Assignment Discussion: The Professional Code Of Ethics

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Assignment Discussion: The Professional Code Of Ethics

Moral Theories, Principles of Health Care Ethics, and Professional Ethics Codes

Ethics is a branch of philosophy devoted to the study of morality. Ethics has a long history of theories about determining right from wrong and identifying the principles of living a good life. For this assessment, you will be asked to apply foundational principles in ethics, such as autonomy and justice, in a relevant health care setting.

Each profession within health care has its own code of ethical behavior designed to help individuals within that profession to make sound ethical choices in carrying out the tasks and practices particular to their professional role. It may be useful to locate one or more relevant codes of ethics for your current or desired career path. This research will be beneficial to your professional development, and you will have a chance to apply it to the Tonya’s Case: Ethics and Professional Codes assessment in this course Assignment Discussion: The Professional Code Of Ethics.

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Autonomy, Truth-Telling, and Confidentiality

These are broad-ranging topics, which, if taken alone, seem almost comically simple. Of course, rational people of legal age should be able to make decisions concerning themselves and their minor children. Of course, medical professionals should be honest with patients, and, of course, patients should be honest with members of their health care teams. Of course, one’s medical issues should be kept private. But rarely are things as simple as they seem. Take some time to scratch beneath the surface, and we encounter myriad ethical dilemmas.

Honesty tends to be a revered trait in many cultures. However, many people admit to lying occasionally, especially if the intent is to spare someone pain, embarrassment, or anguish. Is lying to someone because of love, concern, or reputation ever ethical?

Privacy and confidentiality are also important concepts. But are there limits? Can the greater good ever outweigh the rights of individuals?

And at what point can others, whether an individual or an entity such as a government body, ethically determine someone’s actions, fate, or choices? Fluoridated water, smoking regulations, compulsory K–12 education, and speed limits are only a few examples of how we, as a society, agree to limited personal freedoms because these things are good for us Assignment Discussion: The Professional Code Of Ethics.

Demonstration of Proficiency

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

  • Competency 1: Articulate ethical issues in health care.
    • Articulate the time-tested theories of ethics.
    • Describe the strengths and weaknesses of the time-tested theories of ethics.
  • Competency 4: Explain the conceptual framework that health care leaders use to make ethical decisions.
    • Identify the decision criteria of the time-tested theories of ethics.

Preparation

As you begin work on your Ethical Theories Matrix assessment, it may be helpful to review the suggested resources focused on moral and ethical considerations. For your own reference, you may want to briefly jot down your thoughts related to:

  • An inventory of the basic principles of health care ethics. These principles are nonmaleficence, beneficence, utility, distributive justice, and autonomy.
    • An explanation of each principle as well as your own example to illustrate the application of each.

Instructions

Drawing from the material covered in the resources as well as your own research, complete this assessment using the Ethical Theory Matrix Template [DOC].

  • For each theory, first describe the decision criteria. The decision criteria are the instructions the theory gives for how to reach the morally correct choice in a situation that requires action.
  • Then, provide your own example of how someone might act using the decision criteria of the theory.
  • Finally, briefly describe the strengths and weaknesses of each theory using the last two columns of the Ethical Theory Matrix Template.

The suggested resources for this assessment could help you get a start on completing the matrix, but do not hesitate to use any outside resources that you can find online, the Capella library, or elsewhere.

This matrix is a tool you will use throughout the rest of the course. Submit your completed matrix as an attachment to this assessment.

Refer to the Matrix of Ethical Theories Scoring Guide for more information on how this assessment will be graded Assignment Discussion: The Professional Code Of Ethics.

Benchmark – Risk Management Program Analysis

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Benchmark – Risk Management Program Analysis    

The purpose of this assignment is to analyze how an organization’s quality and improvement processes contribute to its risk management program.

This assignment builds on the Risk Management Program Analysis – Part One assignment you completed in Topic 1 of this course.

Assume that the sample risk management program you analyzed in Topic 1 was implemented and is now currently in use by your health care employer/organization. Further assume that your supervisor has asked you to create a high‐level summary brief of this new risk management program to share with a group of administrative personnel from a newly created community health organization in your state who has enlisted your organization’s assistance in developing their own risk management policies and procedures. Benchmark – Risk Management Program Analysis

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Compose a 1,250‐1,500 word summary brief that expands upon the elements you first addressed in the Topic 1 assignment. In this summary brief, address the following points regarding your health care organization and its risk management program:

  1. Explain the role of your organization’s MIPPA-approved accreditation body (e.g., JC, ACR, IAC) in the evaluation of your institution’s quality improvement and risk management processes.
  2. Describe the roles that different levels of administrative personnel play in healthcare ethics and establishing or sustaining employer/employee-focused organizational risk management strategies and operational policies.
  3. Illustrate how your organization’s risk management and compliance programs support ethical standards, patient consent, and patient rights and responsibilities.
  4. Explain the legal and ethical responsibilities health care professionals face in upholding risk management policies and administering safe health care at your organization.
  5. Relate how your organization’s quality improvement processes support and contribute to its overall journey to excellence. Benchmark – Risk Management Program Analysis

In addition to your textbook, you are required to support your analysis with a minimum of three peer‐reviewed references.

