HIM445 Wk3 Ashford university Customer service and critical pathways
Critical Pathway
Using the Gantt chart and timeline developed in Week Three for your clinic, determine the critical pathway. What are the factors that contribute to the critical pathway? Identify tasks that could be done simultaneously and if so redo the Gantt chart in preparation for the Final Project. If you cannot identify any tasks that could be done simultaneously, explain why.
Part 1 Assignment
Customer Service
By Day 1 of Week One, your instructor will assign each student an option. Assume you are working on a project to improve customer service. Create a Pareto chart based on the information in the assigned option. Use the Pareto chart template (available in the online classroom) or use Excel to produce a Pareto chart that looks like the Pareto chart in Chapter 8 of the course textbook. Include three detailed actions to take to address the customer complaints.
Option 1:
Customer Complaint
Frequency/Week
Customer is on hold too long
41
An appointment is not available within 48 hours
35
Wait time in the exam room exceeds 20 minutes
98
Co-pay amount is incorrectly calculated by staff
75
Option 2:
Customer Complaint
Frequency/Week
Signage is difficult to follow within the facility
120
Hallway service is difficult to walk on between facility sections
89
Walls and baseboards are dented, scraped or otherwise marred
57
Soap and/or paper towels not available in bathroom
15
Option 3:
Customer Complaint
Frequency/Week
Customer is on hold too long
95
Customer gets transferred to the wrong area or cut off
25
Service rep cannot answer customer’s question
125
Service rep does not follow through as promised
45
Option 4:
Customer Complaint
Frequency/Week
Room temperature is too cold
70
Room temperature is too hot
45
Room is not clean
35
Sheets are stained/have holes
95
Part 2 of assignment
Includes the Pareto chart with title, X and Y-axis labels, and the line chart to show cumulative percentage. A sample Pareto chart you may use is available in the online classroom.
Includes three detailed actions to take to address the customer complaints and includes the rationale for the priority of the actions.
Must be two double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.)Links to an external site..
Must include a separate title page with the following:
Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted
Must document all sources in APA style as outlined in the Ashford Writing Center.
Must include a separate references page that is formatted according to APA style as outlined in the Ashford Writing Center.
https://superbnursingessays.com/wp-content/uploads/2022/01/LOGO-300x75.png00Bernard Innocenthttps://superbnursingessays.com/wp-content/uploads/2022/01/LOGO-300x75.pngBernard Innocent2022-06-24 19:55:282022-06-24 19:55:28HIM445 Wk3 Ashford university Customer service and critical pathways
Management
This course is an advanced study of how to
achieve quality within the structure and
relationships of the complex system of a
healthcare organizations. We will explore the
concepts of systems thinking, improving and
managing process change, performance
measurement, and examine case studies.
2
Format for Unit Sessions
Class Topics
Understanding the U.S. Healthcare System
Understanding the Healthcare Organization
General Concepts of Quality
Current State of Quality Management: Internal
Dynamics
Current State of Quality Management: External
Dynamics
Measuring Quality of Inpatient Care
3
Format for Unit Sessions, cont.
Course topics, cont.
Understanding Quality and Performance
Quantifying the Quality Performance Gaps
Closing the Gaps
Case Studies in Healthcare Quality
Learning Tools
Class lectures
Hearing and seeing
Textbook
Reading
Individual homework
Analyzing
Discussion forum
Applying and examining
Completing all
components is very
important to
accomplish the
objectives of the
course.
5
Online Learning
Characteristics
Online learners must
be highly selfmotivated.
Online learners must
have high responsibility
for assignments and
discussions.
Facts
Online learning is not
easier than traditional
classroom learning.
Learners must meet
deadlines.
It’s easy to think we’re
anonymous because
there’s no face time.
Scenario Analysis Assignment Directions: Read the four scenarios below. Provide a 75-150-word response to each question in all four of the scenarios presented below. Use the ACA and NAADAC Codes of Ethics and other scholarly resources to support your responses. You must provide at least one properly formatted APA citation and accompanying reference to support your response for each scenario
Scenario One: Barbara is a licensed professional counselor (LPC) working for a nonprofit social service agency. Many of the clients in the agency are female domestic violence victims. The director of the agency has asked Barbara to develop a counseling group to serve the needs of these individuals. Assignment: Nursing Scenario Analysis
Question One: What ethical matters should Barbara consider as she plans this group?
Question Two: What methods should Barbara use to ensure confidentiality in the context of group counseling?
Question Three: If breaches of confidentiality occur, how should Barbara manage them?
