Ethical And Legal Implications Of Prescribing Drugs

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Ethical And Legal Implications Of Prescribing Drugs

Explore the ethical and legal implications of scenarios and consider how to appropriately respond.

  • Consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure. Ethical And Legal Implications Of Prescribing Drugs
  • Review the scenario assigned by your instructor for this assignment.
  • Search for specific laws and standards for prescribing prescription drugs and for addressing medication errors in your state or region, and reflect on these as you review the scenario.
  • Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
  • Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.

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Write a 2- to 3-page paper that addresses the following:

  • Explain the ethical and legal implications of the scenario you selected for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
  • Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
  • Explain two strategies that you, as an advanced practice nurse, would use to guide your decision-making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.
  • Explain the process of writing prescriptions, including strategies to minimize medication errors.
  • APA Citation 4 to 5 Reference within 5 years

Ethical And Legal Implications Of Prescribing Drugs

Assignment: The Impact Of Nursing Informatics On Patient Outcomes And Patient Care Efficiencies

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Assignment: The Impact Of Nursing Informatics On Patient Outcomes And Patient Care Efficiencies

In the discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

Patient outcomes and the fulfillment of care goals are two of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant role in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency. Assignment: The Impact Of Nursing Informatics On Patient Outcomes And Patient Care Efficiencies

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To Prepare:

  • Review the concepts of technology application as presented in the resources.
  • Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

  • Describe the project you propose.
  • Identify the stakeholders impacted by this project.
  • Explain the patient outcome(s) or patient-care efficiencies This project is aimed at improving and explaining how this improvement would occur. Be specific, and provide examples.
  • Identify the technologies required to implement this project and explain why.
  • Identify the project team (by roles) and explain how you would incorporate the nurse informaticist into the project team.

Assignment: The Impact Of Nursing Informatics On Patient Outcomes And Patient Care Efficiencies

Benchmark – Human Experience Across The Health-Illness Continuum

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Benchmark: Human Experience Across The Health-Illness Continuum

Research the health-illness continuum and its relevance to patient care. In a 750-word paper, discuss the relevance of the continuum to patient care and present a perspective on your current state of health in relation to the wellness spectrum. Include the following:

  1. Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.
  2. Explain how understanding the health-illness continuum enables you, as a health care provider, to better promote the value and dignity of individuals or groups and to serve others in ways that promote human flourishing. Benchmark: Human Experience Across The Health-Illness Continuum

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  3. Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.
  4. Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).

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: Human Experience Across The Health-Illness Continuum

Global Healthcare Comparison Matrix And Narrative Statement

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Global Healthcare Comparison Matrix And Narrative Statement

If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures. Global Healthcare Comparison Matrix And Narrative Statement

Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.

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In this assignment, you will examine a global health issue and consider the approaches taken by the United States and one other country to this issue.

To Prepare:

  • Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this assignment.
  • Select at least one additional country to compare to the U.S. for this assignment.
  • Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
  • Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

  • Consider the U.S. national and federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
  • Explain the strengths and weaknesses of each policy.
  • Explain how the social determinants of health may impact the global health issue you selected. Be specific, and provide examples.
  • Using the WHO’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
  • Explain how the health policy you selected might impact the health of the global population. Be specific, and provide examples.
  • Explain how the health policy you selected might impact the role of the nurse in each country.
  • Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific, and provide examples. Global Healthcare Comparison Matrix And Narrative Statement

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

  • Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples

Global Healthcare Comparison Matrix And Narrative Statement

Ethical And Policy Factors In Care Coordination

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Ethical And Policy Factors In Care Coordination

Select a community organization or group that you feel would be interested in learning about ethical and policy issues that affect the coordination of care. Then, develop and record a 10- to 12-slide, 20-minute presentation with audio intended for that audience. Create a detailed narrative script for your presentation, 4-5 pages in length. Ethical And Policy Factors In Care Coordination

As coordinators of care, nurses must be aware of the code of ethics for nurses and health policy issues that affect the coordination of care within the context of the community. To help patients navigate the continuum of care, nurses must be proficient at interpreting and applying the code of ethics for nurses and health policy, specifically the Affordable Care Act (ACA). Being knowledgeable about ethical and policy issues helps ensure that care coordinators are upholding ethical standards and navigating policy issues that affect patient care.

