1. Discuss your nursing practice environment and how this is affected by policy decisions at the federal, state, and local levels.
2.. How does the Affordable Care Act impact your community?
Need to cite 2 recent Nursing Journals (with in the last 5 years ) to add or back up your response
Compare and contrast three nursing advocates who have brought about change to public policy. What changes need to be made in the future to be successful as a profession of nursing advocates for healthcare policy reform?
Florence Nighingale
Lilian Wald
clara Barton
Identify philosophical foundations of nursing.
Discuss new concepts, principles, thoughts, and ideas in regard to the role of theory in nursing practice, research, education, and administration.
Describe the basic types and purposes of theory in relation to theory practice and research.
Identify two areas of nursing practice, which evidence-based practice has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice? Please support your response with a minimum of two supporting peer reviewed articles.
Review the Thomas Edison State University, W. Cary Edwards School of Nursing. (2013). BSN Outcomes.
1.Discuss how compatible you believe the program outcomes are with the COPA model core competencies, competencies in the ANA Standards of Practice, and the professional standards in your area of practice.
2.Provide the basis for your belief about the level of congruency with at least one professional standard.
You will utilize your change model for this assignment. Review the feedback submitted by your instructor on your previous change model assignment. Make any changes or modifications necessary for the submission of this assignment.
Evaluate the performance of your organization or department. Identify an area that would significantly benefit from initiating a change. Write a paper (1,500-1,750 words) in which you describe the particular area you propose to address through a change initiative. Include the following for your company:
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.
prevalence of obesity and severe obesity in US children, 1999-2016.
7 pages APA formatt
Critical Appraisal of a Quantitative Study Assignment Guideline and Rubric
The goals of this assignment are to:
Steps of the process:
Information to include in the report (see examples on pages 433-442)
Research Problem and Purpose
Why is the problem significant to nursing?
Literature Review
Study Framework
Research Objectives, Questions, or Hypotheses
Variables
Method/Design
.What type of research is it? Explain.
How were study subjects selected?
Are any subjects excluded from the study based on age, socioeconomic status, or race, without a sound rationale?
If more than one group is used, do the groups appear equivalent?
Are the rights of human subjects protected?
Is the setting used in the study typical of clinical settings?
Measurements
What are the instruments that were used to measure variables and if they are scales and questionnaires did the investigator(s) clearly describe them, especially the reliability/validity of the instruments?
If data were collected by observation as in qualitative studies
are the phenomena to be observed clearly identified and defined?
Is interrater and intrarater reliability described?
Are the techniques for recording observations described?
Interviews
Do the interview questions address concerns expressed in the research problem?
Are the interview questions relevant for the research purpose and objectives, questions, or hypotheses?
Physiological Measures
Are the physiological measures or instruments clearly described?
Are the methods for recording data from the physiological measures clearly described?
Data Collection and Analysis
Is the data collection process clearly described?
Is the training of data collectors clearly described and adequate?
Are the results presented in an understandable way?
Interpretation of Findings
Evaluation
Workforce Issues on Patient Safety
In this assignment, you will consider how workforce issues impact patient safety.
Based on your research, respond to one of the following discussion questions.
Discussion Question 1
Identify the methodology, design, and rationale of the following titles.
Suggested References:
Shisana, O., Rice, K., Zungu, N., & Zuma, K. (2010). Gender and poverty in South
Africa in the era of HIV/AIDS: A quantitative study. Journal of Women’s
Health (15409996), 19(1), 39–46.
Ko, E., Nelson-Becker, H., Park, Y., & Shin, M. (2013). End-of-Life decision making
in older Korean adults: Concerns, preferences, and expectations. Educational
Gerontology, 39(2), 71–81.
Witzke, J., Rhone, R., Backhaus, D., & Shaver, N. (2008). How sweet the sound:
Research evidence for the use of music in Alzheimer’s dementia. Journal of
Gerontological Nursing, 34(10), 45–52.
Sandvik, A., Melender, H., Jonsén, E., Jönsson, G., Salmu, M., & Hilli, Y. (2012).
Nursing students’ experiences of the first clinical education: A nordic
quantitative study. Nordic Journal of Nursing Research & Clinical Studies /
Vård I Norden, 32(3), 20–25.
Cooper, C., Taft, L., & Thelen, M. (2004). Examining the role of technology in
learning: An evaluation of online clinical conferencing. Journal of
Professional Nursing, 20(3), 160–166.
Roulston, A., Bickerstaff, D., Haynes, T., Rutherford, L., & Jones, L. (2012). A pilot
study to evaluate an outpatient service for people with advanced lung cancer.
International Journal of Palliative Nursing, 18(5), 225–233.
