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Assessment 1-4

June 28, 2025/in Nursing Questions /by Besttutor

· Overview

In this assessment, you will propose an economic initiative that presents an opportunity for improved care quality.

Master’s-level health care practitioners are charged with the responsibility of constantly scanning the external environment for shifts in supply of and demand for services. Concurrently, leaders must examine strategic fit with their organization’s directional strategy and determine if adjustments need to be made for current service offerings, updates in equipment, changes in staffing models, and a variety of other decisions. Each decision that is proposed must be evaluated in terms of the health care setting as a system, alignment with the mission and strategy, available internal resources, potential contract and payer source implications, and the short- and long-term economic effects at both the micro and macro levels.

Note: Complete the assessments in this course in the order in which they are presented.

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

· Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and demand, return on investment, and risks) in a health care system on patient care, services offered, and organizational structures and operation.

1. Analyze the supply and demand for a proposed economic initiative within contexts relevant to a care setting.

. Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care organization in an effort to improve the quality of care and services offered.

2. Propose an economic initiative that presents an opportunity for a care setting at both the micro and macro levels, and that will provide ethical and culturally equitable improvements to the quality of care.

. Competency 3: Justify the qualitative and quantitative information used to guide economic decision making to stakeholders and colleagues.

3. Explain relevant economic and environmental data that support a proposal and analysis.

. Competency 5: Apply various communication methods in order to clearly, effectively, and efficiently relate information to stakeholders and colleagues related to economic data, findings, and strategies.

4. Communicate an economic proposal in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.

4. Effectively support a proposal with relevant economic data and scholarly sources, correctly formatting citations and references using current APA style.

 

Questions to Consider

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

. What factors determine the price and quantity of health care? What factors determine the demand for health care services?

. What suggestions do you have for improving the economic situation of your current health care setting? How might strategies or priorities need to shift to keep up with the changing health care economic environment?

. How do the Centers for Medicare and Medicaid Services (CMS) regulations impact documentation, billing, and reimbursement?

Suggested Resources

The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid.

Internet Resources

These resources provide regulatory information and data that will help you with your assignment:

. National Institutes of Health. (n.d.). Retrieved from http://www.nih.gov/

8. Focus on the programs and activities of the organization.

. Centers for Disease Control and Prevention. (2016). National Center for Health Statistics. Retrieved from http://www.cdc.gov/nchs/

. Centers for Medicare & Medicaid Services. (n.d.). Retrieved from http://cms.gov/

 

 

 

 

 

 

· Assessment Instructions

In this assessment, you will propose an economic initiative that presents an opportunity for improved care quality.

Scenario

As an emerging health care leader, the senior management has requested that you independently research and explore one of the economic opportunities that may be available in your care setting. This may be offering a new service line, working to improve a service line already offered, retiring an outdated or unprofitable service line, or any other economic initiative that you believe will be of benefit to your care setting in the short and long term. One example of this is a recently launched partnership with a local bicycle sharing company. Your care setting partners with them to host healthy community events that offer free screenings for early detection of various health issues. This helps fulfill some of your care setting’s preventive and healthy lifestyle initiatives, while also potentially driving referrals to other services provided by your care setting. You have been asked to submit your proposal in the form of a 2–4 page executive summary that includes your proposed economic initiative, supporting economic data, and an analysis of the proposal’s benefits for your department and for the care setting overall.

Directions

You have been asked to ensure that your report addresses the following. Note: The bullet points below correspond to grading criteria in the scoring guide. Be sure your work is, at minimum, addressing each of the bullets below. You may also want to read the scoring guide and the Guiding Questions: Executive Brief: Proposal of New Economic Opportunity document to better understand the performance levels that relate to each grading criterion:

. Propose an economic initiative that presents an opportunity for your care setting at both the micro (departmental, neighborhood) and macro (organizational, community) level that you believe will provide ethical and culturally equitable improvements to the quality of care.

. Analyze the supply and demand for your proposed economic initiative within contexts relevant to your care setting.

. Explain relevant economic and environmental data that support your proposal and analysis.

. Communicate your economic proposal in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.

. Effectively support your proposal with relevant economic data and scholarly sources, correctly formatting citations and references using current APA style.

Additional Requirements

. Length: 2–4 double-spaced, typed pages. Your proposal should be succinct yet substantive.

. APA formatting: Resources and citations are formatted according to current APA style.