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

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

BS Health Sciences

3.3 Explain the ethical and legal responsibilities of health care professionals related to risk management assessment and policies. Benchmark – Risk Management Program Analysis    

 

Nursing Leadership Paper Assignment

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Nursing Leadership Paper Assignment

Purpose

The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the NUR4827 course.

Course Outcomes

This assignment provides documentation of student ability to meet the following course outcomes:

  • The student will be able to identify the different roles of leadership and management in the nursing field.
  • The student will be able to analyze and apply the leadership and management role into the nursing profession. Nursing Leadership Paper Assignment

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Points

This assignment is worth a total of 100 points (10%).

Due Date

Submit your completed assignment under the Assignment tab by Sunday 11:59 p.m. EST of Week 15 as directed.

Requirements

  1. The Course Reflection is worth 100 points (10%) 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. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A forum under the Discussions tab.
  3. The length of the reflection is to be within three to six pages excluding title page and reference pages.
  4. 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): Nursing Leadership Paper Assignment

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). Nursing Leadership Paper Assignment

  1. Course Reflection
  2. Conclusion

Nursing Informatics Policy And Regulation

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Nursing Informatics Policy And Regulation

Informatics Policy/Regulation Fact Sheet

Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

  • Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:
    • Briefly and generally explain the policy or regulation you selected. (1 paragraph)
    • Explain the impact of the policy or regulation you selected on system implementation. Be specific and provide examples. (1 paragraph) Nursing Informatics Policy And Regulation

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    • Explain whether or not the policy or regulation you selected will impact improvement in outcomes and efficiencies for clinical care, patient/provider interactions, and workflow. (1 paragraphs)
    • Describe organizational policies and procedures that are/will be in place at your healthcare organization to address the improvement in outcomes and efficiencies by the policy or regulation you selected. Be specific. (1 paragraph) Nursing Informatics Policy And Regulation

      TN006: Policy and Regulation Supporting Informatics and Technology Integration: Evaluate legislative policies and regulations for health and nursing informatics and their impact on improvement for outcomes and efficiencies in nursing practice.

      Assessment Rubric

      Rubric Criteria 0

      Not Present 1

      Needs Improvement 2

      Meets Expectations

      Module 1: Policies and Regulations Impacting the Implementation of Health Information Technology

      Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain a health or nursing informatics policy/regulation that you selected. Your fact sheet should address the following:

       Briefly and generally explain the policy or regulation selected.

      Learning Objective 1.1 – Analyze legislative policies and regulations for health/nursing informatics

      A completed and properly formatted fact sheet is missing. The response explaining the legislative policy or regulation for health/nursing informatics selected is missing.

      An incomplete, inaccurate, or vague fact sheet is provided that may align to some proper formatting. The response inaccurately or vaguely explains the legislative policy or regulation for health/nursing informatics selected.

      A completed, accurate, and properly formatted fact sheet is provided. The response accurately and thoroughly explains in detail the legislative policy or regulation for health/nursing informatics selected.

       Explain the impact of the policy or regulation selected on system implementation. Be specific and provide examples Nursing Informatics Policy And Regulation.

       

      The response explaining the impact of the policy or regulation selected for health/nursing informatics on system implementation is missing.

      The response inaccurately or vaguely explains the impact of the policy or regulation selected for health/nursing informatics on system implementation.

      The response accurately and clearly explains in detail the impact of the policy or regulation selected for health/nursing informatics on system implementation.

      ©2017 Walden University 2

      Rubric Criteria 0

      Not Present 1

      Needs Improvement 2

      Meets Expectations

      Learning Objective 1.2 – Analyze the impact of legislative policies and regulations for health/nursing informatics on system implementation

      The response minimally synthesizes and integrates resources that may support the responses provided.

      The response synthesizes and integrates at least two outside resources and two competency-specific resources that fully support the responses provided.

      Module 2: The Role of Regulation for Improving Outcomes and Efficiency With Technology

       Explain whether or not the policy or regulation selected will impact improvement in outcomes and efficiencies for clinical care, patient/provider interactions, and workflow.

      Learning Objective 2.1 – Evaluate impact of legislative policies and regulations on outcomes and efficiencies for clinical care, patient/provider interactions, and workflow

      The response explaining whether or not the policy or regulation selected will impact improvement in outcomes and efficiencies for clinical care, patient/provider interactions, and workflow is missing.

      The response inaccurately or vaguely explains whether or not the policy or regulation selected will impact improvement in outcomes and efficiencies for clinical care, patient/provider interactions, and workflow.

      The response accurately and thoroughly explains in detail whether or not the policy or regulation selected will impact improvement in outcomes and efficiencies for clinical care, patient/provider interactions, and workflow.