Scenario Two: David is a licensed professional counselor (LPC) and a licensed marriage and family therapist (LMFT) working for a family counseling center. Steve, one of his adult clients, would like to begin couples counseling with his wife.
Question One: What ethical matters should David consider before beginning to see Steve and his wife?
Question Two: What special issues of confidentiality may arise in the case? How should David address these issues?
Question Three: How might differences in personal values and gender/cultural issues create ethical dilemmas in this case?
Scenario Three: Stephanie is a licensed professional counselor (LPC) who has decided to start a private practice as she transitions from public to private practice. As she makes her plans, there are many ethical issues she must consider. While these issues are of concern to all counselors, she must consider how they specifically impact a counselor in private practice.
Question One: How can she ethically handle limited resources, deal with cost containment issues, respond to discrimination, and promote community change?
Question Two: As a service provider, with what ethical issues and practices related to state insurance laws and managed care must she be familiar?
Question Three: What are the ethical obligations and limitations faced by a counselor who serves clients who have been the victim of discrimination, injustice, poverty, or lack of access to behavioral health services? What best practice community based interventions could she refer her clients to?
Section Four: Amari has recently passed her NCMHCE and will soon be considered an independent clinical practitioner. Her husband is in the military and they travel often. Amari hopes to strictly provide distance counseling in her private practice. She has never provided distance counseling nor does she know of anyone who does it. Rely heavily on Section H: Distance Counseling, Technology, and Social Media of the American Counseling Association’s Code of Ethics to consider the following.
Question One: What should Amari consider in regards to distance counseling?
PCN 505 Week 7: Scenario Analysis Assignment
Although this measure does not guarantee that all members will abide by the rule, it does set the expectation that can then be addressed clinically or administratively when a client does violate his/her agreement.
c. If breaches of confidentiality occur, how should Barbara manage them?Confidentiality and privilege are key to keeping battered women safe and represent the cornerstones of all successful advocacy and shelter programs. At its most basic level, confidentiality equals safety. The American Psychiatric Association (APA) has emphasized that: the continuing duty of the psychiatrist to protect the patient includes fully apprising him/her of the intention of waiving the privilege of privacy .First, Barbara can talk to the therapist /agency about your concerns and try to work it out with them. If you don’t feel satisfied with the results or the breach was so conspicuous that you never want to have contact again you can call your local licensing board and file and formal complaint (National Association of Social Workers 1999).. Assignment: Nursing Scenario Analysis
Week 8 discussion Reflection on Achievement of Outcomes Reflect back over the past eight weeks and describe how the achievement of the course outcomes in this course have prepared you to meet the MSN program outcome #5, the MSN Essential IX, and the NP Core Competencies #2. Program Outcome #5 Develop a plan for lifelong personal and professional growth that integrates professional values regarding scholarship, service and global engagement. MSN Essential IX: Master’s-Level Nursing Practice Recognizes that nursing practice, at the master’s level, is broadly defined as any form of nursing intervention that influences healthcare outcomes for individuals, populations, or systems. Master’s-level nursing graduates must have an advanced level of understanding of nursing and relevant sciences as well as the ability to integrate this knowledge into practice. Nursing practice interventions include both direct and indirect care components. NP Core Competencies Assignment
What is every nurse practitioner (NP) required to know once he or she graduates from NP school? These requirements are defined and agreed upon by the National Organization of Nurse Practitioner Faculties (NONPF). The NONPF created the first set of competencies in 1990; the most recent updates were incorporated in 2012.These core competencies apply to all nurse practitioners, regardless their medical specialty or patient population focus. Nurse practitioner core competencies were created by experts in clinical practice and education. The task force behind the 2012 update included various nurse practitioner organization and certification boards, and they created sub-groups of experts for each population focus.
NONPF has defined nine broad areas of core competence:
Scientific foundations
Leadership
Quality
Practice inquiry
Technology and information literacy
Policy
Health delivery system
Ethics
Independent practice
Each of these is subdivided into specific objectives that every nurse practitioner must demonstrate in order to graduate NP school. Furthermore, NP schools use the core competencies to design their curricula to ensure that students gain the knowledge, skills, and abilities to practice as licensed independent practitioners. The NONPF asserts that achievement of these competencies is of greater value than the total number of clinical hours a student performs.
These competencies ensure that nurse practitioners graduate with a comprehensive background in medical sciences. All nurse practitioner students are required to take foundational pathophysiology and pharmacology, but depending on their specialty, they may take additional courses. Psychiatric nurse practitioners often take courses in neuroscience whereas neonatal nurse practitioners take courses in neonatology. Scientific core competencies also include knowledge and understanding of clinical practice guidelines, evidence-based practice, translational research, and treatment of vulnerable and diverse patient populations.The scientific foundation core competencies defined by the NONPF include the following:
Thinks critically about data and applies this evidence to improving practice.