. Resources: Cite a minimum of 3–5 authoritative and scholarly resources. Be sure to include specific economic data and support as part of your cited resources. Resources must be current and a maximum of 5 years old.

 

·

 

Overview

 

 

In this assessment, you will propose an economic initiative that presents an

opportunity for improved care quality.

 

Master’s

–

level health care practitioners are charged with the responsibility of

constantly scanning the external environment for shifts in supply of and demand

for services. Concurrently, leaders must examine strategic fit with their

organization’s directi

onal strategy and determine if adjustments need to be made

for current service offerings, updates in equipment, changes in staffing models,

and a variety of other decisions. Each decision that is proposed must be evaluated

in terms of the health care setti

ng as a system, alignment with the mission and

strategy, available internal resources, potential contract and payer source

implications, and the short

–

 

and long

–

term economic effects at both the micro and

macro levels.

 

Note

: Complete the assessments in this course in the order in which they are

presented.

 

By successfully completing this assessment, you wil

l demonstrate your

proficiency in the following course competencies and assessment criteria:

 

·

 

Competency 1

: Analyze the effects of financial and economic factors (such as

cost

–

benefit, supply and demand, return on investment, and risks) in a health care

sys

tem on patient care, services offered, and organizational structures and

operation.

 

o

 

Analyze the supply and demand for a proposed economic initiative within contexts

relevant to a care setting.

 

·

 

Competency 2

: Develop ethical and culturally equitable solutio

ns to economic

problems within a health care organization in an effort to improve the quality of

care and services offered.

 

o

 

Propose an economic initiative that presents an opportunity for a care setting at

both the micro and macro levels, and that will pr

ovide ethical and culturally

equitable improvements to the quality of care.

 

·

 

Competency 3

: Justify the qualitative and quantitative information used to guide

economic decision making to stakeholders and colleagues.

 

o

 

Explain relevant economic and environment

al data that support a proposal and

analysis.

 

·

 

Competency 5

: Apply various communication methods in order to clearly,

effectively, and efficiently relate information to stakeholders and colleagues

related to economic data, findings, and strategies.

 

o

 

Communi

cate an economic proposal in a logically structured and concise manner,

writing content clearly with correct use of grammar, punctuation, and spelling.

 

 Overview

In this assessment, you will propose an economic initiative that presents an

opportunity for improved care quality.

Master’s-level health care practitioners are charged with the responsibility of

constantly scanning the external environment for shifts in supply of and demand

for services. Concurrently, leaders must examine strategic fit with their

organization’s directional strategy and determine if adjustments need to be made

for current service offerings, updates in equipment, changes in staffing models,

and a variety of other decisions. Each decision that is proposed must be evaluated

in terms of the health care setting as a system, alignment with the mission and

strategy, available internal resources, potential contract and payer source

implications, and the short- and long-term economic effects at both the micro and

macro levels.

Note: Complete the assessments in this course in the order in which they are

presented.

By successfully completing this assessment, you will demonstrate your

proficiency in the following course competencies and assessment criteria:

 Competency 1: Analyze the effects of financial and economic factors (such as

cost-benefit, supply and demand, return on investment, and risks) in a health care

system on patient care, services offered, and organizational structures and

operation.

o Analyze the supply and demand for a proposed economic initiative within contexts

relevant to a care setting.

 Competency 2: Develop ethical and culturally equitable solutions to economic

problems within a health care organization in an effort to improve the quality of

care and services offered.

o Propose an economic initiative that presents an opportunity for a care setting at

both the micro and macro levels, and that will provide ethical and culturally

equitable improvements to the quality of care.

 Competency 3: Justify the qualitative and quantitative information used to guide

economic decision making to stakeholders and colleagues.

o Explain relevant economic and environmental data that support a proposal and

analysis.

 Competency 5: Apply various communication methods in order to clearly,

effectively, and efficiently relate information to stakeholders and colleagues

related to economic data, findings, and strategies.

o Communicate an economic proposal in a logically structured and concise manner,

writing content clearly with correct use of grammar, punctuation, and spelling.

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Nursing

June 28, 2025/in Nursing Questions /by Besttutor

Discuss how evidence-based practice is applied in your  Nursing practice setting and describe the desired patient outcome achieved through this approach.

