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Consider the ethical implications of disclosure and nondisclosure.

Nursing homework help
American writer Nikki Giovanni once said: “Mistakes are a fact of life. It is the response to the error that counts” (Goodreads, 2012). Whenever you make an error when writing a prescription, you must consider the ethical and legal implications of your error—no matter how seemingly insignificant it might be. You may fear the possible consequences and feel pressured not to disclose the error. Regardless, you need to consider the potential implications of non-disclosure. How you respond to the prescription error will affect you, the patient, and the health care facility where you practice. In this Assignment, you examine ethical and legal implications of disclosure and nondisclosure of personal error.

Consider the following scenario:

· You are working as an advanced practice nurse at a community health clinic. You make an error when prescribing a drug to a patient. You do not think the patient would know that you made the error, and it certainly was not intentional.

To prepare:

· Consider the ethical implications of disclosure and nondisclosure.

· Research federal and state laws for advanced practice nurses. Reflect on the legal implications of disclosure and nondisclosure for you and the health clinic.

· Consider what you would do as the advanced practice nurse in this scenario including whether or not you would disclose your error.

· Review the Institute for Safe Medication Practices website in the Learning Resources. Consider the process of writing prescriptions. Think about strategies to avoid medication errors.

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

· Explain the ethical and legal implications of disclosure and nondisclosure. Be sure to reference laws specific to your state.

· Describe what you would do as the advanced practice nurse in this scenario including whether or not you would disclose your error. Provide your rationale.

· Explain the process of writing prescriptions including strategies to minimize medication errors.

– This work should have Introduction and conclusion

– This work should have at 4 to 6 current references

– Use at least 3 references from class Learning Resources

The following Resources are not acceptable:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

4. Mayoclinic.com

Required Readings

**Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

Chapter 1, “Issues for the Practitioner in Drug Therapy” (pp. 3–14)

This chapter introduces issues relating to drug therapy such as adverse drug events and medication adherence. It also explores drug safety, the practitioner’s role and responsibilities in prescribing, and prescription writing.

Chapter 59, “The Economics of Pharmacotherapeutics” (pp. 1009-1018)

This chapter analyzes the costs of drug therapy to health care systems and society and explores practice guideline compliance and current issues in medical care.

Chapter 60, “Integrative Approaches to Pharmacotherapy—A Look at Complex Cases” (pp. 1021-1036)

This chapter examines issues in individual patient cases. It explores concepts relating to evaluation, drug selection, patient education, and alternative treatment options.

**Crigger, N., & Holcomb, L. (2008). Improving nurse practitioner practice through rational prescribing. The Journal for Nurse Practitioners, 4(2), 120–125.

Note: Retrieved from the Walden Library databases.

This article explores issues relating to prescription drugs, specifically the frequency in which drugs are prescribed to patients. It also examines factors to consider before beginning drug therapy plans with patients.

**Philipsen, N. C., & Soeken, D. (2011). Preparing to blow the whistle: A survival guide for nurses. The Journal for Nurse Practitioners, 7(9), 740–746.

Note: Retrieved from the Walden Library databases.

This article examines issues that nurses encounter when reporting errors in medical settings. It also outlines the role of ethics and the responsibility of nurses to notify all individuals who are impacted by a medical error.

**American Nurses Association. (2001). Code of ethics for nurses with interpretive statements. Nursing World. Retrieved from http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics-For-Nurses.html

This article outlines ethical standards in the nursing profession and identifies nine provisions of care that must be adhered to by all nurses.

**Anderson, P., & Townsend, T. (2010). Medication errors: Don’t let them happen to you. American Nurse Today, 5(3), 23–28. Retrieved from https://americannursetoday.com/medication-errors-dont-let-them-happen-to-you/

This article examines factors that lead to medication errors as well as consequences of these errors on patients and nurses. It also recommends methods for avoiding and eliminating medication errors.

