page paper.

For this assessment, you will develop a solution to a specific ethical dilemma faced by a health care professional. Read each portion of the assessment carefully and use the suggested resources to help you complete the assessment. This assessment provides an opportunity to consider ethical principles and how they can be applied in health care situations.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.

· Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.

Competency 3: Apply ethical principles and academic standards to the study of health care.

· Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.

· Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.

Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others, and that is consistent with expectations for health care professionals.

· Discuss the effectiveness of the communication approaches present in a case study.

· Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

· Write following APA style for in-text citations, quotes, and references.

Assessment Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.

For this assessment, you will develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:

1. Access the Ethical Case Studies media piece linked in the Resources to review the case studies you may use for this assessment and select the case most closely related to your area of interest and use that case study to complete the assessment. 

. Note: The case study may not supply all of the information you may need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.

· Identify which case study you selected, briefly summarize the facts surrounding the case study, and identify the problem or issue in the case study that presents an ethical dilemma or challenge and describe that dilemma or challenge. 

. Use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) found in the Ethical Decision-Making Model media piece in the Resources to analyze the ethical issues.

· Analyze the factors that contributed to the problem or issue. 

. Identify who is involved or affected by the problem or issue.

. Describe the factors that contributed to the problem or issue and explain how they contributed.

. In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. 

. Cite and apply the journal article as evidence to support your critical thinking and analysis of the case.

. Assess the credibility of the information source.

. Assess the relevance of the information source.

· Discuss the effectiveness of the communication approaches present in the case study. 

· Describe how the health care professional communicated with others.

· Describe the communication and communication strategies that were applied, both in creating and in resolving the problems or issues presented.

· Assess instances where the professional communicated effectively or ineffectively.

· Discuss the effectiveness of the approach used by the professional related to any problems or issues involving ethical practice in the case. 

· Describe the actions taken in response to the ethical dilemma or challenge presented in the case study.

· Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.

· Discuss the key lessons this case provides for health care professionals.

· Apply ethical principles to a possible solution to the proposed problem or issue from the case study. 

· Describe the proposed solution.

· Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.

· Discuss how likely it is the proposed solution will foster professional collaboration.

· Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics. 

· Determine the proper application of the rules of grammar and mechanics.

· Write using APA style for in-text citations, quotes, and references. 

· Determine the proper application of APA formatting requirements and scholarly writing standards.

· Apply the principles of effective composition.

· Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.

Example Assessment: You may use the assessment example, linked in the Assessment Example section of the Resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

Additional Requirements

1. Length: At least 3 typed, double-spaced pages, not including the title page and reference page.

2. Font and font size: Times New Roman, 12 point.

3. APA Template: Use the APA Style Paper Template as the paper format and the APA Style Paper Tutorial for guidance. See the Resources for these documents.

4. Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

5. References: Integrate information from outside sources to include at least two references (the case study and an academic peer-reviewed journal article) and three in-text citations within the paper.

6. APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.

7. Turnitin: Submit your assessment to Turnitin prior to grading. Then, only submit your final assessment to faculty for grading.

Note: Read the Applying Ethical Principles Scoring Guide to fully understand how your paper will be graded.

Submit your paper for evaluation by clicking on the assessment title and uploading the paper as a Word document.

If you would like assistance in organizing your assessment, or if you simply have a question about your assessment, please do not hesitate to ask your courseroom instructor or the teaching assistants in the NHS Learner Success Lab for guidance and suggestions.

Overview

Create a 4-6 page annotated bibliography and summary based on your research related to best practices addressing a current health care problem or issue of interest to you.

For this assessment, you will select and research a current health care problem or issue faced by a health care organization. Read each portion of the assessment carefully and use the Suggested Resources to help you complete the assessment. This assessment provides an opportunity to apply research skills to a current health care problem or issue.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.

· Identify academic peer-reviewed journal articles relevant to a health care problem or issue and describe the criteria used for the literature search.