Allows knowledge from the humanities and other disciplines to inform one’s work in nursing.
Incorporates research findings to enhance practice methods and patient outcomes.
Creates fresh evidence-based approaches and techniques, paying thought to research findings, core theory, and experience from practice.
Leadership Competencies
Leadership competencies focus on professional accountability, scholarship, and advocacy. These skills ensure that nurse practitioner students understand their scope and standards of practice and that they are prepared to lead healthcare teams. The leadership competencies also encompass cultural sensitivity, engagement in professional organizations, and communication skills.
The leadership core competencies include the following:
Embraces high leadership opportunities to facilitate change.
Liaises effectively between various parties (e.g., healthcare teams, patients, community, policy advocates) in efforts to improve healthcare.
Applies critical and reflective thinking to one’s leadership.
Acts as an advocate for resource-efficient, cost-effective, and quality care.
Elevates practice by incorporating innovations.
Has excellent oral and written communication skills.
Joins professional associations, advocacy groups, and other activities to improve healthcare. NP Core Competencies Assignment
E. L. is an 88-year-old widow who has advanced dementia. She is a retired secretary and is cared for in the home of her divorced daughter, who is her power of attorney for health affairs. E. L. requires assistance with all activities of daily living. She spends most of the day sitting in her orthopedic recliner (she has had bilateral hip replacements) or lying in bed. She does not speak or acknowledge the presence of others. Recently, E. L. has stopped eating all meals except for small banana slices. She resists a spoon when it is brought to her mouth, and she pockets food in her cheeks without swallowing. E. L. was admitted to the hospital several months ago for influenza and bilateral pneumonia. She was treated in the intensive care unit for three days and then sent home. The possibility of a feeding tube insertion was discussed during her hospitalization. E. L.’s daughter is seeking guidance on artificial nutrition and hydration.
https://superbnursingessays.com/wp-content/uploads/2022/01/LOGO-300x75.png00Alexhttps://superbnursingessays.com/wp-content/uploads/2022/01/LOGO-300x75.pngAlex2022-06-01 18:30:252022-06-01 18:30:52Psych 635 Ethics In Condiditoning Research
J.S. is a 42-year-old man who lives in the Midwest and is highly allergic to dust and pollen and has a history of mild asthma. J.S’s wife drove him to the emergency room when his wheezing was unresponsive to his fluticasone/salmeterol (Advair) inhaler. J.S. was unable to lie down, and began to use accessory muscles to breathe. J.S. is immediately started on 4 L oxygen by nasal cannula and intravenous (IV) D5W at 75 mL/hr. A set of arterial blood gases is sent to the laboratory. J.S. appears anxious and says that he is short of breath. Rasmussen College NUR 2063 Module 8 Asthma Pathophysiology Paper
Investigate the condition of asthma and the manifestations of the disease. Analyze the case study provided and determine what symptoms support the diagnosis of asthma. Identify the treatment provided in the emergency department and determine what additional therapies are needed to mitigate the asthma symptoms and return the client to wellness. Discussion: Asthma Pathophysiology
Do you have any concerns with the numbers above?
Identify what may be causing J.S. to have an exacerbation of asthma.
Prepare a 3-5 page paper outlining the causes of asthma, the symptoms that the client presents and the management of the disorder. Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides. Be sure to cite your sources in-text and on a References page using APA format.
attachment_1
Title of Assignment:
Module 8: Respiratory pathophysiology
Purpose of Assignment:
This assignment will help the student evaluate of a respiratory disorder, which, if untreated, can be a serious condition. Students need to understand respiratory complications and how it can impact ventilation and respiration is important to the study for maintaining homeostasis in the body.
Course Competency(s):
Evaluate pathophysiologic alterations that affect the neurologic and respiratory systems.
Content:
J.S. is a 42-year-old man who lives in the Midwest and is highly allergic to dust and pollen and has a history of mild asthma. J.S’s wife drove him to the emergency room when his wheezing was unresponsive to his fluticasone/salmeterol (Advair) inhaler. J.S. was unable to lie down, and began to use accessory muscles to breathe. J.S. is immediately started on 4 L oxygen by nasal cannula and intravenous (IV) D5W at 75 mL/hr. A set of arterial blood gases is sent to the laboratory. J.S. appears anxious and says that he is short of breath. Discussion: Asthma Pathophysiology
Vital signs
BP = 152/84 HR = 124 bpm RR = 42 Temp = 100.40F
ABGs
pH = 7.31 PaCO2 = 48 HCO3 = 26 PaO2 = 55
Instructions:
Investigate the pathophysiology of asthma and the clinical manifestations of the disease. Analyze the case study provided and determine what symptoms support the diagnosis of asthma. Identify the treatment provided in the emergency department and determine what additional therapies are needed to mitigate the asthma symptoms and return the client to wellness.