Case Study Ethical Legal Dilemma Advanced Practice Nursing
Course outcomes addressed in this Assignment:
MN506-1: Apply theoretical frameworks and concepts to ethical dilemmas in the advanced practice role.
PC 2.3: Demonstrate integrity through the application of relevant codes of conduct and social responsibility within one’s profession.
Instructions:
1.Create an ethical legal decision-making dilemma involving an advanced practice nurse in the field of education. Apply relevant codes of conduct that apply to the practice of nursing and your chosen field.
2.Include one ethical principle and one law that could be violated and whether the violation would constitute a civil or criminal act based on facts.
3.Construct a decision that demonstrates integrity and that would prevent violation of the ethical principle and prevent the law from being violated.
4.Describe the legal principles and laws that apply to the ethical dilemma.
5.Support the legal issues with prior legal cases or state or federal statutes.
6.Analyze the differences between ethical and legal reasoning and apply an ethical-legal reasoning model in the case study to create a basis for a solution to the ethical-legal dilemma.
7.List three recommendations that will resolve advanced practice nurses’ moral distress in the dilemma you have presented.
8.Based on the issue you presented and the rules of the law, apply the laws to your case and come up with a conclusion.
Note:
•This is a fact-based Assignment that will not include your opinion.
•This will require research and support for what is written.
•The Assignment should be in your words after reading the scholarly and fact-based publications and have proper citations. There should be no quotations. The professor wants to hear your voice as a masters trained nurse.
Description
In the Unit 2 topic 1 Discussion, you will choose an ethical-legal dilemma that would cause the advanced practice nurse moral distress. You will write the introductory paragraphs for the Unit 4 Assignment in the Unit 2 topic 1 Discussion Board and post it for your peers to comment on.
You will continue working on the topic you have chosen and submit the paper using the most recent version of APA format. The paper should have a minimum of seven citations and some of these should be case law or applicable statutes. The Kaplan Library has Westlaw Campus Research database where you can find case laws that relate to your topic.
Unit 4 Individual Paper
Advanced Practice Nursing Decisions that Cause Moral Distress (End of Life)
As an advanced practice nurse, we will sooner or later come across an issue or more than one issue that will cause us moral distress.According to Westrick, moral distress occurs when there is a mismatch or disequilibrium between moral obligations and principles, and the ability to implement them, (2014 p. 310).As a nurse practitioner working in a hospital setting we will come across issues of how to advocate for our patients when it comes to quality of life rather than quantity of life.“Every day nurses make great moral decisions in their workplace, but in practice they cannot always act according to their moral obligations,” (Williams, Wang, & Kitchen, 2014,p.7).One thing that we must assist the patient and family member is to understand and choose the proper treatment.The physicians should speak to the patient and family member about the disease and the prognosis, also be able to answer questions about death, and pain relief.
Patients and families are still under the impression that if they sign up with hospice that the patient will only be alive for a few hours or days.“Accepting and preparing for death is sometimes unbearably frightening for families,” (Bülbül et. al., 2015 p. 1242).Hospice even today is underutilized and family members will only agree to it when death is imminent.As an advance practice nurse caring for a terminally ill patient, who is suffering it will increase your moral distress.Families and patients should also be explained that there is the choice of Palliative care which it’s goal is to prevent or treat the symptoms and side effects of the diseasebesides the social and spiritual problems.According to Williams, Wang, and Kitchen, the terms ‘palliative’ and ‘end-of-life’ care are often used interchangeably by researchers and health practitioners, (2014, p.188).Palliative care will not cure the disease but it provides comfort and supportive care, and management of the symptom.
Ethical Dilemma
Ethical Principle and Law
Preventing Violation of Principle/Law
Legal Principles and Law
Legal Cases
Ethical and Legal Reasoning
Recommendations
Conclusion
References:
Ameri, M.; Safavibayatneed, Z.; Kavousi, A.; (2016),Moral distress of oncology nurses and morally distressing situations in oncology units, Australian Journal of Advanced Nursing
Bülbül, S.; Sürücü, M.; Karavaizoğlu, C.; & Eke, M.; Limitations in the approach health caregivers can take in end-of-life care decisions, Child: Care, Health & Development, Nov2015; 41(6): 1242-1245. 4p.
Westrick, S.J.; (2014), Nursing Law and Ethics,Edition 2ndJones & Bartlett
Williams, A.M.; Wang, L.; and Kitchen, P.; (2014) Differential impacts of care-giving across three caregiver groups in Canada: end-of-life care, long-term care and short-term care, Health and Social Care in the Community 22(2), 187–196 doi: 10.1111/hsc.12075
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