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NR 507 Week 3 Discussion

June 28, 2025/in Nursing Questions /by Besttutor

NR 507 Week 3 Discussion

PART No. 1:

A 17-year-old African American from the inner city complains of severe chest and abdominal pain. Upon examination the attending physician performs and EKG, chest x-ray, and an abdominal and chest clinical examination and finds nothing. Assuming, she is drug seeking he sends her home. She comes back to the ER four hours later and now you see the patient. She explains that she was running track this past afternoon at school and that despite being very hot (100 F) she pushed on. Afterwards, she starts feeling extensive pain in her chest and abdomen.  She has jaundiced eyes, her blood pressure is 98/50, pulse is 112, T = 99.9 F, R = 28. The pain seems out of proportion to the physical findings.

· What is your list of differential diagnoses in this case and explain how each of these fits with the case patient as described above. Be sure to list at least three (3) pertinent differential diagnoses. Indicate which of these you would select as the most likely diagnosis and explain why.

· Now, as she is in the ER she begins to exhibit stroke like features. ? Does this change your differential?

· How do you treat this patient now? Are they any preventative actions that could have been taken?

PART No. 2:

Jesse is a 57-year-old male who presents with gradual onset of dyspnea on exertion and fatigue. He also complains of frequent dyspepsia (GERD) with nausea and occasional epigastric pain. He states that at night he has trouble breathing especially while lying on his back (Orthopnea). This is relieved by him sitting up. His vitals are 180/110, P = 88, T = 98.0 F, R = 20.

· Write three (3) differential diagnoses in this case and explain how each item in your differential fits and how it might not fit.

· What tests would you order? What immediate treatment would you consider giving this patient and what treatment when he went home? Assume your first differential is definitive.

· Now, he comes back to your clinic 3 months later and both his ankles are slightly swollen. What possible explanations are there for this observation? CHF now involving right side Must order Echo with EKG and Nuc stress test, labs Pro BNP.

PART No. 3:

A new patient is brought into the office for their annual evaluation. The child is a 6-year-old and appears a bit small for their age but not so small that any alarm bells are set off.  The vitals are: P = 116, R = 22, T = 98.6 F, BP = 110/50. (The normal vitals in a 6-year-old are P = 75 – 120, R = 16 – 22, T = 98.6 , BP = (85-115)/(48-64).  Examination of the lungs is normal, HEENT is normal, as is the abdominal exam. The heart however, seems laterally displaced and there appears to be only a continuous murmur which can be described as crescendo/decrescendo systolic murmur that extends into diastole. Because, you were trained at Chamberlain College of Nursing you immediately know that this is probably a patent ductus arteriosus.

· Explain the murmur from a mechanistic view of the hearts physiological functioning?

· What is the epidemiology of a patent ductus arteriosus?

· How is a patent ductus arteriosus treated?

NR 507 Week 3 Quiz Answers:

1. The underlying disorder of _____ anemia is defective secretion of intrinsic factor, which is essential for the absorption of vitamin B12.(Points : 2)

2. What is the pathophysiologic process of aplastic anemia? (Points : 2)

3. The body compensates for anemia by (Points : 2)

4. A woman complains of chronic gastritis, fatigue, weight loss, and tingling in her fingers. Laboratory findings show low hemoglobin and hematocrit levels, and a high mean corpuscular volume. These findings are consistent with _____ anemia. (Points : 2)

5. In hemolytic anemia, jaundice occurs only when (Points : 2)

6. Symptoms of polycythemia vera are mainly the result of (Points : 2)

7. Which proinflammatory cytokines are responsible for the development and maintenance of DIC? (Points : 2)

8. Which of the following is a description consistent with acute lymphocytic leukemia (ALL)? (Points : 2)

9. Heparin-induced thrombocytopenia (HIT) is described as a(n) (Points : 2)

10. Which of the following is a description consistent with chronic lymphocytic leukemia (CLL)? (Points : 2)

11. Hemolytic disease of the newborn can occur if the mother is (Points : 2)

12. Polycythemia occurs in a fetus because (Points : 2)

13. The type of anemia that occurs as a result of thalassemia is (Points : 2)

14. The sickle cell trait differs from sickle cell disease in that the child with sickle cell trait (Points : 2)

15. Hemophilia B is caused by clotting factor _____ deficiency. (Points : 2)

16. What is the name of the disorder in which levels of bilirubin remain excessively high in the newborn and are deposited in the brain?(Points : 2)