       Describe organizational policies and procedures that are/will be in place at a healthcare organization to address the improvement in outcomes and efficiencies

      The response describing policies and procedures in healthcare organizations that are/will be in place to address the improvement in outcomes and efficiencies by

      The response inaccurately or vaguely describes policies and procedures in healthcare organizations that are/will be in place to address the improvement in outcomes

      The response accurately and thoroughly describes in detail the policies and procedures in healthcare organizations that are/will be in place to address the improvement in Nursing Informatics Policy And Regulation

       

       

       

      ©2017 Walden University 3

      Rubric Criteria 0

      Not Present 1

      Needs Improvement 2

      Meets Expectations

      by the policy or regulation selected. Be specific and provide examples.

      Learning Objective 2.1 – Analyze policies and procedures in healthcare organizations to support improvement in outcomes and efficiencies by legislative policies or regulations

      the policy or regulation selected is missing.

      and efficiencies by the policy or regulation selected. The response may provide accurate examples that partially support the policies and procedures for the healthcare organization. The response minimally synthesizes and integrates resources that may support the responses provided.

      outcomes and efficiencies by the policy or regulation selected. The response provides specific, credible, and detailed examples that support the policies and procedures for the healthcare organization. The response synthesizes and integrates at least two outside resources and two competency-specific resources that fully support the responses provided.

       

      Mastery Rubric No Yes

      Exceeds Expectations: Policy and Regulation Supporting Informatics and Technology Integration

      Learning Objective – Evaluate legislative policies and regulations for health and nursing informatics and their

      A fully developed and properly formatted fact sheet is not provided and fails to synthesize a health/nursing informatics policy or regulation and does not comprehensively detail the impact of the

      A fully developed and properly formatted fact sheet is provided that synthesizes a health/nursing informatics policy or regulation and comprehensively details the impact of the policy

      ©2017 Walden University 4

      impact on improvement for outcomes and efficiencies in nursing practice

      policy or regulation on system implementation and potential improvements in outcomes and efficiencies for clinical care, patient/provider interactions, and workflow. The fact sheet does not comprehensively describe policies and procedures in healthcare organizations that fully support the improvements in outcomes and efficiencies promoted by the health/nursing informatics policy or regulation examined.

      or regulation on system implementation and potential improvements in outcomes and efficiencies for clinical care, patient/provider interactions, and workflow. The fact sheet also comprehensively describes policies and procedures in healthcare organizations that fully support the improvements in outcomes and efficiencies promoted by the health/nursing informatics policy or regulation examined. Nursing Informatics Policy And Regulation

       

      Professional Skill Assessment

      0 Not Present

      1 Needs Improvement

      2 Meets Expectations

      PS001: Written Communication: Demonstrate graduate-level writing skills.

      Learning Objective PS 1.1: Use proper grammar, spelling, and mechanics.

      Multiple major and minor errors in grammar, spelling, and/or mechanics are highly distracting and seriously impact readability.

      Multiple minor errors in grammar, spelling, and/or mechanics are distracting and negatively impact readability.

      Writing reflects competent use of standard edited American English. Errors in grammar, spelling, and/or mechanics do not negatively impact readability.

      Learning Objective PS 1.2: Organize writing to enhance clarity.

      Writing is poorly organized and incoherent. Introductions, transitions, and conclusions are missing or inappropriate.

      Writing is loosely organized. Limited use of introductions, transitions, and conclusions provides partial continuity.

      Writing is generally well-organized. Introductions, transitions, and conclusions provide continuity and a logical progression of ideas.

      ©2017 Walden University 5

      Professional Skill Assessment

      0 Not Present

      1 Needs Improvement

      2 Meets Expectations

      Learning Objective PS 1.3: Apply APA style to written work.

      APA conventions are not applied.

      APA conventions for attribution of sources, structure, formatting, etc., are applied inconsistently.

      APA conventions for attribution of sources, structure, formatting, etc., are generally applied correctly in most instances. Sources are generally cited appropriately and accurately.

      Learning Objective PS 1.4: Use appropriate vocabulary and tone for the audience and purpose.

      Vocabulary and tone are inappropriate and negatively impact clarity of concepts to be conveyed.

      Vocabulary and tone have limited relevance to the audience.

      Vocabulary and tone are generally appropriate for the audience and support communication of key concepts.

      PS005: Critical Thinking and Problem Solving: Use critical-thinking and problem-solving skills to analyze professional issues and inform best practice.

      Learning Objective PS 5.1: Analyze assumptions and fallacies.

      Analysis of assumptions is missing.

      Response is weak in assessing the reasonableness of assumptions in a given argument. Response does not adequately identify and discuss the implications of fallacies or logical weaknesses in a given argument.

      Response generally assesses the reasonableness of assumptions in a given argument. Response identifies and discusses the implications of fallacies and/or logical weaknesses in a given argument.