**Drug Enforcement Administration. (n.d.). Mid-level practitioners authorization by state. Retrieved from August 23, 2012, http://www.deadiversion.usdoj.gov/drugreg/practioners/index.html

This website outlines the schedules for controlled substances, including prescriptive authority for each schedule.

**Drugs.com. (2012). Retrieved from http://www.drugs.com/

This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.

**Institute for Safe Medication Practices. (2012). ISMP’s list of error-prone abbreviations, symbols, and dose designations. Retrieved from http://www.ismp.org/Tools/errorproneabbreviations.pdf

This website provides a list of prescription writing abbreviations that might lead to misinterpretation, as well as suggestions for preventing resulting errors.

**Byrne, W. (2011). U.S. nurse practitioner prescribing law: A state-by-state summary. Medscape Nurses. Retrieved from http://www.medscape.com/viewarticle/440315

**Drug Enforcement Administration. (n.d.). Code of federal regulations. Retrieved August 23, 2012, from http://www.deadiversion.usdoj.gov/21cfr/cfr/1300/1300_01.htm

Describe a situation in which the nurse manager would use problem resolution in the workplace

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1. Describe a situation in which the nurse manager would use problem resolution in the workplace. Describe a situation in which the nurse manager would use negotiation to resolve a conflict (or potential conflict) in the workplace.

2. Compare and contrast strategies for resolving a conflict, using first the informal negotiation method and then the formal negotiation method.

3. Explore the American Nurses Association website for information on collective bargaining for nurses. Which states have nursing unions? Debate the issue of joining a union with another group of students.

4. PART 1: Log onto the website of your state nurses association and search for information on collective bargaining. Search for news articles, union websites, and other recent information on collective bargaining for nurses in your state. Is there a great deal of collective bargaining activity in your state? If not, why? If yes, what are the primary issues under discussion?

PART 2: Review the pros and cons of becoming part of a collective bargaining unit. If you were a full-time staff nurse, would you want to join a union? Why or why not?

Select one cultural context and one religious viewpoint (other than Christianity, its denominations, or something already discussed in the textbook) and examine how the principles of servant leadership are evident in that culture and religion

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hile servant leadership is often associated with Christianity and the Bible, one could argue it is compatible with most religions and philosophies and that it transcends cultures. This assignment presents you with an opportunity to explore other cultures, philosophies, and religions and asks you to think critically about how servant leadership practices are apparent in other religious and cultural values.

Select one cultural context and one religious viewpoint (other than Christianity, its denominations, or something already discussed in the textbook) and examine how the principles of servant leadership are evident in that culture and religion. In a 1,250-1,500-word essay, identify similarities and differences between servant leadership’s philosophies and the values evident in the selected cultural context and religious viewpoint. Be sure to provide specific examples of practices and/or values in your discussion.

You are required to locate two articles that examine servant leadership from a different cultural perspective and two articles that examine servant leadership from a different religious perspective. Be sure to select academic articles from reputable sources that are 10-20 pages in length. Include information from the articles in your discussion.