Do you have any concerns with the numbers above?
Identify what may be causing (etiology) J.S. to have an exacerbation of asthma.
Prepare a 3-5 page paper outlining the causes of asthma, the symptoms that the client presents and the management of the disorder. Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides. Be sure to cite your sources in-text and on a References page using APA format.
You can find useful reference materials for this assignment in the School of Nursing guide: https://guides.rasmussen.edu/nursing/referenceebooks
Have questions about APA? Visit the online APA guide: https://guides.rasmussen.edu/apa
Grading Rubric:
Levels of Achievement
Criteria Emerging Competence Proficiency Mastery
Pathophysiology
(15 pts)
Did not include discussion on the pathophysiology the respiratory disorder.
Failure to provide the pathophysiology will result in zero points for this criteria. Briefly identified the pathophysiology of the respiratory disorder. Clearly identified the pathophysiology of the respiratory disorder. Thoroughly identified the pathophysiology of the respiratory disorder.
Points: 10 Points: 13 Points: 14 Points: 15
Etiology
(15 pts)
Did not include discussion on the etiology of the respiratory disorder.
Failure to provide the etiology will result in zero points for this criteria. Briefly discussed included etiology of the respiratory disorder. Clearly discussed etiology of the respiratory disorder. Thoroughly discussed etiology of the respiratory disorder. Discussion: Asthma Pathophysiology
Points: 10 Points: 13 Points: 14 Points: 15
Clinical Manifestation
(10 pts) Did not provide examples of the clinical manifestations of the respiratory disorder.
Failure to provide clinical manifestations will result in zero points for this criteria. Briefly provided clinical manifestations of the respiratory disorder. Clearly provided clinical manifestations of the respiratory disorder. Thoroughly provided clinical manifestations of the respiratory disorder.
Points: 6 Points: 8 Points: 9 Points: 10
Treatment
(5 pts) Did not present treatment for the respiratory disorder.
Failure to provide treatment for hematologic disorder will result in zero points for this criteria. Briefly provided treatment options for the respiratory disorder. Clearly provided treatment options for the respiratory disorder. Thoroughly provided detailed treatment for the respiratory disorder.
Points: 2 Points: 3 Points: 4 Points: 5
APA, Spelling and Grammar
(5 pts)
Six or more APA, spelling or grammar errors. Detracts from the readability of the submission. No more than five APA, spelling or grammar errors, minimally detracts from the readability of the submission. No more than three APA, spelling or grammar errors. Does not detract from the readability of the submission. No APA, spelling or grammar errors. Discussion: Asthma Pathophysiology
Points: 2 Points: 3 Points: 4 Points: 5
Points: 30 Points: 40 Points: 45 Points: 50
Reflect upon the survey you took. In your initial response, address some of the following questions. Explain your answers.
Did you find it easy to make confident and decisive decisions with several strongly agree or strongly disagree answers, or did you select mostly moderate responses?
Did any subject areas trigger personal emotions or issues? If so, do you feel you were able to remain objective?
Identify examples of active and latent errors. Provide examples from your clinical experience, if possible. How can such errors be avoided to support better patient care?
nurs521 Week 2 discussion
Discussion Prompt #1
Explain the statement, “What may be an ethical dilemma for one registered nurse may not be an ethical dilemma for another registered nurse.” Be sure to define an ethical dilemma in the course of your discussion. Describe a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. (Be sure to respect and maintain patient and colleague confidentiality.)
Discussion Prompt #2
Apply the framework of The Five R’s approach to ethical nursing practice from this week’s reading to answer the questions about values and choices NURS 521 Discussion Papers.
What are values?
Q. What are your personal values?
Q. Why do you value them?
Q. What are the values in your society?
Q. How do you make choices?
Q. Are your choices based on your values?
Q. What values are useful in society?
What are the limits to personal choice?
Q. Who limits your choices?
Q. Are limits to choices good?
Q. Do you limit other people’s choices?
Q. Should the health care organization or the government limit people’s choices? If so, how, and under what circumstances?