      Learning Objective PS 5.2: Generate reasonable and appropriate assumptions. Nursing Informatics Policy And Regulation

      Assumptions are missing. Response does not adequately present and discuss key assumptions in an original argument.

      Response presents and discusses key assumptions in an original argument.

      ©2017 Walden University 6

      Professional Skill Assessment

      0 Not Present

      1 Needs Improvement

      2 Meets Expectations

      Learning Objective PS 5.3: Assess multiple perspectives and alternatives.

      Assessment of multiple perspectives is missing.

      Response does not identify nor adequately consider multiple perspectives or alternatives.

      Response identifies and considers multiple perspectives and alternatives.

      Learning Objective PS 5.4: Use problem-solving skills.

      Problems and solutions are not identified.

      Response presents solutions, but they are ineffective in addressing the specific problem Nursing Informatics Policy And Regulation.

Health Remote Collaboration on Evidence-Based Care

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Health Remote Collaboration on Evidence-Based Care

Create a 5–10 minute video of yourself, as a presenter, in which you will propose an evidence-based plan to improve the outcomes for a patient and examine how remote collaboration provided benefits or challenges to designing and delivering the care.

As technologies and the health care industry continue to evolve, remote care, diagnosis, and collaboration are becoming increasingly more regular methods by which nurses are expected to work. Learning the ways in which evidence-based models and care can help remote work produce better outcomes will become critical for success. Additionally, understanding how to leverage EBP principles in collaboration will be important in the success of institutions delivering quality, safe, and cost-effective care. It could also lead to better job satisfaction for those engaging in remote collaboration Health Remote Collaboration on Evidence-Based Care.

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Demonstration of Proficiency

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

  • Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
    • Reflect on which evidence was most relevant and useful when making decisions regarding the care plan.
  • Competency 3: Apply an evidence-based practice model to address a practice issue.
    • Explain the ways in which an EBP model was used to help develop the care plan.
  • Competency 4: Plan care based on the best available evidence.
    • Propose an evidence-based care plan to improve the safety and outcomes for a patient.
  • Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
    • Identify benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.
    • Communicate in a professional manner that is easily audible and uses proper grammar, including a reference list formatted in current APA style Health Remote Collaboration on Evidence-Based Care.

Professional Context

Remote care and diagnosis is a continuing and increasingly important method for nurses to help deliver care to patients to promote safety and enhance health outcomes. Understanding best EBPs and building competence in delivering nursing care to remote patients is a key competency for all nurses. Additionally, in some scenarios, while you may be delivering care in person you may be collaborating with a physician or other team members who are remote. Understanding the benefits and challenges of interdisciplinary collaboration is vital to developing effective communication strategies when coordinating care. So, being proficient at communicating and working with remote health care team members is also critical to delivering quality, evidence-base care.

Scenario

The Vila Health: Remote Collaboration on Evidence-Based Care simulation provide the context for this assessment.

Instructions

Before beginning this assessment, make sure you have worked through the following media:

  • Vila Health: Remote Collaboration on Evidence-Based Care.

For this assessment, you are a presenter! You will create a 5–10-minute video using Kaltura or similar software. In the video:

  • Propose an evidence-based care plan that you believe will improve the safety and outcomes of the patient in the Vila Health Remote Collaboration on Evidence-Based Care media scenario.
  • Discuss the ways in which an EBP model and relevant evidence helped you to develop and make decision about the plan you proposed
  • Wrap up your video by identifying the benefits of the remote collaboration in the scenario, as well as discuss strategies you found in the literature or best practices that could help mitigate or overcome one or more of the collaboration challenges you observed in the scenario.

Be sure you mention any articles, authors, and other relevant sources of evidence that helped inform your video. Important: You are required to submit an APA-formatted reference list of the sources you cited specifically in your video or used to inform your presentation.

The following media is an example learner submission in which the speaker successfully addresses all competencies in the assessment.

  • Exemplar Kaltura Reflection.
    • Please note that the scenario that the speaker discusses in the exemplar is different from the Vila Health scenario you should be addressing in your video. So, the type of communication expected is being model, but the details related to the scenario in your submission will be different.

Make sure that your video addresses the following grading criteria:

  • Propose an evidence-based care plan to improve the safety and outcomes for a patient based on the Vila Health Remote Collaboration on Evidence-Care media scenario.
  • Explain the ways in which an EBP model was used to help develop the care plan.
  • Reflect on which evidence was most relevant and useful when making decisions regarding the care plan.
  • Identify benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.
  • Communicate in a professional manner that is easily audible and uses proper grammar, including a reference list formatted in current APA style Health Remote Collaboration on Evidence-Based Care.

Refer to Using Kaltura [PDF] as needed to record and upload your video.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.edu to request accommodations. If, for some reason, you are unable to record a video, please contact your faculty member as soon as possible to explore options for completing the assessment Health Remote Collaboration on Evidence-Based Care.