Using Emotional Intelligence And Appreciative Inquiry To Promote Quality

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Using Emotional Intelligence and Appreciative Inquiry to Promote Quality   Through communication—inquiry and dialogue—every person makes a contribution, and by being involved in the process, people can shift their attention and action away from a problem-oriented focus to dreams that are worthy to them and to productive possibilities for the future.   —Watkins & Mohr, 2001  Without a doubt, promoting health care quality and patient safety presents a meaningful aim.  To achieve this goal, nurse leader-managers need to be able to evaluate a situation from many different viewpoints and frame questions that elicit valuable insights. They must be able to promote skillful problem solving and interdisciplinary teamwork.  In this Discussion, you examine how you can use emotional intelligence and appreciative inquiry to facilitate positive changes that lead to improved quality and safety.   To prepare: •Review the information on emotional intelligence and appreciative inquiry presented in this week’s Learning Resources. •If you have not already done so, follow the instructions in the course text, Emotional Intelligence 2.0 to complete the online assessment. •Consider the results of the assessment. Review your strengths and opportunities for growth related to self-awareness, self-management, social awareness, and relationship management. What insights, questions, or concerns arise as you think about these results? •Think about how your identified emotional intelligence strengths and opportunities for growth relate to your current role as a leader-manager and to the professional contributions that you hope to make now and in the future. Give focused attention to patient safety and health care quality. How and why is emotional intelligence valuable for promoting optimal patient outcomes and creating systems-level change? •As indicated on pages 53–55 of the Bradberry and Greaves text, develop a plan for improving your skills in one area of emotional intelligence. Evaluate strategies for applying your strengths in the workplace. Identify at least two that you can use to add value to a team or workgroup to improve quality and safety. •Also review the information on appreciative inquiry in this week’s Learning Resources. Have you used appreciative inquiry before? If so, how? How does the application of appreciative inquiry relate to your role as nurse leader-manager and/or to efforts to promote health care quality? •Reflect on your experiences working in health care and identify an issue or problem that required, or requires, a change. Consider how you could apply emotional intelligence and appreciative inquiry strategies to this situation to facilitate positive results that lead to improved quality.  By Day 3  Post a brief description of an issue or problem in a health care setting that required, or requires, a change. Explain how you, as a nurse leader-manager, could apply both emotional intelligence and appreciative inquiry strategies to address this issue and facilitate positive results that lead to improved quality.

Required Readings

Bradberry, T., & Greaves, J. (2009). Emotional intelligence 2.0. San Diego, CA: TalentSmart.  •Chapter 1, “The Journey” (pp. 1–12) •Chapter 2, “The Big Picture” (pp. 13–22) •Chapter 3, “What Emotional Intelligence Looks Like: Understanding the Four Skills” (pp. 23–50) The first three chapters of this book introduce foundational concepts related to emotional intelligence, and provide the background for the online assessment that you will take in preparation for this week’s Discussion. In addition to these chapters, you should read the rest of the book once you have completed the assessment.     Note: You must purchase a new, unopened copy of this book in order to acquire the access code that you will need to complete the online assessment.   Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. M. (2013). Integrating quality and strategy in health care organizations, Burlington, MA: Jones & Bartlett Publishers.  •Chapter 1, “Understanding the U.S. Healthcare System” (pp. 1–30)    This chapter sets the context for understanding quality-related issues within the U.S. health care system (macroenvironment). The authors discuss health care access and costs, which may be viewed as part of a triad with quality.   Ingram, J., & Cangemi, J. (2012). Emotions, emotional intelligence and leadership: A brief, pragmatic perspective. Education, 132(4), 771–778.  Retrieved from the Walden Library databases.   Nel, H., & Pretorius, E. (2012). Applying appreciative inquiry in building capacity in a nongovernmental organization for youths: An example from Soweto, Gauteng, South Africa. Social Development Issues, 34(1), 37–55.  Retrieved from the Walden Library databases.     This article examines how appreciative inquiry can be used to foster meaningful change in organizations. It outlines the principles of appreciative inquiry and the four phases: discovery, dream, design, and delivery.

What is the socialization process for the new nurse – is their lived experienced what you expected to find?

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What is the socialization process for the new nurse – is their lived experienced what you expected to find?

Where are you in your socialization process?

After completing your required readings, consider the socialization processes you experienced as a student nurse and as a new graduate. Using one of the models for socialization that Black describes, identify where you think you are today in your socialization process and what that means in your professional growth. You are now ‘set’ for discovery!

Interview a new nurse:

Since many of you have been nurses for quite some time, it’s important for us to also know the reality of the socialization process for our new nurses. Your assignment this week is to interview a new nurse (someone who graduated less than 2 years ago) about their socialization process to nursing.)

APA citation and references required!

Write a critical analysis of the Malaria.