· Summarize what was learned from developing an annotated bibliography.

Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.

· Assess the credibility and relevance of information sources.

· Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format.

Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others, and that is consistent with expectations for health care professionals.

· Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

· Write following APA style for in-text citations, quotes, and references.

Assessment Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.

For this assessment, you will research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 3. To explore your chosen topic, you should use the first two steps of the Socratic Problem-Solving Approach as described on Campus to aid your critical thinking.

1. View the Assessment Topic Areas media piece linked in the Resources and select one of the health care problems or issues in the media piece to research. Write a brief overview of the selected topic. In your overview: 

. Describe the health care problem or issue.

. Describe your interest in the topic.

. Describe any professional experience you have with this topic.

· Conduct a search for scholarly or academic peer-reviewed literature related to the topic and describe the criteria you used to search for articles, including the names of the databases you used. 

. You will want to access the applicable Undergraduate Library Research Guide related to your degree (found at the NHS Learner Success Lab) for tips to help you in your search.

. Use keywords related to the health care problem or issue you are researching to select relevant articles.

· Assess the credibility of the information sources you find. 

. Determine if the source is from an academic peer-reviewed journal.

. Determine if the publication is current.

. Determine if information in the academic peer-reviewed journal article is still relevant.

· Select four current scholarly or academic peer-reviewed journal articles published during the past three to five years that relate to your topic.

· Explain the relevance of the information sources. 

. Describe how the health care problem or issue is addressed in each source.

. Discuss what kind of contribution each source provides on your selected topic.

· Analyze the scholarly literature or academic peer-reviewed journal articles using the annotated bibliography organizational format. 

. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic.

. List the full reference for the source in APA format (author, date, title, publisher, et cetera) and use APA format for the annotated bibliography.

. Make sure the references are listed in alphabetical order, are double-spaced, and use hanging indents.

. Follow the reference with the annotation.

· In your annotation: 

. Identify the purpose of the article.

. Summarize the source: 

. What are the main arguments?

. What topics are covered?

· Include the conclusions and findings of the article.

· Write your annotation in a paragraph form. The annotation should be approximately 150 words (1 to 3 paragraphs) in length.

· In a separate paragraph or two at the end of the paper, summarize what you learned from your research. 

· List the main points you learned about.

· Summarize the main contributions of the sources you chose and how they enhanced your knowledge about the topic.

Example Assessment: You may use the assessment example, linked in the Assessment Example section of the Resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

Additional Requirements

1. Length: At least 4 typed, double-spaced pages, not including the title page and reference page.

2. Font and font size: Times New Roman, 12 point.

3. APA Template: Use the APA Style Paper Template as the paper format and the APA Style Paper Tutorial for guidance. See the Resources for these documents.

4. Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

5. Content: Provide a title page and reference page following APA style.

6. References: Use at least four scholarly or academic peer-reviewed journal articles.

7. APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.

8. Turnitin: Submit your assessment to Turnitin prior to grading. Then, only submit your final assessment to faculty for grading.

Note: Review the Applying Research Skills Scoring Guide for the grading criteria applied to this assessment.

If you would like assistance in organizing your assessment, or if you simply have a question about your assessment, please do not hesitate to ask your courseroom instructor or the teaching assistants in the NHS Learner Success Lab for guidance and suggestions.

a. TURNITIN similarity index will not pickup inadvertent self‐plagiarism from another team member’s submission  b. Course faculty will have only one submission to review and grade.  4. Use Microsoft PowerPoint 2007, 2010 or higher for systems’ compatibility.  a. Follow the best practices for PowerPoint construction & presentation  