17. An individual who is demonstrating elevated levels of troponin, creatine kinase (CK), and lactic dehydrogenase (LDH) is exhibiting indicators associated with: (Points : 2)

18. What alteration occurs in injured endothelial cells that contributes to atherosclerosis? (Points : 2)

19. Which of the following is manufactured by the liver and primarily contains cholesterol and protein? (Points : 2)

20. Cardiac cells can withstand ischemic conditions and still return to a viable state for how many minutes? (Points : 2)

21. When does systemic vascular resistance in infants begin to rise? (Points : 2)

22. An infant has a loud, harsh, holosystolic murmur and systolic thrill that can be detected at the left lower sternal border that radiates to the neck. These clinical findings are consistent with which congenital heart defect? (Points : 2)

23. Which congenital heart defects occur in trisomy 13, trisomy 18, and Down syndrome? (Points : 2)

24. The foramen ovale is covered by a flap that creates a check valve allowing blood to flow unidirectionally from the _____ to the _____.(Points : 2)

25. Which heart defect produces a systolic ejection murmur at the right upper sternal border that transmits to the neck and left lower sternal border with an occasional ejection click? (Points : 2)

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Public Health 500 word Article Critique APA

June 28, 2025/in Nursing Questions /by Besttutor

KNOW PUBLIC HEATH EPIDEMIOLOGY

DUE 2/28  8P.M EST 500 WORDS  Read Instructions

ARTICLE:  Aberg, A. et al. (2010). Exposure assessment at a PCDD/F contaminated site in Sweden–field measurements of exposure media and blood serum analysis.Environmental Science and Pollution Research International. 17(1):26-39. (IS ATTACHED) Answer questions below

 

Discussion of journal articles is important to the development of critical thinking and evaluation skills. You are provided with citations for two different articles to discuss with your colleagues, in a “journal club” style. A journal club typically refers to a group of individuals who meet to critically evaluate journal articles in their academic field. You will participate in a journal club style critique in this module’s Discussion. This type of evaluation is very useful to broaden your knowledge of the field and practice critical thinking skills. Your discussion must be relevant to the journal article and must provide a scholarly critique of the contents.

Answer these questions from Article

What do you think the public health significance of the research question in this study was? Is it mostly of local significance or is there a global impact? Explain. Does the study fill an important gap, in your opinion? Why or why not? Critique the methodology. Why do you think the authors chose this methodology and what would you have done differently? Explain. Interpret the results in your own words and then discuss with your colleagues whether you agree or disagree with the author’s interpretations and why.

 

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ABC

June 28, 2025/in Nursing Questions /by Besttutor

What are your thoughts on the role national nursing organizations   play in shaping regulations and laws related to nursing practice   and/or licensure?

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Trends

June 28, 2025/in Nursing Questions /by Besttutor

Instructions

First Steps on Becoming a Grassroots Lobbyist/Advocate for Health Care Policy

This assignment has two parts, numbered below. Write each question as a new topic area, then follow with a paragraph or two to answer the question. You may find it necessary to search for answers to the questions outside of the assigned reading. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources.

Tasks:

  1. Imagine that you are going to make a visit to your representative in Congress. Develop a one-page document that supports your position on the AHCA that you would leave with your representative or his or her aide when you make your visit. This one-pager, also called a “leave behind,” should state your position clearly in bullet points and give your reasons why your position is preferred. This “leave behind” should have 1 inch margins and utilize 14-point font throughout. If you were making this visit in person, you would present your “leave behind” to the person with whom you speak during your visit. Include a second page that describes your rationale for the position in your “leave behind” page supported by at least two journal articles.
  2. Write a two-page brief to describe the scenario surrounding your legislative visit. Understanding the political affiliation of your representative, include answers to the following: 
    • Was your member in support or in opposition to the AHCA?
    • State three points that you would cover in support or opposition to your representative’s position.
    • How does your nursing experience influence the advocacy position that you take on the AHCA?

Submission Details:

  • Submit your response in a 4-page Microsoft Word document.
  • Name your document SU_NSG4068_W3_Project_LastName_FirstInitial.doc.
  • Submit your document to the Submissions Area by the due date assigned.
  • Cite sources in the APA format on a separate page.