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  Research Paper Assignment –

Format Instructions: 

  1.  Length – 3- 4 pages – (not including a References and Cover Page) 
  2. Double-spaced, size 11 or 12 font, margins 1” left, right, upper and lower. 
  3. Use the APA format for references, there are instructions in the College Library for your information. 
  4. Cite all borrowed language in quotations (not more than 10% of your paper)
  5. Research must include 6 different sources – not more than 3 internet sources
  6. Bibliography / Reference Page should be in “end note” format 
  7. NO Abstract, table of contents, running head required for this paper 

Question

Write a critical analysis of the Malaria.

Included in this analysis, you will need to explain how the disease you chose

affects the various body systems where relevant. 

The following relevant and concise information must (if pertinent) be included in your write up.

1. Name of disease

2. History of the disease

3. Description of disease

Anatomy of the system(s) involved

1. Effects on other body systems

2. Cause of disease

3. Signs and symptoms

4. Diagnosis of the disease

5. Complications, if any

6. Treatment and side effects

Conclusion should include the following:

1. Brief mention of current or proposed research that may significantly impact Malaria.

2. Prevention strategies if any

3. Your insight / opinion.

NOTE: you must focus on the anatomy & physiology of the disease/disorder. Cover the normal anatomy & physiology of the organ system affected and then state what the disease/disorder does to this organ system, and other organ systems. In other words, if you are writing about Tuberculosis, I do not want you to go too much in detail about the

bacteria that causes it but how the bacteria escapes our body’s defenses and what the bacteria does to the lungs, bones, etc. 

 Why did you select the health or nursing profession policy issue?

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Task 1

DIRECTIONS

POLICY, POLITICS, & GLOBAL HEALTH TRENDS Competencies: 7007.1.1: Organization and Financing Healthcare –  The graduate analyzes the organization of healthcare delivery and financing systems in the United States and other nations. 7007.1.2: Policy Process –  The graduate analyzes the historical, economic, and political factors that affect healthcare policy development and the impact of those policies on healthcare cost, quality, and access. 7007.1.3: Effects of Legal and Regulatory Policies –  The graduate analyzes the effect of major legal and regulatory policies on nursing practice, healthcare delivery, and health outcomes for individual, families, and communities. 7007.1.4: Ethical Theories Applied to Nurses’ Policy Positions –  The graduate analyzes the values that drive policies. 7007.1.5: Advocate for Policies That Improve the Health of the Public and the Profession of Nursing –  The graduate analyzes strategies that healthcare advocates use to affect policies with the goal of improving the public health and the profession of nursing. 

Introduction: For this assessment, you will be required to develop and thoroughly analyze a public policy in order to advocate for one that improves the health of the public and/or the nursing profession globally (local, state, national, or international). To do this, you will reflect on several aspects of being a policy maker within the nursing position. A few things to consider are:

•   Why did you select the health or nursing profession policy issue?

•   How does this issue affect nursing practice, healthcare delivery, and health outcomes for individual, families, and/or communities?

•   What are the values and the ethical positions that underpin your perspectives?

•   What are the criteria you will use to evaluate the success (outcomes) of your proposed policy change?

By using both a top-down and a bottom-up approach, you will analyze and bring the nursing perspective to policy makers and stakeholders. Identifying the values and ethical perspectives that underpin your position, you will develop criteria to evaluate the success of your work. This will lead to a created a policy brief that can be sent to decision makers and created a plan to work with an organization/community to promote policy change at the local level. To guide you to your conclusion, using nursing research to support your position is vital. This should include principles of community-based participatory research (CBPR). Requirements:

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.

Professional Communications is a required aspect to pass this task. Completion of a spell check and grammar check prior to submitting your final work is strongly recommended.

Note: Your submission may take the form of an essay, multimedia presentation, etc. Be sure to cover each prompt in sufficient detail and support no matter what form you use.

A.  Prepare your reflection essay (suggested length of no more than of 3 pages) of the values and ethics of a public policy issue by doing the following:

1.  Analyze a health or nursing profession public policy issue that impacts a group of people and requires a policy change.

a.  Discuss why you selected this public policy issue.