Preparing the Presentation    1. Prepare a PowerPoint presentation with speaker notes between 25‐30 slides, NOT including the title and reference slides.  a. Speaker Notes   i. Outline and “script” the presentation for online students.   ii. Online students’ speaker notes should include the name of the student who researched and presented the slide information.  iii. Campus students follow the guidelines of your course instructor.  b. Scholarly writing and APA 6th Edition guidelines should be followed as applicable to  PowerPoint slides.  c. Cite sources in APA format in the applicable slides and include the APA formatted reference in your reference list slide(s) ‐ Minimum 6 references  d. Spelling, grammar, and punctuation apply even in bullet points and speaker slides (e.g., quotation marks, italics, verb tense, etc.)  e. Copyright and plagiarism rules apply  2. Each team will be assigned a healthcare information systems technology (e.g., Computerized Physician Order Entry, Electronic Health Record, Electronic Medical Record, etc.) by the course instructor. For that technology, include the following discussions in the presentation:  a. Introduce the technology & the team  i. Title slide should identify the assigned technology and introduce team members  ii. Provide an introduction  1. Describe the technology  2. Purpose for the technology in healthcare.   3. Establish the professional tone for the presentation.  b. History & Current Use  i. Describe significant findings that prompted the development of the technology  ii. Discuss the history and current use of the technology in healthcare  iii. Describe three goals of this technology’s implementation.  c. Impact on healthcare and nursing  i. Impact on professional nursing practice.   ii. Patient safety impact (including statistical justification)  iii. Impact on patient care delivery, quality care measures/monitoring, and risk management (privacy, confidentiality, and security) as applicable.  1. Ethical & legal considerations.   2. Infrastructure/operational consequences (e.g., budget, costs, etc.)  3. Impact on a population and/or geographic region    4. Provide examples & statically significant data to support examples.  

NR360 Technology Presentation Guidelines V1.docx              Revised for SEP17 tz/css/slp  3   

d. Three advantages and disadvantages  i. Patient’s vantage point or perspective (e.g., patient outcomes, safety, patient/family satisfaction).  ii. Nurse’s vantage point (improves/hinders job efficiency/safety)   iii. Healthcare organization’s vantage point (regulatory compliance, financial, etc.)   e. Controversy/Issues/Challenges/Regulatory implications   i. How might issues surrounding the chosen technology be addressed/solved?  ii. Provide statically significant data or evidence to support your findings.  f. Summary  i. Key points  ii. Discoveries/surprises iii. Lessons learned by the team  3. Team Project Evaluation (40 points)  a. Place & discuss the following questions and responses in the slides(s) following the summary slide and prior to the reference slide(s).   i. How did the team function well?  (e.g., team strengths, team balance, etc.)  ii. What problems did you have interacting as a team? (e.g., team weaknesses, outside challenges, technology, etc.)  iii. What specific actions would you recommend to future teams to help them interact, function, and collaborate successfully?

Please Note: All the under listed  below points/ requirements have been stated above. 

1. It is a Power point Slide Presentation

2. It must be 25 to 30 Power point slides

3. Must include 6 references, at least

4. APA format

5. Speaker’s note must be include down the slides

6. Citations must be included.

7. Please, watch out for plagiarism or plagiarized works as this assignment will be placed on TurnItIn.

Discussion: Developing a Balanced Scorecard

How does a group gauge whether the strategic changes they implement are creating sound business results?

The effective use of a balanced scorecard can facilitate alignment between strategic initiatives and day-to-day operations. The balanced scorecard may serve as a valuable tool for monitoring progress and assessing the outcomes of a strategic plan and provide a practical means of communication.

In this Discussion, you examine the use of a balanced scorecard to measure performance related to finances, customer/client satisfaction, internal processes, and learning and growth.

To prepare:

Review the information in the Learning Resources, including this week’s media presentation, focusing on the development of performance metrics for a strategic plan. See Figure 8-6: Design your Balanced Scorecard in the Sare and Ogilvie course text.

With your Course Project in mind, think about how you would develop a balanced scorecard to measure performance, including the processes you would use to gather appropriate data.