Additional Requirements

Your assessment should meet the following requirements:

  • Length of video: 5–10 minutes.
  • References: Cite at least three professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements.
  • APA reference page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video. Be sure to format the reference page according to current APA style Health Remote Collaboration on Evidence-Based Care.

Assignment: Developing Organizational Policies and Practices

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Assignment: Developing Organizational Policies and Practices

Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.

Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice. Assignment: Developing Organizational Policies and Practices

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Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.

To Prepare:

  • Review the national healthcare issue/stressor you examined in your Assignment for Module 1 (which my issue/ stressor was the critical faculty shortage), and review the analysis of the healthcare issue/stressor you selected.
  • Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
  • Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs Assignment: Developing Organizational Policies and Practices.

The Assignment (4-5 pages):

Developing Organizational Policies and Practices

Add a section to the paper you submitted in Module 1. The new section should address the following:

  • Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
  • Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
  • Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
  • Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
  • Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations Assignment: Developing Organizational Policies and Practices.

CASE STUDY: Alcoholic or Nutritional Cirrhosis

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CASE STUDY: Alcoholic or Nutritional Cirrhosis

CASE STUDY: Liver Biopsy

Veronica is scheduled for a liver biopsy. The staff nurse assigned to care for Veronica is to accompany her to the treatment room.

1. Before a liver biopsy, the nurse should check to see that:

a. A compatible donor blood is available.

b. Coagulation studies have been completed.

c. Vital signs have been assessed.

d. All of the above have been done. (Blood must be compatible with the patient’s to prevent a transfusion reaction. Due to bleeding risks, coagulation studies should have been completed before liver biopsy. Standard percutaneous liver biopsy observations include monitoring the patient’s vital signs every 15 minutes for the first two hours, then every 30 minutes for two hours and then hourly for the rest of the remaining period. This protocol is reasonable when one considers that 61% of complications occur within the first two hours.) CASE STUDY: Alcoholic or Nutritional Cirrhosis

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2. The nurse begins preparing Veronica for the biopsy by assisting her to the correct position, which is:

a. Jackknife, with her entire back exposed.

b. Recumbent, with her right upper abdomen exposed. (Percutaneous Liver biopsy procedure uses needle inserted between 6th and 7th or 8th and 9th intercostal spaces on the right side to obtain specimen of hepatic tissue.)

c. Lying on her right side, with the left upper thoracic area exposed.

d. Supine, with the left lateral chest wall exposed.

3. The nurse knows that the biopsy needle will be inserted into the liver between the:

a. Third and fourth ribs.

b. Fourth and fifth ribs.

c. Sixth and seventh ribs.

d. Eight and ninth ribs.

4. Immediately before needle insertion, Veronica needs to be instructed to:

a. Breathe slowly and deeply so that rib cage expansion will be minimized during needle insertion.

b. Inhale and exhale deeply several times then exhale and hold her breath at the end of expiration until the needle is inserted.

c. Pant deeply and continue panting during needle insertion so pain perception will be minimized.

d. Take a deep inspiration and not breathe for 30 to 40 seconds so that the area for needle insertion can be determined; she should then resume normal breathing for the remainder of the procedure CASE STUDY: Alcoholic or Nutritional Cirrhosis.

5. After the biopsy, the nurse assists Veronica to:

a. High-Fowler’s position, in which she can effectively take deep breaths and cough.

b. Ambulate while splinting her incision

c. Assume the Trendelenburg position to prevent post biopsy shock.

d. The right side-lying position with a pillow placed under the right costal margin. (Keep patient lying on right side to splint puncture site.)

CASE STUDY: Paracentesis

Wendy is scheduled for a paracentesis because of ascites formation subsequent to cirrhosis of the liver.

1. Before the procedure, the nurse obtains several drainage bottles. She knows that the maximum amount of fluid to be aspirate at one time is:

a. 1L

b. 2L

c. 3L

d. 4L (Therapeutic paracentesis refers to the removal of maximum amount of fluid of 4L to reduce intra-abdominal pressure and relieve the associated dyspnea, abdominal pain, and early satiety.)

2. The nurse helps Wendy to assume the proper position for a paracentesis, which is:

a. Recumbent so that the fluid will pool to the lower abdomen.

b. Laying on her left side so that fluid will not exert pressure on the liver.

c. Semi-Fowler’s to avoid shock and provide the most comfort.

d. Upright with her feet resting on a support so that the puncture site will be readily visible. (Clients who have ascites are typically more comfortable sitting up.)

3. After the paracentesis, Wendy should be observed for signs of vascular collapse, which include all of the following except:

a. Bradycardia (Fluid volume deficit can occur due to increased fluid excretion by the kidneys or excessive diaphoresis which leads to tachycardia, not bradycardia.)CASE STUDY: Alcoholic or Nutritional Cirrhosis

b. Hypotension

c. Oliguria

d. Pallor

CASE STUDY: Cholecystectomy

Brenda, a 33-year-old obese mother of four, is diagnosed as having acute gallbladder inflammation. She is 5 feet tall and weighs 190 lb. The physician decides to delay surgical intervention until Brenda’s acute symptoms subside.