In your responses to peers, feel free to agree, disagree, question, compare, and discuss each other’s responses in a way that fosters thoughtful and respectful dialog. You may also address the following: Did any responses surprise you? If so, how? Did reading your peers’ responses to the questions expand your own view of ways to answer questions?
Finally, consider this: A common idea in health care is that if you are drawn to health care as a profession, you are inherently guided by an inner compass that is composed of a strong moral framework. Why is this a dangerous assumption?
nurs521 Week 3 discussion
Discussion Prompt #1
Discuss the potential controversy when considering a patient’s right to know whether a caregiver has AIDS, and the caregiver’s right to privacy and confidentiality. Consider the following: A physician cut his hand with a scalpel while he was assisting another physician. Because of the uncertainty that blood had been transferred from the physician’s hand wound to the patient through an open surgical incision, he agreed to have a blood test for HIV. His blood tested positive for HIV and he withdrew himself from participation in further surgical procedures. Discuss the ethical and legal issues NURS 521 Discussion Papers.
Discussion Prompt #2
The following questions refer to your experience in this week’s exercise, Conducting Moral and Ethical Dialog in Clinical Practice. Describe your overall experience with the moral and ethical dialog exercise, and address at least three (3) of the following:
Did you find any of the scenarios more difficult to deal with than others?
Did you feel any internal conflict with any of the scenarios?
How did your personal and professional background impact how you decided to interact with the patient?
Do you feel the responses the patient gave to the practitioner’s response were reasonable or typical?
Were you taken aback by any of the patient reactions?
How might this activity contribute to your role as a nurse advocate in a moral and ethical practice?
Did you utilize an ethical decision making model to explore a systematic way to evaluate any of these ethical dilemmas? If so, describe the effectiveness.
nurs521 Week 4 discussion
Discussion Prompt #1
Apply the differences between negligence and malpractice to the practice of nursing. Provide examples to illustrate your points.
Discussion Prompt #2
Read the following article and view the video on the same case. How can this example be used as an illustration of maintaining patient safety and providing safe, effective care? Identify some of the possible barriers that nurses face when acting on what they believe to be the morally correct action in this particular case.
Patient Safety Advocate Carole Hemmelgarn
nurs521 Week 5 discussion
Discussion Prompt #1
Specifically define the role of the registered nurse in patient advocacy. Describe situations in which nursing advocacy can assist patients within the healthcare environment. Defend why nurses are, or are not, adequately prepared, in prelicensure education, to act as patient advocates.
Discussion Prompt #2
The ANA Code of Ethics currently emphasizes the word “patient” instead of the word “client” in referring to nursing care recipients. Do you agree with this change? Why or why not? Review the ANA Code of Ethics for Nurses with Interpretive Statements found in Appendix B of your Butts text NURS 521 Discussion Papers.
nurs521 Week 6 discussion
Discussion Prompt #1
Identify two issues that a nurse might bring to an institutional ethics committee. Describe why the nurse should bring these issues to the ethics committee. Elaborate on how a nurse should prepare to present one of the issues to the ethics committee.
Discussion Prompt #2
Betty, the chief nursing officer, had to make a decision about buying 120 new hospital beds for patient rooms. After she interviewed nurse mangers at the units where the beds were going to be placed, Betty compiled her findings and decided to contact a well-known equipment company to obtain prices and contracts. The equipment company’s executive salesperson, Jim, discussed options at length with her and invited her and her significant other to an upcoming all-expenses-paid lavish retreat at a five-star hotel in Hawaii to see demonstrations of the beds and to hear a comprehensive sales pitch. Betty thought to herself, “We badly need some relaxation and stress relief. Hawaii would be so much fun. Would it be wrong for us to go?”
If you were Betty, what would you do? Give your rationale. Justify your answer with an ethical framework—a theory, approach, or principle.
Do you consider this situation a conflict of interest? Why or why not? Give your rationale.
What policies, if any, should be in place regarding a scenario such as this one? Do you have any such policies in place at work for similar situations? Do such policies impact day-to-day activities in any way? Explain.
nurs521 Week 7 discussion
Discussion Prompt #1
Discuss the elements of informed consent and provide a clinical example about what can happen when some elements are not adhered to.
Discussion Prompt #2
Describe an organizational environment that would facilitate the ethical practice of nurses caring for chronically ill patients. As you read about patient rights, describe one patient right that is often not fully implemented in the patient care environment. Identify specific strategies to help ensure that this right is supported within the patient care environment. Explain how the registered nurse can assist in protecting patient rights.
nurs521 Week 8 discussion
Discussion Prompt #1
Describe a clinical situation in which a registered nurse may encounter moral distress. Answer the AACN’s Four A’s found on page 84 in your Butts and Rich text to further explain the situation, and the possible mitigation strategies.