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This assessment provides an opportunity for you to develop a presentation for a local community organization of your choice that provides an overview of ethical standards and relevant policy issues that affect the coordination of care. Completing this assessment will strengthen your understanding of ethical issues and policies related to the coordination and continuum of care and will empower you to be a stronger advocate and nursing professional.

It would be an excellent choice to complete the Vila Health: Ethical Decision Making activity prior to developing the presentation. The activity provides a helpful update on the ethical principles that will help with success in this assessment.

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 4: Defend decisions based on the code of ethics for nursing.
    • Assess the impact of the code of ethics for nurses on the coordination and continuum of care.
  • Competency 5: Explain how health care policies affect patient-centered care.
    • Explain how governmental policies related to the health and/or safety of a community affect the coordination of care.
    • Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
  • Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.
    • Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included.

Preparation

Your nurse manager at the community care center is well connected and frequently speaks to a variety of community organizations and groups. She has noticed the good work you are doing in your new care coordination role and respects your speaking and presentation skills. Consequently, she thought that an opportunity to speak publicly about contemporary issues in care coordination would be beneficial for your career and has suggested reaching out to a community organization or support group to gauge their interest in hearing from you, as a care center representative, on a topic of interest to both you and your prospective audience.

You have agreed that this is a good idea and have decided to research a community organization or support group that might be interested in learning about ethical and policy issues related to the coordination of care. Your manager has suggested the following community organizations and support groups, but acknowledges that the choice is yours.

  • Homeless shelters.
  • Local religious groups.
  • Nursing homes.
  • Local community organizations (Rotary Club or Kiwanis Club).

To prepare for this assessment, you may wish to:

  • Research your selected community organization or support group.
  • Review the Code of Ethics for Nurses With Interpretive Statements and associated health policy issues, specifically, the ACA.
  • Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete.
  • Allocate sufficient time to rehearse your presentation before recording the final version for submission.

Note: Remember that you can submit all, or a portion of, your draft presentation to Smarthinking Tutoring for feedback before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback. Ethical And Policy Factors In Care Coordination

Recording Equipment Setup and Testing

Check that your audio speaker and PowerPoint software are working properly. You can record audio directly to your slides, using PowerPoint or other presentation software.

Note: Technical support about the use of PowerPoint, including voice recording and speaker notes, can be found on Campus’s Microsoft Office Software page.

  • If using Kaltura, refer to the Using Kaltura tutorial for directions on recording and uploading your presentation in the courseroom.

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.

Ethical And Policy Factors In Care Coordination

Patient Management and Delegation

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Patient Management and Delegation

Complete the Patient Management and Delegation virtual simulation activity, which can be found by clicking the Enter Simulation link at the top of the course. From the menu that appears, select Virtual Clinical Scenarios, and then click Patient Management Delegation. Then debrief on the experience by creating a voice thread, video, or written essay.

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  • Reflect on your feelings while fulfilling the role of the charge nurse in the simulated activities on delegation and caseload management.  Consider how you utilized the experience and efficiency information provided.
  • Summarize the responsibilities, including planning, coordinating, and evaluating nursing resources, managed by the charge nurse in the simulated activity.
  • Reflect on any correct and incorrect decisions and responses that you would change if you were to repeat this activity.
  • Describe what you learned in this experience that will be incorporated into your clinical practice.

References are not required for this reflection. APA format is required for page setup for an essay or PowerPoint.

Examples of work to show mastery:

  • 3-4 page paper, APA format

Patient Management and Delegation

 

Discussion: Diagnosis And Management Of Musculoskeletal And Neurologic Disorders

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Discussion: Diagnosis And Management Of Musculoskeletal And Neurologic Disorders

Musculoskeletal and neurologic disorders can present complications for pediatric patients from infancy to adolescence. These disorders affect patients physically and emotionally and often impact a patient’s ability to participate in or carry out everyday activities. Patients with these disorders frequently need long-term treatment and care, requiring extensive patient management and education plans. Musculoskeletal and neurologic disorders present various symptoms because they affect multiple parts of a patient’s body. Consider treatment, management, and education plans for the patients in the following three case studies. Discussion: Diagnosis And Management Of Musculoskeletal And Neurologic Disorders

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Case Study 1:

Clay is a 7-year-old male who presents to your office with complaints of right thigh pain and a limp. The pain began approximately a week ago and has progressively worsened. There is no history of trauma. Physical examination is negative except for pain with flexion and internal rotation of the right hip and limited abduction of the right hip. Limb lengths are equal.