1. Brenda’s initial course of treatment would probably consist of:

a. Analgesics and antibiotics

b. Intravenous fluids

c. Nasogastric suctioning

d. All of the above (Pain management using analgesics is critical during an acute episode of cholecystitis. Morphine may be initially given for pain management. Vomiting associated with cholecystitis may lead to metabolic alkalosis and chloride shift. Administering NaCl will help compensate the shift in chloride levels. Inserting NG Tube experiencing severe vomiting will help decompress the stomach and minimize gallbladder stimulation.)

2. After her acute attack, Brenda was limited to low-fat liquids. As foods are added to her diet, she needs to know that she should avoid:

a. Cooked fruit

b. Eggs and cheese

c. Lean meats

d. Rice and tapioca

3. Brenda is being medicated with chenodeoxycholic acid. The nurse needs to tell Brenda that the drug may not be effective if it is taken in conjunction with:

a. Dietary cholesterol

b. Estrogens

c. Oral contraceptives

d. Any of the above

Because Brenda’s symptoms continue to recur, she is scheduled for gallbladder surgery.

1. Brenda has signed a consent form for removal of her gallbladder and ligation of the cystic duct and artery. She is scheduled for to undergo a:

a. Cholecystectomy

b. Cholecystostomy

c. Choledochotomy

d. Choledocholithotomy

2. Postoperative nursing observation includes assessing for:

a. Indicators of infection

b. Leakage of bile into the peritoneal cavity

c. Obstruction of bile drainage

d. All of the above

3. Brenda needs to know that fat restriction is usually lifted after the biliary ducts dilate to accommodate bile once held by the gallbladder. This takes about:

a. 1 week

b. 2 to 3 weeks

c. 4 to 6 weeks

d. 2 months.

CASE STUDY: Alcoholic or Nutritional Cirrhosis

Nathan, a 50-year-old physically disabled veteran, has lived alone for 30 years. He has maintained his independence despite chronic back pain resulting from a war injury. He has a long history of depression and limited food intake. He drinks 6 to 10 bottles of beer daily. He was recently admitted to a veteran’s hospital with a diagnosis of alcoholic or nutritional cirrhosis. He was asymptomatic for ascites.

1. On assessment, the nurse notes early clinical manifestations of alcoholic or nutritional cirrhosis, which include all of the following except:

a. Pain caused by liver enlargement

b. A sharp edge to the periphery of the liver

c. A liver decreased in size and nodular

d. A firm liver

2. An abnormal laboratory finding for Nathan is a:

a. Blood ammonia level of 35 mg/dL

b. Serum albumin concentration of 4.0 g/dL

c. Total serum bilirubin level of 0.9mg/Dl

d. Total serum protein level of 5.5 g/Dl

3. Nathan is 5 feet 8 inches tall and weighs 154 lb. The physician recommends 50 cal/kg for weight gain. Nathan’s daily caloric intake would be approximately: CASE STUDY: Alcoholic or Nutritional Cirrhosis

a. 2,200 calories

b. 2,800 calories

c. 3,500 calories

d. 3,800 calories

4. A recommended daily protein intake for Nathan to gain weight is:

a. 31 to 44 g

b. 41 to 54 g

c. 51 to 64 g

d. 61 to 74 g

5. The physician recommends a sodium-restricted diet. The nurse expects the suggested sodium intake to be approximately: CASE STUDY: Alcoholic or Nutritional Cirrhosis

Discussion Organizational culture and climate analysis

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Discussion Organizational culture and climate analysis

I. Purpose

The purpose of this assignment is to explore the culture and climate of the healthcare organization and its impact on providing a healthy, safe, and person-centered care and work environment. (CO 1,3,6)

III. Requirements

Description of the Assignment

This assignment provides an opportunity for the student to

  • Assess organizational culture and climate within a healthcare organization known to the student
  • Analyze the organizational culture and climate for its strengths and opportunities for improvement
  • Determine the organization’s capacity to provide a healthy, safe, person-centered environment for staff and patients based on it culture and climate
  • Reflect on the “fit” of personal leadership profile with the organization’s culture and climate Discussion Organizational culture and climate analysis

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IV. Preparing the Assignment

Requirements:

  1. Address all components of the Organizational Culture and Climate Assessment and Analysis Paper as outlined under “Assignment Directions and Criteria“.
  2. The paper is graded on quality and completeness of information, depth of thought, organization following outline provided, substantive narrative, use of citations, use of standard English, and writing conventions.
  3. Format:
    1. American Psychological Association. (2010). Publication manual of the American Psychological Association (current ed.). Washington, DC: Author. Is the source used for this paper
      1. Required elements
        1. Title page, reference page
        2. Page numbers, running head, doubles-spaced, times new roman, 12pt font, 1″ margins, level 1 headings
        3. Paper length: 6 maximum, excluding reference page, title page, and assessment tool
      2. Scholarly sources: Minimum of four (4) scholarly resources no older than 5 years Discussion Organizational culture and climate analysis
      3. Proof-reading
        1. Use spell check and grammar check and correct all errors
        2. Compare final draft to detailed outline directions to ensure all required elements included
      4. Submitting the paper
        1. Submit to Week 5 Assignment portal by Sunday, 11:59 p.m. MT
        2. Must achieve TII score < 24% to be graded
        3. Final submission only will be graded

DIRECTIONS AND ASSIGNMENT CRITERIA

This assignment has two steps and requires that you do an actual assessment and analysis of the healthcare organization within which you work.