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Trends in Human Resources in Healthcare

June 28, 2025/in Nursing Questions /by Besttutor

For the past 10 years, Methodist Hospital Health System (MHHS) celebrated the fact that 60% of its new hires in management positions were women and minorities. The MHHS leadership assumed that with such a practice, women and minorities would eventually represent at least 50% of their top management executives (vice president level and above). But then something unexpected happened. A few years ago, MHHS became concerned that its diversity program was not producing results. Instead of seeing an increase in the number of women and minorities in executive positions, the organization was observing a decline. Talented female and minority managers were leaving, draining the pool of capable and qualified staff.

To address this problem, MHHS founded the Task Force on Retention and Advancement of Women and Minorities in Executive Positions (TFRA). This task force aimed to pinpoint the reasons why female and minority executives were leaving by conducting a massive information-gathering initiative, which included interviewing female and minorities at all levels, as well as former employees. The team uncovered these main areas of concern:

  1. Limited opportunity for advancement
  2. Lack of mentoring, coaching, and networking
  3. Existing work and family issues
  4. Lack of succession planning
  5. Lack of positive culture and transparent communication about promotion and professional development
  6. Lack of relevant and effective training, job development, and employee empowerment opportunities
  7. Cultural bias toward women and minorities, and an “old boy” network system
  8. Organizational resistance to embrace diversity
  9. Uncompetitive salary and benefits

In response to these findings, MHHS must retool the workplace.

Instructions:

You are the CEO of MHHS and have been asked to present a plan to the Board of Directors for retooling the workplace to meet the goals of a women- and minority-friendly employer, and to have women and minorities eventually represent 50% of the top management.

  • Your presentation must address strategies in the following areas:
  1. Recruitment, selection, and retention
  2. Communication
  3. Research
  4. Performance management
  5. Technology and innovation
  6. Change management
  7. Another area of healthcare management of your choosing
  • Be innovative; think creatively.
  • Your submission must be 13-15 pages in length. You must include title and reference pages, and a table of contents; however, these should not be included in the total page count.
  • You have an outline and references list due in Week 6. This is worth 40 points toward your final Portfolio Project score. See the Module 6 folder for further details.
  • Incorporate 20 credible and current references. Ten of these must be peer-reviewed articles. The CSU-Global Library is a good place to find these references.
  • Format your paper according to the CSU-Global Guide to Writing and APA Requirements.

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Critique of research

June 28, 2025/in Nursing Questions /by Besttutor

Discuss Topic 1

This is a discussion post, ABOUT 250 WORDS, tittle page not require In- text citation is required original work please, scholarly references are required for this assignment, website source strongly preferred.

QUESTION 1

After discussion with your mentor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based practice project. Explain how your proposal will directly and indirectly impact each of the aspects.

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DQ 2 week 2

June 28, 2025/in Nursing Questions /by Besttutor

As you reflect on Meilaender’s readings, what is his distinction between procreation and reproduction, as well as that of being begotten versus being made? Do you agree with his description? Why or why not?

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2-3 pg paper

June 28, 2025/in Nursing Questions /by Besttutor

    N328 Pediatric Nursing

Required Uniform Assignment: Ethical Dilemma

PURPOSE

For this assignment, you will examine ethical dilemmas that exist in pediatric acute care settings, particularly

those involving genetics/genomics issues. You will also explore the resources available to assist patients,

families, and healthcare professionals in solving these dilemmas, and integrate the principle of the ANA code of

Ethics.

COURSE OUTCOMES This assignment enables the student to meet the following course outcomes.

CO #1: Provides individualized comprehensive care for children and their families with multiple health problems in  institutions and community care settings from birth through adolescence. (PO #1)

CO #4: Utilizes critical thinking skills in clinical decision making in the care of pediatric clients.  (PO #4)

CO #6: utilizes legal, ethical, and professional standards and principles, including those related to child abuse recognition  and intervention, as a basis for pediatric clinical decision‐making. (PO #6)

DUE DATE  Refer to Course Calendar for details. The Late Assignment Policy applies to this assignment.

TOTAL POINTS POSSIBLE  100 points

REQUIREMENTS

 Write a 2‐3 page paper (not including the title page and reference page) using APA format.   Describe an ethical dilemma you encountered in your clinical setting.  Example topics related to

genetics/genomics issues include, but are not limited to: genetic testing, diagnosis of a genetic disorder,

genetic counseling (or lack thereof), pharmacogenomics, lifelong surveillance, and recruiting individuals

for genetics research.  Keep in mind to maintain the privacy of all members involved in the dilemma.