Case Study 2:

Trevon is an 18-month-old with a 3-day history of upper-respiratory-type symptoms that have progressively worsened over the last 8 hours. His immunizations are up-to-date. Mom states he spiked a fever to 103.2°F this morning, and he has become increasingly fussy. He vomited after drinking a cup of juice this afternoon and has refused PO fluids since then. Pertinent physical exam findings include a negative abdominal exam, marked irritability with inconsolable crying, and cries louder with pupil examination and fights head and neck assessment. You are unable to elicit Kernig’s or Brudzinski’s signs due to patient noncompliance.

Case Study 3:

Molly is a 12-year-old who comes to your office after hitting her head on the ground during a soccer game. Her mother reports that she did not lose consciousness, but that she seems “loopy” and doesn’t remember what happened immediately following her fall. She was injured when she collided with another player and fell backward, striking her head on the ground. She has no vomiting and denies diplopia, but complains of a significant headache. The physical examination is negative except for the presence of a slight nystagmus. All other neurologic findings, including fundoscopic examinations, are normal. Discussion: Diagnosis And Management Of Musculoskeletal And Neurologic Disorders

To prepare:

  • Review “Neurologic Disorders” and “Musculoskeletal Disorders” in the Burns et al. text.
  • Review and select one of the three provided case studies. Analyze the patient’s information.
  • Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
  • Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.
  • Consider strategies for educating patients and families on the treatment and management of the musculoskeletal or neurologic disorder.

Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of the unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the musculoskeletal or neurologic disorder.

Discussion: Diagnosis And Management Of Musculoskeletal And Neurologic Disorders

Benchmark – Hospital-Associated Infections Data

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Benchmark: Hospital-Associated Infections Data

The purpose of this assignment is to examine health care data on hospital-associated infections and determine the best methods for presenting the data to stakeholders. Use the scenario below and the “Hospital Associated Infections Data” Excel spreadsheet to complete the assignment. Benchmark: Hospital-Associated Infections Data

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Scenario

You have been tasked with displaying Centers for Medicare and Medicaid Services (CMS) hospital quality measures data for a 5-year period on four quality measures at your site. After examining the data, identify trends and determine the best way to present actionable information to stakeholders.

Assignment

Create a 10- to 10-slide PowerPoint presenting the data to the stakeholders. Address the following in your PowerPoint:

  1. What conclusions can be drawn for each quality measure over the 5-year period?
  2. What trends do you see for each quality measure over the 5-year period?
  3. When comparing each quality measure, is the quality measure better than, worse than, or no different from the national benchmark over time?
  4. Based on your examination of the data, which of the quality measures should you prioritize and why?
  5. Develop a quality improvement metric and related measures to improve care processes, outcomes, and the patient experience relating to the identified area of opportunity.
  6. Explain how you would monitor the metric and use the collected data for improvement.

Include a title slide, a reference slide, and comprehensive speaker notes.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

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. Benchmark: Hospital-Associated Infections Data

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 not required to submit this assignment to LopesWrite.

This benchmark assignment assesses the following programmatic competencies:

MSN Emphasis in Leadership in Health Care Systems

6.6 Develop and monitor continuous quality improvement metrics and measures to improve care processes, outcomes, and the patient experience.

Benchmark: Hospital-Associated Infections Data

Informatics # 1 Nursing Informatics In Health Care

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Informatics # 1 Nursing Informatics In Health Care

Write a 4-5 page evidence-based proposal to support the need for a nurse informaticist in an organization who would focus on improving health care outcomes.

As you begin to prepare this assessment, you are encouraged to complete the Team Perspectives of the Nurse Informaticist activity. Completion of this will help you succeed with the assessment as you explore the nurse informaticist’s role from the different perspectives of the health care team. Completing activities is also a way to demonstrate engagement. Informatics # 1 Nursing Informatics In Health Care

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Nurses at the baccalaureate level in all practice areas are involved in nursing informatics through interaction with information management and patient care technologies. Nurses must not only demonstrate knowledge of and skills in health information and patient care technologies, but also how to use these tools at the bedside and organizational levels. Moreover, nurses need to recognize how information gathered from various health information sources can impact decision making at the national and state regulatory levels.