Note: If you select a local policy, be sure your discussion reflects how the policy will affect more than a single unit, department, or organization.

b.  Discuss the relevance of the public policy issue to the health or the nursing profession, using two pieces of academically appropriate literature from the last five years.

c.  Describe the financial impact of the public policy on an organization or on a community.

2.  Analyze how your values impact your position on the public policy issue.

a.  Discuss the ethical principle (e.g., autonomy, beneficence, non-maleficence, justice) or theory that underpins your perspective.

B.  Develop a policy brief (suggested length of no more than 6 pages) for the public policy issue discussed in part A in which you do the following:

1.  Identify the decision maker (name and title) who will receive the policy brief.

a.  Explain why the public policy issue requires the decision maker’s attention, using relevant nursing research from the last five years to support your position.

2.  Discuss the main challenges of addressing the selected public policy issue.

3.  Discuss the primary options and/or interventions for the decision maker, including why they are tangible.

4.  Propose a persuasive course of action for the decision maker, including ways to avoid the challenges identified in part B2.

5.  Discuss how you will evaluate the success of your policy brief (top-down approach).

C.  Create a plan (suggested length of no more than 3 pages) for working with an organization or a community to address the public policy issue analyzed in part A by doing the following:

1.  Identify an organization or community that has expressed interest in your selected health or nursing profession public policy issue.

a.  Summarize evidence supporting why the organization or community has expressed interest in the selected public policy issue.

2.  Identify three CBPR principles you could use to work with the organization or community to address a policy change for the public policy issue.

a.  Explain how you could approach and collaborate with the organization or community.

b.  Discuss how the goal of the community or organization aligns with your goal for the selected public policy issue.

c.  Discuss the action steps that need to be taken to achieve your goal from part C2b.

d.  Discuss the possible roles/responsibilities of the community or organization members, including problem-solving and capacity-building roles.

e.  Discuss key elements of developing a collaborative evaluation plan, using CBPR principles.

f.   Discuss how you will evaluate the success of your community or organization plan (bottom-up approach).

D.  Analyze (suggested length of 1 page) the strengths and challenges of the top-down and bottom-up approaches in achieving policy change(s) to support your selected public policy issue by doing the following:

1.  Discuss the strengths of each approach to implement change for the selected public policy issue.

2.  Discuss the challenges of each approach to implement change for the selected public policy issue.

3.  Discuss which approach you would recommend as the most effective to address the selected public policy issue.

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

Evaluation of Plan Effectiveness Criteria

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Capstone Project

Evaluation of Plan Effectiveness Criteria

You spent the last two weeks implementing a portion of the comprehensive care plan you developed for the aggregate. An evaluation of plan effectiveness is now due.

In the evaluation component of the Capstone project, you are expected to evaluate the effectiveness of the intervention.

Some questions you should seek answers to are:

  1. What barriers might you anticipate when implementing the intervention as planned?
  2. What visible signs of success would you look for (for example, reduced health issues)? Describe them.

The evaluation component of the final paper should describe your evaluation of the implementation. Include responses to points 1and 2 above. The evaluation component of the final Microsoft Word submission document should be a minimum of 2 pages.

The complete summary document should use the Mobilize, Assess, Plan, Implement, Track (MAP-IT) steps used in pulling together your project.

Over the past nine weeks, you selected an aggregate and conducted a risk assessment of its health, developed a care plan to address those health risks, planned an implement one intervention in a small group from the aggregate, and considered the effectiveness of the intervention on the health of the small group. It’s time now for you to present your final submission of this Capstone project.

Your final submission comprises the documentation of the work accomplished through your Capstone project, a Microsoft Word Document that contains the evaluation and summary, a Microsoft PowerPoint presentation highlighting the main aspects of the project including the key things learned during the 10 weeks of working with this project.