PREPARING THE ASSIGNMENT

 Identify all the relevant and applicable principles within the ANA Code of Ethics that relates to your  dilemma.

 Describe in detail how your dilemma relates to the principle(s) you have identified.   Discuss the outcome of the dilemma to the best of your knowledge.   Discuss the resources within the clinical agency for dealing with such ethical dilemmas.   Utilize resources such as your textbook, journal articles, Internet sites, etc, to aid in your discussion and

to support your perspective about the situations.

 Complete the assignment using APA formatting.  Include a reference page in APA format of sources  used.  You must use at least two references in this assignment (one will be the ANA Code of Ethics).

 

 

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DIRECTIONS AND ASSIGNMENT CRITERIA

Assignment  Criteria

Points % Description

Dilemma  Description

 

(15 points)

15 15% Describe the ethical dilemma, including how you became aware of the  situation and who was involved (family, health, care providers, etc…)

Identify the  Principle(s) from  the ANA Code of

Ethics

(10 points)

10 10% Include all the ethical principles that are relevant and applicable to the  situation.  Include a brief description of each principle identified.

Relate Principles  from ANA Code  of Ethics to the

Dilemma

(30 points)

30 30% Describe how the ANA Code of Ethics principles relate to the dilemma.  Provide specific examples from the situation to demonstrate this  relationship.

 

Utilize resources such as your textbook, journal articles, professional  internet sites, etc. to aid in your discussion and to support your  perspective about the situations.

 

Must have at least 2 references, one being the ANA Code of Ethics and one  journal article from a primary source.

Discuss the  Outcome of the

Dilemma

(15 points)

15 15% How did the situation develop over the time frame you were caring for the  patient?  What outcome was hoped for, if no resolution occurred during  that time frame?

Identify the  Resources at the  Clinical Agency  to Assist Dealing  with Ethical  Dilemmas

 

(20 points)

20 20% What resources are available?  Which were being used and for what  reason(s)?  In your opinion, were any other resources available, but not  being used and should have been used in this situation?  Provide  rationales for your opinions.  Support with literature (highly  recommended).

Writing Style,  APA format,  grammar,

spelling, and  mechanics

 

(10 points)

10 10% Proper APA format, grammar, mechanics, and spelling.

Total 100 100

 

 

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GRADING RUBRIC

 

Assignment  Criteria

 

Outstanding or Highest  Level of Performance

A (92–100%)

Very Good or High Level of  Performance

B (84–91%)

Competent or Satisfactory  Level of Performance

C (76–83%)

Poor, Failing or  Unsatisfactory Level of

Performance  F (0–75%)

 

Dilemma Description  (15 points)

 

Description of the dilemma is  clear and comprehensive;  distinctively describes how  student became aware of the  situation; specifically identified  the types of people involved in  the situation and their roles.

14‐15 points

Description of the dilemma is clear  and comprehensive; adequately  describes how student became  aware of the situation; specifically  identified the types of people  involved in the situation and their  roles

13 points

Description of the dilemma is  clear, but very general;  adequately describes how student  became aware of the situation;  partially identified the types of  people involved in the situation  and their roles

12 points

Description of the dilemma is  mostly vague or missing;  inadequately/vaguely describes  how student became aware of the  situation; minimally identified or  did not identify the types of  people involved in the situation  and their roles

0‐11 points

Identify the  Principle(s) from the  ANA code of Ethics  (10 points)

 

Comprehensively and accurately  identifies all the ethical principles  that are relevant and applicable to  the situation; includes brief  description of each ethical  principle identified.

10 points

Does not accurately  identify/omits 1 ethical principle  that is relevant and applicable to  the situation; includes brief  description of each ethical  principle identified

9 points

Does not accurately identify/omits  2 ethical principles that are  relevant and applicable to the  situation; includes brief description  of each ethical principal identified

8 points

Does not accurately identify/omits  3 or more ethical principles that  are relevant and applicable to the  situation; and/or does not provide  a brief description of he ethical  principle(s) identified

0‐7 points

 

Relate Principles from  ANA Code of Ethics to  the Dilemma  (30 points)

 

 Comprehensively describes  how the identified ethical  principles relate to the  dilemma

 Provides specific examples

 Adequately describes how  the identified ethical  principles relate to the  dilemma