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: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.
    • Define nursing informatics and the role of the nurse informaticist.
    • Explain how the nurse collaborates with the interdisciplinary team, including technologists, to improve the quality of patient care.
    • Justify the need for a nurse informaticist in a health care organization.
  • Competency 2: Implement evidence-based strategies to effectively manage protected health information.
    • Explain evidence-based strategies that the nurse and interdisciplinary team can use to effectively manage patients’ protected health information (privacy, security, and confidentiality).
  • Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
    • Follow APA style and formatting guidelines for citations and references.
    • Create a clear, well-organized, and professional proposal that is generally free from errors in grammar, punctuation, and spelling.

Scenario

For this assessment, assume you are a nurse attending a meeting of your state’s nurses’ association. A nurse informaticist conducted a presentation on her role and its impact on positive patient and organizational outcomes in her workplace. You realize that your organization is undergoing many technological changes. You believe this type of role could provide many benefits to your organization.

You decide to pursue proposing a nurse informaticist role in your organization. You speak to your chief nursing officer (CNO) and human resources (HR) manager. These individuals ask you to prepare a 4–5 page evidence-based proposal to support the new role. In this way, they can make an informed decision as to whether the addition of such a role could justify the return on investment (ROI). They need your proposal before an upcoming fiscal meeting.

Preparation

To successfully prepare for this assessment, you will need to complete these preparatory activities:

  • Review assessment resources and activities.
  • Conduct independent research on the nursing knowledge and skills necessary to interact with health information and patient care technology.
    • Focus your research on current resources available through peer-reviewed articles, professional websites, government websites, professional blogs, wiki pages, job boards, et cetera.
    • Consult the BSN Program Library Research Guide for help in identifying scholarly and authoritative sources.
  • Interview peers in your network who are considered information technology experts.
    • Ask them about how information technology advances are impacting patient care at the bedside, at the organizational level, and beyond. Informatics # 1 Nursing Informatics In Health Care

Proposal Format

The Chief Nursing Officer (CNO) and Human Resources (HR) manager have asked you to include the following headings in your proposal and to be sure to address the bullets underneath each heading:

Nursing Informatics and the Nurse Informaticist
  • What is nursing informatics?
  • What is the role of the nurse informaticist?
Nurse Informaticists and Other Health Care Organizations
  • What is the experience of other health care organizations with nurse informaticists?
  • How do these nurse informaticists interact with the rest of the nursing staff and the interdisciplinary team?
Impact of Full Nurse Engagement in Health Care Technology
  • How does fully engaging nurses in health care technology impact:
    • Patient care?
    • Protected health information (security, privacy, and confidentiality)?
    • Workflow?
    • Costs and return on investment?
Opportunities and Challenges
  • What are the opportunities and challenges for nurses and the interdisciplinary team with the addition of a nurse informaticist role?
    • How can the interdisciplinary team collaborate to improve quality care outcomes through technology? Informatics # 1 Nursing Informatics In Health Care
Summary of Recommendations
  • What are 3–4 key takeaways from your proposal about the recommended nurse informaticist role that you want the CNO and the HR manager to remember?
Additional Requirements
  • Written communication: Ensure written communication is free of errors that detract from the overall message.
  • Submission length: 4–5 double-spaced pages, in addition to a title page and references page.
  • Font: Times New Roman, 12 point.
  • Citations and References: Cite a minimum of 3 current scholarly and/or authoritative sources to support your ideas. In addition, cite a minimum of 1 current professional blog or website to support your central ideas. Current means no more than five years old.
  • APA formatting: Be sure to follow APA formatting and style guidelines for citations and references. For an APA refresher, consult the APA Style and Format page on Campus.

Informatics # 1 Nursing Informatics In Health Care

Assignment: Evidence-Based Project, Part 1: Identifying Research Methodologies

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Assignment: Evidence-Based Project, Part 1: Identifying Research Methodologies

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role. Assignment: Evidence-Based Project, Part 1: Identifying Research Methodologies

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Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common or  best practice?

In this assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare the research methodologies employed.

To Prepare:

  • Review the resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course.
  • Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment; select original research articles.
  • Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
  • Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following: Assignment: Evidence-Based Project, Part 1: Identifying Research Methodologies

  • The full citation of each peer-reviewed article is in APA format.
  • A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
  • A brief (1-2 paragraph) description of the aims of the research in each peer-reviewed article.
  • A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
  • A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including the reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

Assignment: Evidence-Based Project, Part 1: Identifying Research Methodologies