Step 1: The Assessment Tool

Complete the Organizational Culture and Climate Assessment Tool (Links to an external site.). The tool is your data collection tool, or “notes-taking” pages you will need to complete before doing the analysis. You may already know some of the information, but some may require communication with key people in the organization, for example, human resources, financial officers, or nurse executives. Submitting the completed tool with your final paper submission is required. It is not included in your page count. You receive credit for completing and submitting it the items in the following outline Discussion Organizational culture and climate analysis.

Step 2: The Analysis

Analyze the findings from your assessment following the outline below. (See the rubric for specific criteria within each section)Support your analysis and conclusions with specific evidence from your assessment and scholarly sources. The paper will contain the following components with headings as required. (Remember, no heading is used for the introduction section)

  1. Introduction
    1. Stated purpose
    2. Definition of organizational culture vs climate
    3. Broad overview of components of the paper
  2. Organizational culture and climate analysis
    1. Summary of assessment findings
    2. Mission, vision, and goals reflected in culture and climate
    3. Strengths and Opportunities for improvement
    4. Climate reflective of culture
  3. Healthy, safe, person-centered care environment capacity
    1. Describe the organizational culture’s capacity to support
    2. What would a visiting potential staff recruit experience about the institution’s culture that would attract them to work there?
    3. Nurse leader’s role in setting the organizational culture and climate to promote a healthy work environment?
  4. Implications
    1. Two strategies to address the opportunities for improvement
    2. Alignment of Personal Leadership Profile and Organizational Culture and Climate
  5. Conclusion
    1. Broadly address the what has been accomplished in the paper Discussion Organizational culture and climate analysis

Assignment: Planned Change: Leadership of Reduction in Workforce

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Assignment: Planned Change: Leadership of Reduction in Workforce

Purpose

The purpose of this experiential learning activity is to apply nursing leadership knowledge and skills to plan for organizational change with system-wide impact. (CO 2, 3, 5)

Due Date: Sunday 11:59 PM MT at the end of Week 6

Total Points Possible: 250

Requirements

Description of the Assignment

This assignment provides the opportunity for the student to:

· Create an evidence-based plan for system-wide change guided by a selected organizational change model

· Engage in high-level decision-making processes common in the nurse executive role

· Use reflective practice knowledge and skills in making high level decision making and change management Assignment: Planned Change: Leadership of Reduction in Workforce

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Preparing the Assignment

1. Address all components of the Advanced Communication in Systems Leadership paper as outlined under “Assignment Directions and Criteria”.

2. The paper is graded on quality and completeness of information, depth of thought, organization following outline provided, substantive narrative, use of citations, use of Standard English, and writing conventions.

3. Format:

a. American Psychological Association. (2010). Publication manual of the American Psychological Association (current ed.). Washington, DC: Author. Is the source used for this paper

i. Required elements

1. Title page, reference page

2. Use Microsoft Word

3. Page numbers, running head, doubles-spaced, times new roman, 12pt font, 1” margins, level 1 headings

4. Paper length: 7 maximum, excluding reference page and title page

b. Scholarly sources

i. Minimum of four (4) scholarly resources no older than 5 years (See: What is a Scholarly Source under APA resources) Assignment: Planned Change: Leadership of Reduction in Workforce

c. Proof-reading

i. Use spell check and grammar check and correct all errors

ii. Compare final draft to detailed outline directions to ensure all required elements included

iii. Submitting the paper

1. Submit to Week 2 Assignment portal by Sunday, 11:59 p.m. MT

2. Must achieve TII score < 24% to be graded

3. Final submission only will be graded

 

DIRECTIONS AND ASSIGNMENT CRITERIA

You will use the following headings for your paper:

I. Approach to the organizational mandate

a. Purpose of the paper

b. Overview of the tasks, potential challenges, and implications of a reduction in workforce

II. Part II: Reduction in Workforce-Deciding

a. Using Human Resources (HR) metrics Table 1

i. Approach, choices, rationale

ii. Challenges presented (including role of ethics) Assignment: Planned Change: Leadership of Reduction in Workforce

b. Using HR metrics with Relative Information Table 2

i. Approach, choices, rational

ii. Challenges presented

iii. Conflicts raised

iv. Negotiation used

III. Part III: Reduction in Workforce-Planning the Change

a. Overview of reorganization plan including timeline

b. Plan for change and application of Kotter’s or Rogers’ change model

c. Anticipated conflict (three areas) and the benefits of using a change model

IV. Healthy work environment

a. Describe department and system-wide implications, impact, and conflict

b. Strategies for addressing morale and motivation of remaining workforce

V. Summary/Conclusions

a. Restatement of purpose

b. Overview of tasks

c. What was learned

 

 

 

Part I: Approach to the Organizational Mandate

In this section, provide a statement of purpose for the paper and overview of what will be covered in the paper, including the overview of tasks, potential challenges, and implications of a reduction in workforce in general.