 Provides specific examples

 Adequately describes how  the identified ethical

principles relate to the

dilemma

 Provides general examples

 Minimally or does not  describe how the identified  ethical principles relate to the  dilemma;

 Provides vague or no

 

 

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from the situation to  demonstrate this  relationship;

 Evidence presented to  presented to support the  relationship is compelling

 At least two sources used  (One journal article from a  primary source and the ANA  Code of Ethics)

 28‐30 points

from the situation to  demonstrate this  relationship;

 Evidence presented to  support the relationship is  compelling

 At least two sources used  (One journal article from a  primary source and the ANA  Code of Ethics)

 26‐27 points

from the situation to  demonstrate this  relationship;

 Evidence presented to  support the relationship is  adequate

 At least two sources used  (One journal article from a  primary source and the ANA  Code of Ethics)

 23‐25 points

examples from the situation  to demonstrate this  relationship;

 Evidence presented to  support eht relationship is  weak or no evidence  presented to support the  relationship

 Did not use the minimum  required sources

 0‐22 points

 

 

Discuss the Outcome  of the Dilemma  (15 points)

 

Comprehensively and accurately  describes the development of the  situation during time of care;  Clearly identifies the  resolution/expected outcome(s)  of the situation

14‐15 points

Adequately describes the  development of the situation  during time of care; clearly  identifies the resolution/expected  outcomes(s) of the situation

13 points

Adequately describes the  development of the situation  during time of care; broadly  identifies the resolution/expected  outcome(s) of the situation

12 points

Inadequately/Inaccurately  describes the development of the  situation during time of care;  vaguely identifies the  resolution/expected outcome(s) of  the situation

0‐11 points

 

 

Identify the Resources  at the Clinical Agency  to Assist Dealing with  Ethical Dilemmas  (20 points)

 

All criterion items are met:

 Comprehensively and  accurately identifies all  pertinent resources  available/used to resolve the  dilemma;

 Systematically and accurately  identifies all resources being  used by patient

 Comprehensively addresses  available resources not used,  but should have been used in  the situation;

Die not meet one (1) of the  criterion items:

 Comprehensively and  accurately identifies all  pertinent resources  available/used to resolve the  dilemma;

 Systematically and accurately  identifies all resources being  used by patient

 Comprehensively addresses  available resources not used,  but should have been used in

Did not meet two (2) of the  criterion items:

 Comprehensively and  accurately identifies all  pertinent resources  available/used to resolve the  dilemma;

 Systematically and accurately  identifies all resources being  used by patient

 Comprehensively addresses  available resources not used,  but should have been used in

Did not meet three (3) or more of  the criterion items:

 Comprehensively and  accurately identifies all  pertinent resources  available/used to resolve the  dilemma;

 Systematically and accurately  identifies all resources being  used by patient

 Comprehensively addresses  available resources not used,  but should have been used in

 

 

 

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 Supports ideas with valid  rationale and evidence from  literature

19‐20 points

the situation;

 Supports ideas with valid  rationale and evidence from  literature

17‐18 points

the situation;

 Supports ideas with valid  rationale and evidence from  literature

the situation;

 Supports ideas with valid  rationale and evidence from  literature

0‐15 points

Writing Style, APA  format, grammar,  spelling, mechanics.  (10 points)

 

All criterion items are met:

 Flow of ideas logical and easy  to follow

 Ideas are presented clearly   APA formatting free of errors   Includes reference list and in‐

text citations

 Spelling, grammar, and  mechanics are free of errors

 10 points

Did not meet one (1) of the  criterion items:

 Flow of ideas logical and easy  to follow

 Ideas are presented clearly   APA formatting free of errors   Includes reference list and in‐

text citations

 Spelling, grammar, and  mechanics are free of errors

9 points

Did not meet two (2) of the  criterion items:

 Flow of ideas logical and easy  to follow

 Ideas are presented clearly   APA formatting free of errors   Includes reference list and in‐

text citations

 Spelling, grammar, and  mechanics are free of errors

8 points

Did not meet three (3) or more of  the criterion items:

 Flow of ideas logical and easy  to follow

 Ideas are presented clearly   APA formatting free of errors   Includes reference list and in‐

text citations

 Spelling, grammar, and  mechanics are free of errors

0‐7 items

 

Total Points Possible = 100 points

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