Consider how the use of a balanced scorecard reflects the importance of being able to evaluate progress, assess the impact of planned change on performance, and determine if the costs are justified in terms of the outcomes.

Post an explanation of your plan for creating a balanced scorecard as part of your Course Project, including the processes you would use to gather data to measure performance. Explain how the use of this balanced scorecard would enable you to evaluate progress, assess the impact of your proposed change, and determine if the costs are justified in terms of the outcomes.

Read a selection of your colleagues’ responses. (I will send the peer responses on the handshake private message)

Respond to at least two of your colleagues on two different days by offering suggestions for further developing their balanced scorecards. Ask questions to peer responses at the end of every response. Cite your responses.

Required Readings

Sare, M. V., & Ogilvie, L. (2010). Strategic planning for nurses: Change management in health care. Sudbury, MA: Jones and Bartlett.

Chapter 8, “Overview of Strategic Planning Theories: Strategic Planning Architecture” (pp. 147–166)

 Fields, S. A., & Cohen, D. (2011). Performance enhancement using a balanced scorecard in a patient-centered medical home. Family Medicine, 43(10), 735–739.

Copyright 2011 by Society of Teachers of Family Medicine. Reprinted by permission of Society of Teachers of Family Medicine via the Copyright Clearance Center.

The authors discuss using a balanced scorecard for quality improvement in patient-centered medical homes.

 Groene, O., Brandt, E., Schmidt, W., & Moeller, J. (Aug 2009). The balanced scorecard of acute settings: Development process, definition of 20 strategic objectives and implementation.International Journal for Quality in Health Care, 21(4), 259–271.

Copyright 2009 by Oxford University Press – Journals. Reprinted by permission of Oxford University Press – Journals via the Copyright Clearance Center.

In this article, the authors discuss the use of a balanced scorecard as a tool for strategic planning in hospitals. The article includes an example of a strategy map, timeline, and balanced scorecard.

 Jeffs, L., Merkley, J., Richardson, S., Eli, J., & McAllister, M. (2011). Using a nursing balanced scorecard approach to measure and optimize nursing performance. Nursing Leadership, 24(1), 47–58.

Copyright 2011 by Longwoods Publishing Corporation. Reprinted by permission of Longwoods Publishing Corporation via the Copyright Clearance Center.

 Kollberg, B., & Elg, M. (2011). The practice of the balanced scorecard in health care services.International Journal of Productivity and Performance Management, 60(5), 427–445.

Retrieved from the Walden Library databases.

The authors look at the use of a balanced scorecard for health care performance management in Sweden.

Lupi, S., Verzola, A., Carandina, G., Salani, M., Antonioli, P., & Gregorio, P. (2011). Multidimensional evaluation of performance with experimental application of balanced scorecard: A two year experience. Cost Effectiveness and Resource Allocation, 9(1), 7.

Retrieved from the Walden Library databases.

This article examines the application of a balanced scorecard within a unit in a hospital to compare performance results and goal achievement.

 Balanced Scorecard Institute. (2013). Balanced scorecard basics. Retrieved fromhttp://www.balancedscorecard.org/BSCResources/AbouttheBalancedScorecard/tabid/55/Default.aspx

View the information on this website to learn about balanced scorecards.

 Mountain State Group. (n.d.) Balanced scorecards for small rural hospitals: Concept overview and implementation guidance. Retrieved March 13, 2013, fromhttp://www.ruralcenter.org/sites/default/files/Final%20BSC%20Manual%2010.18F.pdf

 The Scarborough Hospital. (2013). Balanced scorecard. Retrieved fromhttp://tsh.to/pages/Balanced-Score-Card

This website provides an example of a balanced scorecard.

 Sunnybrook Health Sciences Centre. (2013). Balanced scorecard. Retrieved fromhttp://sunnybrook.ca/scorecard/index.asp#sr

This website provides an example of a balanced scorecard.