Discussion Prompt #2
Describe different ways that social media use can violate ethical nursing practices. How can ethical social media use be beneficial to health care professionals and their patients?
Week 1 Virtue Ethics Essay
Respond to one of the following three “news clippings” related to virtue ethics from your Pozgar text. Write a 1- 2 page essay addressing the discussion questions posed for the one you selected. Be sure to clearly identify the news clipping you selected NURS 521 Discussion Papers.
Adhere to APA formatting and cite all sources. Review the rubric for further information on how your assignment will be graded.
Due: Sunday, 11:59 p.m. (Pacific time)
Points: 40
Watch the following 3 videos and choose one to address for your assignment.
#1. Wrong-Operation Doctor
Download Script
Find Out More: You may use these and other outside sources to frame your discussion.
The Pain of Wrong Site Surgery
Judgment Upheld in Arkansas Brain Surgery Lawsuit
National Quality Forum
Assignment Discussion Questions
1. Discuss the issues of integrity in this case.
2. Should criminal charges be considered in this case, if accurately reported? Discuss your answer.
3. Why did you choose to respond to this story?
4. How is integrity displayed in your clinical setting?
#2. Cheney’s Staff Cuts Testimony on Warming
Download Script
Find Out More: You may use these and other outside sources to frame your discussion.
The full story Cheney’s Staff Cut Testimony On Warming
CDC on Air Quality
Assignment Discussion Questions
1. Discuss how headlines such as this affect your opinion of politicians.
2. At the end of our days, the most basic principles of life–trust and survival–are on trial. What is your verdict, if you believe there was a cover-up?.
3. Why did you choose to respond to this story?
4. How are government and political trust displayed in your clinical setting?
#3. Surgeon Uses Ministry in Medical Practice
Download Script
Find Out More: You may use these and other outside sources to frame your discussion.
The full story: Praying with patients: A Dallas surgeon finds a way to put ministry into practice
Should Your Doctor Pray With You?
South Korean Hospitals Shut Over MERS Fears; 11th Person Dies
Note the picture in this article
Assignment Discussion Questions
1. Discuss the pressure, if any, placed on the patient to responding to the suggestion of prayer prior to surgery.
2. Describe how you, as the surgeon, or nurse, would address a patient’s religious or spiritual needs if the risks of a complex surgical procedure appear to be threatening.
3. Why did you choose to respond to this story?
4. How is religion or faith displayed in your clinical setting?
Consider the “Four Topics Approach” (or Four Box method) to ethical decision making on page 61, Table 2.1 in Butts (below). Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation NURS 521 Discussion Papers.
In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way? Does this seem like a valid process for you to apply in your practice?
Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.
Review the rubric for further information on how your assignment will be graded.
Optional: You may download this pdf, complete it using correct grammar and APA, and submit it as your assignment in lieu of writing a paper. *You will need Adobe Acrobat in order to utilize this fillable .pdf form.
Due: Sunday, 11:59 p.m. (Pacific time)
Points: 60
TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics Cases
Medical Indications: The Principles of Beneficence and Nonmaleficence
1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?
2. What are the goals of treatment?
3. In what circumstances are medical treatments not indicated?
4. What are the probabilities of success of various treatment options?
5. In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?
Patient Preferences: The Principle of Respect for Autonomy
1. Has the patient been informed of benefits and risks, understood this information, and given consent?
2. Is the patient mentally capable and legally competent, and is there evidence of incapacity?
3. If mentally capable, what preferences about treatment is the patient stating?
4. If incapacitated, has the patient expressed prior preferences?
5. Who is the appropriate surrogate to make decisions for the incapacitated patient?
6. Is the patient unwilling or unable to cooperate with medical treatment? If so, why?
Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy
1. What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?
2. On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?
3. Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?
4. What ethical issues arise concerning improving or enhancing a patient’s quality of life?
5. Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?
6. What are plans and rationale to forgo life-sustaining treatment?
7. What is the legal and ethical status of suicide?
Contextual Features: The Principles of Justice and Fairness
1. Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?
2. Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?