The summary document should use the Mobilize, Assess, Plan, Implement, Track (MAP-IT) steps used in pulling together your project. The complete documentation of the work accomplished over the course of the project should contain a minimum of 6–7 pages in a Microsoft Word document and should include the following information:

  • A detailed description of the aggregate
  • A description of the aggregate’s strengths and weaknesses
  • A risk assessment of the aggregate
  • Diagnoses based on the risk assessment
  • A detailed care plan for the aggregate
  • A description of how at least one intervention was implemented in the aggregate to address an identified issue
  • An evaluation of how you would identify the effectiveness of the intervention

The Power Point presentation should be concise and should include the highlights of the Capstone project and the key things learned over the course of this project, from developing, implementing, and evaluating the care plan. Your presentation should not exceed 15 slides.

Interview with a Nursing Information Expert

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Chamberlain College of Nursing NR361 Information Systems in Healthcare

Interview with a Nursing Information Expert

Interviewer Form

For Use May 2018

Your Name: Date:

Your Instructor’s Name:

Directions: You must use this form for this assignment. Use the Submit tab on the assignment page to upload it when it is completed. You may use the form to capture information as you conduct your interview, or fill it in later. The form is expandable and will enlarge the textbox to accommodate your answers. Do not rely only on this form for everything you must include! Read the assignment guidelines for more details.

Criteria Fill in the answers in this column.
Demographics: Provide initials of the RN, official job title of interviewee that includes the type of nursing information role and the date the interview was conducted.

Types of nursing information expert may be considered include, but are not limited to, Nursing Clinical Information Manager; Super User, Director/Manger Clinical Education; Chief Information Officer; Quality Assurance or Performance Improvement Nurse; Nurse Informaticist; Telenursing Specialist; Nurse Abstractor; Case Manager; Compliance Nurse.

Required Questions

(answer EVERY question in this section)

1. Describe your career path to your current position. Include information about education and experiences.
2. Discuss the value of best evidence as a driving force in delivery of nursing care at your facility.
3. What safeguards and decision-making support tools are embedded in patient care technologies and information systems that support safe practice at your facility?
4. Names/lists four or more technologies that improved patient care.
5. Names/lists three or more groups that rely on information/data AND describes in detail how information is utilized.
Optional Questions

(answer only ONE question from the choices below)

1. Please tell me what challenges you have faced in dealing with other disciplines who may not “understand the needs of nurses/nursing?”
2. Please share an example of how garbage in/garbage out (GIGO) impacted a decision related to your information/data collection.
3. Please give me an example of how the lack of interprofessional collaboration impacted your role.
4. Please describe what a typical day on the job is like for you?
Follow-up Questions

(Answer all of these. Please do not ask them during the interview.

Instead, reflect and answer them afterward.)

1. How will completing this interview impact your practice as a BSN-prepared nurse? Give specific examples.
2. Resources:

List scholarly articles or texts that were used prior to the interview to prepare. Write resource in APA format. (The references should be within the last five years).

**Clearly states how each resource helped prepare for the interview.

The VARK Questionnaire: How Do I Learn Best?

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Complete “The VARK Questionnaire: How Do I Learn Best?”

http://vark-learn.com/the-vark-questionnaire/

  1. Click “OK” to receive your questionnaire scores.
  2. Once you have determined your preferred learning style, review the corresponding link to view your learning preference.
  3. Review the other learning styles: visual, aural, read/write, kinesthetic, and multimodal (listed on the VARK Questionnaire Results page).
  4. Compare your preferred learning strategies to the identified strategies for your preferred learning style.
  5. Appraise how this awareness of learning attributes influences your perceptions of teaching and learning.

In a paper (750-1,000 words), summarize your analysis of this exercise. Include the following:

  1. Provide a summary of your learning style.
  2. List your preferred learning strategies.
  3. Compare your preferred learning strategies to the identified strategies for your preferred learning style.
  4. Discuss how the awareness of individual learning styles, preferences and strategies influence teaching (those who are in a position to teach) and learning (those who are in a position to learn).
  5. Cite a minimum of three references in the paper.

Although the topic of this assignment refers to your individual learning style, avoid the use of first person voice (words such as, “I, we, our”) in your essay.

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 Turnitin. Please refer to the directions in the Student Success Center.