Required Media

Laureate Education (Producer). (2013a). The balanced scorecard approach [Video file]. Retrieved from the https://class.waldenu.edu

Note:  The approximate length of this media piece is 3 minutes.

Dr. Carol Huston discusses the elements and use of a balanced scorecard as a strategic planning evaluation tool.

Discussion: Sleep/Wake Disorders order code 0070004002019BB


Subject Area


Coursework


task (TSE) A new Task-


No.of pages/Wordcount


2 page


Urgency 6 to 12 hours. 




Citation Style


APA Style




Assignment Details


Discussion: Sleep/Wake Disorders
It is not uncommon to experience a night or two of disrupted sleep when there is something major going on in your life. However, sleep/wake disorders are much more than an occasional night of disrupted sleep. A recent report from the Centers for Disease Control and Prevention estimated that between 50 and 70 million American have problems with sleep/wake disorders (CDC, 2015). Although the vast majority of Americans will visit their primary care provider for treatment of these disorders, many providers will refer patients for further evaluation. For this Discussion, you consider how you might assess and treat the individuals based on the provided client factors.


Learning Objectives
Students will:
Assess client factors and history to develop personalized therapy plans for clients with sleep/wake disorders
Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for sleep/wake disorders
Evaluate efficacy of treatment plans for clients presenting for sleep/wake therapy
Apply knowledge of providing care to adult and geriatric clients presenting for sleep/wake disorders
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.


Required Readings
Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.


Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.






To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.


Chapter 11, “Disorders of Sleep and Wakefulness and Their Treatment”
Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.






To access information on the following medications, click on The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate medication.






Review the following medications:


For insomnia


alprazolam
amitriptyline
amoxapine
clomipramine
clonazepam
desipramine
diazepam
doxepin
flunitrazepam
flurazepam
hydroxyzine
imipramine
lorazepam
nortriptyline
ramelteon
temazepam
trazodone
triazolam
trimipramine
zaleplon
zolpidem


American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.


Note: Retrieved from Walden Library databases.


Davidson, J. (2016). Pharmacotherapy of post-traumatic stress disorder: Going beyond the guidelines. British Journal of Psychiatry, 2(6), e16-e18. doi:10.1192/bjpo.bp.116.003707. Retrieved from http://bjpo.rcpsych.org/content/2/6/e16


To prepare for this Discussion:


Note: By Day 1 of this week, your Instructor will have assigned you to one of the following case studies to review for this Discussion. To access the following case studies, click on the Case Studies tab on the Stahl Online website and select the appropriate volume and case number.


Case 1: Volume 2, Case #16: The woman who liked late-night TV


Case 2: Volume 2, Case #11: The figment of a man who looked upon the lady


Case 3: Volume 1, Case #5: The sleepy woman with anxiety


Review this week’s Learning Resources and reflect on the insights they provide.
Go to the Stahl Online website and examine the case study you were assigned.
Take the pretest for the case study.
Review the patient intake documentation, psychiatric history, patient file, medication history, etc. As you progress through each section, formulate a list of questions that you might ask the patient if he or she were in your office.
Based on the patient’s case history, consider other people in his or her life that you would need to speak to or get feedback from (i.e., family members, teachers, nursing home aides, etc.).
Consider whether any additional physical exams or diagnostic testing may be necessary for the patient.
Develop a differential diagnoses for the patient. Refer to the DSM-5 in this week’s Learning Resources for guidance.
Review the patient’s past and current medications. Refer to Stahl’s Prescriber’s Guide and consider medications you might select for this patient.
Review the posttest for the case study.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!


By Day 3
Post a response to the following:


Provide the case number in the subject line of the Discussion.
List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions.
Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.
Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.
List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.
List two pharmacologic agents and their dosing that would be appropriate for the patient’s sleep/wake therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.
If your assigned case includes “check points” (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided.
Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations.
Read a selection of your colleagues’ responses.