3. What are the limits imposed on patient confidentiality by the legitimate interests of third parties?
4. Are there financial factors that create conflicts of interest in clinical decisions?
5. Are there problems of allocation of scarce health resources that might affect clinical decisions?
6. Are there religious issues that might influence clinical decisions?
7. What are the legal issues that might affect clinical decisions?
8. Are there considerations of clinical research and education that might affect clinical decisions?
9. Are there issues of public health and safety that affect clinical decisions?
10. Are there conflicts of interest within institutions and organizations (e.g., hospitals) that may affect clinical decisions and patient welfare? NURS 521 Discussion Papers
Week 3 Contemporary Issue Position Essay
Choose a case from the AMA Journal of Ethics Case Index and take a position. For this assignment you will evaluate the ethical arguments for or against the issue. Identify the potential legal arguments (consider current federal guidelines), indicate any potential professional code conflicts you foresee, and support your position with an explanation of your own ethical/moral foundation.
In your 2-3 page paper:
Identify the issue and state your ethical position.
How might this scenario play out or impact you in your role as a nurse practitioner?
Defend your position with legal, ethical, and professional evidence.
As part of your position, propose strategies and solutions for addressing the issues.
What other ethical issues does this case bring to light, if any?
Support your position with at least one scholarly source (it may be your text). Be sure to cite the article you choose, use APA format, and include a title page and reference page.
Review the rubric for further information on how your assignment will be graded.
Week 4 Article Summary and Review Essay
Choose one of the articles below, and address the essay prompt associated with it. You will need to log in to the WCU library to access the full article.
Park, M. (2009). Ethical issues in nursing practice. Journal of Nursing Law, 13(3), 68-77. doi:10.1891/1073-7472.13.3.68
Link: Ethical issues in nursing practice
Essay Prompt: Identify primary areas for legal and ethical issues faced by oncology nurses in this study (Park, 2009), and strategies they may have developed to work with those ethical issues.
Or,
Croke, E. (2006). Nursing malpractice: determining liability elements for negligent acts. Journal of Legal Nurse Consulting, 17(3), 3.
Link: Nursing malpractice: determining liability elements for negligent acts
Essay Prompt: Identify primary problems that led to the malpractice suits (Croke, 2006), and identify the role the nurse played and what the nurse did wrong.
Your 1-2 page paper should include adhere to APA formatting and references/ citations for the article. Additional sources are optional.
Review the rubric for further information on how your assignment will be graded.
Week 5 Field Activity Paper
This paper will have three parts addressing two important pieces of legislation related to the right of individuals to make health care decisions for themselves.
Part I
The Advance Health Care Directive
Locate a copy of an advanced directive (AD) that complies with the laws of the state in which you work. The organization in which you work should have a copy of an advance directive that is given to patients. If not, download your state’s Advance Directives here http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3289.
Complete the advance directive for yourself. Do not turn in your AD with your paper. The AD is for your personal use.
In your paper, Part I:
Identify where you obtained the AD and explain its compliance with state law.
Conduct research (1-2 sources) to learn more about the AD in your state and explain how it works.
Discuss how easy or difficult it was to complete the AD. Your comments should be specific and both objective and subjective. For example, when you state your personal feelings, you must relate them to the literature (textbook and research) that discusses this process and the difficulties that many people face when completing an advance directive.
(Cite/ reference any sources you use to explore these questions, including your texts.)
Part II
Physician Orders for Life-Sustaining Treatment (POLST) Form
What is a Physician Orders for Life-Sustaining Treatment (POLST) form?
When should this form be completed?
Who can complete the form?
Who needs to sign the form to make it a legal document?
(Cite/reference any sources you use to explore these questions, including your texts.)
Part III
Tie the two first sections together by writing a summary and conclusion.
This section should address:
1. the differences between an Advance Health Care Directive and the POLST,
2. the RN’s important role in assuring the patient’s right to autonomy in choosing the healthcare interventions the patient does or does not want.
Use current APA format.
The paper should be between 3-5 pages in length excluding the title and reference page(s).
Cite and reference the course text and at least two (2) additional appropriate professional sources.
Review the rubric for further information on how your assignment will be graded.
nurs521 Week 6 Organizational Ethics Presentation
This week, you will submit your presentation using the Kaltura recording tool within Blackboard. See the Getting Started with Kaltura link listed under the Resources area in your course menu to learn how to use this tool. Your presentation must include both audio and visual components and be professional in nature.
You will submit your final presentation here for grading, and you will submit it to the discussion board this week as a draft for your peers to review and as a final product to share. See the discussion board for details.
Taken from the assigned reading in Butts chapter 12, page 401, “Ethical Reflection: Typical Unethical or Illegal Behaviors in Organizations”
2. Create a presentation of 10-15 slides or screens excluding the title and references.
Your slides/screen should include titles, main ideas, bullet points, and relevant images, charts, graphs, etc NURS 521 Discussion Papers.
3. In your presentation:
Describe an ethical situation, based on the chosen topic, that can get in the nurse’s way of practicing ethically. Describe the situation clearly and concisely.