Part II: Reduction in Workforce-Deciding

This section deals with the initial task of determining which employees that will be let go during the reduction in workforce. In Section A, you are to select the 10 positions based solely on the information in Table 1. The questions following the table address the content that should be included in your paper. Once completed, move to Section B, Table 2 and again address the content being asked in your paper Assignment: Planned Change: Leadership of Reduction in Workforce.

 

Scenario

Roxboro Medical Center is a 200 bed inpatient facility located in a sprawling suburban area in the rural south. Until two years ago, it was the only medical facility within a 75 mile radius when The Jonas Center, a 100 bed day hospital and ambulatory care center, opened 25 miles away. Over the past two years, Roxboro has lost approximately 25% of its market share. The 10% drop last year was adjusted for through re-organization of the workforce, reduction in hours, attrition of employees through early retirement and changing jobs to the new facility. However, this year there has been an additional 15% decline in market share resulting in a dire need to reduce the workforce. Since Roxboro is restricted by mandatory staffing ratios, and last year they lost the maximum number of staff possible and still remain within regulatory compliance. The board of directors, CEO, and CFO have determined a 30% reduction in the management workforce across the hospital will be needed. The timeline for this to occur is over the next six (6) months. It will be up to the department heads to determine how they will reduce the positions and re-organize job duties.

Section A: Table 1: Human Resource Manager Work Metrics

You are the Chief Nursing Officer and have the largest number of management positions because yours is the largest department in the hospital. With a total of 33 positions that include house supervisors, unit managers, and charge nurses, you are being asked to reduce the total number by 30%, or ten (10) positions. Further attrition through job changes or retirement is not anticipated. Human Resources has established two criteria for the reduction in workforce (RIF). These are last hired and low performance. Each department is sent a chart that includes this information on employees who have been with the hospital 15 years or less and the performance rating for each.

Your table has no identifiers and while you might have an idea of who the people are, you have only positions information available. Your table looks like this: Assignment: Planned Change: Leadership of Reduction in Workforce

 

 

Roxboro Medical Center

Human Resources Manager Work Metrics
Position Years since Hire Time in Management Performance Rating

Ave/Recent

 Unit Size/ number of beds RIF or Stay

Rationale
HS.1 10 3 years High/High    
HS.2 12 8 years High/High    
HS.3 15 12 years High/Low    
UM.1 6 2 years High/High    
UM.2 5 18 months High/High    
UM.3 4 2 years High/Low    
UM.4 7 5 years High/Low    
UM.5 10 9 mths High/High    
UM.6 15 5 years High/Low    
CN.1 5 1 year High/High    
CN.2 8 4 years High/High    
CN.3 3 2 years High/High    
CN.4 2 6 mths Too soon to evaluate    
CN.5 12 4 years High/Low    
CN.6 6 2 years High/Low    
CN.7 8 3 years High/Low    
*Performance evaluations are expressed as A/R = average for years in position/most recent year

HS=House Supervisor: UM=Unit Manager; CN=Charge Nurse;

 

Based only on the Human Resources given you in this table include the following information in your paper:

Who will you choose? Rationale?

What was your approach to making the selection?

How easy or difficult was it to make your decisions with only this information?

What challenges were presented in making these choices? Assignment: Planned Change: Leadership of Reduction in Workforce

 

Section B: Table 2: Human Resource Manager Work Metrics with Related Information

The word is out that the RIF is going to occur though no details of the process have been shared with the employees. You’re getting calls frequently from some of the staff who want to know if they are in danger of being dismissed or sharing reasons why they can’t be.

Since making your preliminary decision of who to let go, and before you’ve made any announcements, you record the information you received from some of the staff and placed it in your table. Now the table includes the size of the units where each of these positions is located which will be important in the reorganization, and some of the personal information gleaned from telephone calls you’ve received. Having these pieces of information causes you to question your original decisions. The shaded area contains the information now known to you and is not part of the table that came from HR Assignment: Planned Change: Leadership of Reduction in Workforce.

Discussion: Clinical Supervision

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Discussion: Clinical Supervision

 

Post a 3- to 5-minute Kaltura video that addresses the following:

  • Describe an older client you are counseling whom you do not think is adequately progressing according to expected clinical outcomes.

Note: Do not use the client’s actual name.

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  • Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.
  • Identify any additional information about this client that may potentially impact expected outcomes. Support with evidence-based literature and/or your own experiences with clients.