Identify how this situation relates to one provision within the Code of Ethics for Nurses.
Identify two ethical principles that may arise when facing this situation.
Discuss how a nurse might lessen the impact of the situation on the nurse’s practice.
In addition to the course texts, cite and reference a minimum of two (2) additional scholarly sources to support your work.
Close with a summary of your topic, and APA formatted reference slide(s).
Audio is optional.
Review the rubric for further information on how your assignment will be graded.
nurs521 Week 7 Advocacy Paper
Choose a patient-care situation in which the RN should intervene and advocate for the patient. An example of such a situation might be when a patient has not been given complete informed consent.
Include the following in your paper:
Describe the clinical situation concisely and descriptively. It can be an actual situation or a hypothetical one.
Apply the Bioethical Decision Making Model to the specific clinical ethical situation that you choose. Address each section of the model in your paper.
Conclude with a discussion of nursing advocacy in the clinical setting and the nurse’s role as a patient advocate.
Your paper should be 4-5 pages.
You must reference and cite 1-2 scholarly sources other than your text. Include a title page and a reference page to cite your text and adhere to APA formatting.
Review the rubric for further information on how your assignment will be graded.
nurs521 Week 8 Nine Tenets Essay
Reviewing Appendix B in Butts, choose two of the Nine Tenets of the Code of Ethics for Nurses and describe how you will personally apply each tenet in the practice setting with your patients. Describe in detail the purpose of the tenet and provide examples of the tenet applied in practice. Explain why it is important to uphold the tenet in maximizing the quality of patient care, and identify how it enhances your own practice as a nurse.
Your paper should be 1-2 pages.
Include a title page and a reference page to cite your text. Adhere to APA formatting throughout, and cite any outside sources you may use.
Review the rubric for further information on how your assignment will be graded NURS 521 Discussion Papers
Community health nurses are registered nurses (RNs), sometimes referred to as public health nurses trained to work in public health settings (Malcarney et al., 2017). Some public health settings in which community health nurses work include jails, schools, state departments, and businesses. They play various roles, such as medical treatment, research, health education, advocacy, and rehabilitation. Based on my clinical experiences with different community health nurses this term, the most interesting role I found was community health education. Community health education is the only role through which nurses’ impact appropriate changes in the community for health status. Through community health education, a nurse is in direct contact with the community creating the necessary changes required for a better healthcare status. Nurses play a crucial role in providing quality and integrated healthcare to citizens. This role is mainly focused on providing essential and relevant information to individuals and patients regarding their health and how to better their health status (Stanhope & Lancaster, 2019).
Nursing education provides people with the required knowledge to make informed decisions regarding healthcare and treatment, disease prevention, and health enhancement based on individual interests and preferences. This role mainly focuses on educating citizens and individuals on their health status rights and assessing and assisting a person’s physical, psychological, and spiritual response to that knowledge (Malcarney et al., 2017). Furthermore, through healthcare education done by nurses, the federal government can conduct or implement national healthcare initiatives to better general public health status. Therefore, community health education is the fundamental role of nurses that has the most significant contribution toward the good health status of the community. Therefore, as a nurse, I will endeavor to dedicate most of my efforts to the health education role.
STUDENT BUKOLA
Nurse Roles and Functions
The nursing function that I am most interested in is community health education. I was drawn to this role for a multitude of reasons, some of which are listed below: The primary focus of community health education is the overall well-being of a community, with efforts to identify health issues and trends in a population, as well as collaboration with stakeholders to find solutions to these issues. When a nurse provides community health education, she directly contacts the community. This interaction helps bring about the community changes necessary for a better healthcare status (EF, 2016). Providing high-quality, comprehensive healthcare to citizens is a crucial role for nurses. It is the primary responsibility of this role to give individuals and patients with critical and relevant information about their health and how to improve their health status. Individuals who receive a nursing education are equipped with the knowledge and skills necessary to make informed decisions about their healthcare and treatment, illness prevention, and health enhancement based on their interests and preferences and the interests and preferences of other individuals. Citizens and individuals are taught about their rights regarding their health situation. They are assessed and assisted in reacting to that information on a physical, psychological, and spiritual level, which is the primary responsibility of this role. Nurse education helps nurses encourage their patients to practice self-care and self-empowerment and reduce their reliance on healthcare systems by providing them with the knowledge and skills (Mckenzie, Pinger, & Seabert, 2016). Because of the healthcare education offered by nurses, the federal government can develop or implement national healthcare initiatives to improve the overall health condition of the general public. This is made possible by the funding provided by the federal government.
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