Ethical Case Studies

Home>Homework Answsers>Nursing homework helpEthical Case StudiesConsider the ethical dilemma the health care professional faces in the selected case study. Pay particular attention to details that will help you analyze the situation using the three components of the Ethical Decision Making Model (moral awareness, moral judgment, and ethical behavior).Note: The case study may not supply all of the information you may need for the assignment. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any speculations that you make.Open Icon View AllOpen and Close IconReducing Hospital ReadmissionsCaleb Powell was preparing the agenda for the upcoming executive leadership meeting and he shook his head ruefully. As chief executive officer for Virginia County Regional Hospital (VCRH), Caleb believes that a key piece of VCRH’s future success lies in reducing readmission rates, not only in the areas identified by federal guidelines, but across the board. A few weeks ago, he read a piece from the National Institutes of Health discussing strategies associated with reduction in readmission rates. He decided that he wanted to discuss the issue in detail with his leadership team.Caleb’s goal is to align the hospital’s strategic planning with the goal of reducing readmissions. The stakes are high; under provisions of the Affordable Care Act, hospitals with higher than expected 30 day readmission rates for heart failure, heart attack and pneumonia are penalized with reduced payments. Historically, hospitals (including VCRH) have struggled to avoid the penalties, but Caleb believes that believes that a focused approach will allow them to be successful. He also believes that reducing readmission rates will improve patient satisfaction, which has become a key metric in measuring hospital quality.Caleb’s initial research into this issue revealed that while many facilities were incurring the Centers for Medicare and Medicaid Services (CMS) penalties, there was still significant variability in terms of hospitals implementing successful strategies for reducing their readmission rates. However, several themes have emerged. Hospitals that established partnerships with physicians, physician groups and other local hospitals have had greater success. In addition, a clear discharge planning process and nurse driven medication reconciliation have also been associated with reducing the risk of readmissions.At the same time, Caleb is concerned that an aggressive policy to avoid readmissions could be construed as too focused on the hospital’s bottom line and indifferent to patient needs. The last thing he wants is to create a policy that prevents patients from seeking or receiving care. Caleb hopes that this meeting will begin a productive discussion around developing strategies to improve VCRH’s performance in this area.Caleb’s email to the executive leadership team with the agenda for the meeting included the following note:“As we research the readmission rate issue for improvement, we need to be aware that we cannot add additional days to the patient’s initial stay. It’s a balancing act. We also cannot hinder a patient from coming back into the hospital for a readmission. I’ll be asking for your input about whether we should create a system to profile health care providers whose patients have high readmission rates.”Develop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles. Describe the issues and a possible solution in a 3-5 page paper.For this assessment, you will develop a solution to a specific ethical dilemma faced by a health care professional. Read each portion of the assessment carefully and use the suggested resources to help you complete the assessment. This assessment provides an opportunity to consider ethical principles and how they can be applied in health care situations.Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.For this assessment, you will develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:Access the Ethical Case Studies media piece linked in the Resources to review the case studies you may use for this assessment and select the case most closely related to your area of interest and use that case study to complete the assessment.Note: The case study may not supply all of the information you may need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.Identify which case study you selected, briefly summarize the facts surrounding the case study, and identify the problem or issue in the case study that presents an ethical dilemma or challenge and describe that dilemma or challenge.Use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) found in the Ethical Decision-Making Model media piece in the Resources to analyze the ethical issues.Analyze the factors that contributed to the problem or issue.Identify who is involved or affected by the problem or issue.Describe the factors that contributed to the problem or issue and explain how they contributed.In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation.Cite and apply the journal article as evidence to support your critical thinking and analysis of the case.Assess the credibility of the information source.Assess the relevance of the information source.Discuss the effectiveness of the communication approaches present in the case study.Describe how the health care professional communicated with others.Describe the communication and communication strategies that were applied, both in creating and in resolving the problems or issues presented.Assess instances where the professional communicated effectively or ineffectively.Discuss the effectiveness of the approach used by the professional related to any problems or issues involving ethical practice in the case.Describe the actions taken in response to the ethical dilemma or challenge presented in the case study.Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.Discuss the key lessons this case provides for health care professionals.Apply ethical principles to a possible solution to the proposed problem or issue from the case study.Describe the proposed solution.Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.Discuss how likely it is the proposed solution will foster professional collaboration.Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.Determine the proper application of the rules of grammar and mechanics.Write using APA style for in-text citations, quotes, and references.Determine the proper application of APA formatting requirements and scholarly writing standards.Apply the principles of effective composition.Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.Example Assessment:You may use the assessment example, linked in the Assessment Example section of the Resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like.Additional RequirementsLength: At least 3–5 typed, double-spaced pages, not including the title page and reference page.Font and font size: Times New Roman, 12 point.APA Template: Use the APA Style Paper Template as the paper format and the APA Style Paper Tutorial for guidance. See the Resources for these documents.Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.References: Integrate information from outside sources to include at least two references (the case study and an academic peer-reviewed journal article) and three in-text citations within the paper.APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.Turnitin: Submit your assessment to Turnitin prior to grading. Then, only submit your final assessment to faculty for grading.Note: Read the Applying Ethical Principles Scoring Guide to fully understand how your paper will be graded.Submit your paper for evaluation by clicking on the assessment title and uploading the paper as a Word document.If you would like assistance in organizing your assessment, or if you simply have a question about your assessment, please do not hesitate to ask your courseroom instructor or the teaching assistants in the NHS Learner Success Lab for guidance and suggestions.Ethics for Health CareAmerican College of Healthcare Executives. (2016).ACHE code of ethics. Retrieved from https://www.ache.org/abt_ache/code.cfmAmerican Nurses Association. (n.d.).Ethics topics and articles. Retrieved from http://www.nursingworld.org/MainMenuCategories/EthicsStandards/ResourcesCenters for Disease Control and Prevention. (2017).Public health ethics resources. Retrieved from https://www.cdc.gov/od/science/integrity/phethics/resources.htmLevitt, D. (2014).Ethical decision-making in a caring environment: The four principles and LEADS.Healthcare Management Forum, 27(2), 105–107.Levitt-Rosenthal, N. (2013).Ethics, values, and decision making.Frontiers of Health Services Management, 30(1), 27–32.Mahoney, J. S., Mulder, C., Hardesty, S., & Madan, A. (2017).Integrating caring into patient-centered care through interprofessional education and ethics: The Caring Project.Bulletin of the Menninger Clinic, 81(3), 233–246.Maintaining Academic Honesty.7 years ago08.10.20185Report issueAnswer(2)Catherine Owens4.8(28k+)4.8(2k+)ChatPurchase the answer to view itHEALTHCAREETHICS1.docx7 years agoplagiarism checkPurchase $7Bill_Williams4.6(136)5.0(28)ChatPurchase the answer to view itApplying_Ethical_Principles-revised.docEthicalPrinciplesfinalpaper.docx7 years agoplagiarism checkPurchase $23Bids(53)Bill_Williamsprof. Kim NeumannNayeli JacksonAmanda SmithMary Warnock PhDDr. Claver-NNPROF. ANNFrank HopkinsMadam SarahMadni larybmistyeyezprof faizahLYNNRIGHTMs ElegantPROF washington watsonkelvinmwangiCatherine OwensGreat-WritersProf. KaylinlopezChrisProfother Questions(10)MATH 221 All Quizzes, Discussions, Labs, Final ExamGEN499:week3 journalGEN499:week1 assignmentCOMM 301 Week 2 Individual Assignment Design and Budget Elements of Proposal PaperCOM 350 Week 3 Individual Assignment Managerial Communication Interview PaperMGT 420 Learning Team Assignment Part I-III BJB Manufacturing Company Quality ManagemetISCOM 476 Week 2 Learning Team Assignment Riordan Manufacturing Supply Chain EvaluationFIN 486 Week 3 Individual Assignment Long-Term Financial Needsinternational marketingBiology Expert needed

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6512 WK 11 Assignment

Home>Homework Answsers>Nursing homework helpAssignment: Ethical ConcernsAs an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?In this Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.Scenario 1:The parents of a 5-year-old boy have accompanied their son for his required physical examination before starting kindergarten. His parents are opposed to him receiving any vaccines.Scenario 2:A 49-year-old woman with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance.Scenario 3:A 27-year-old man with Crohn’s disease has been admitted to the emergency room with an extreme flare-up of his condition. He explains that he has not been able to afford his medications for the last few months and is concerned about the costs he may incur for treatment.Scenario 4:A single mother has accompanied her two daughters, aged 15 and 13, to a women’s health clinic and has requested that the girls receive a pelvic examination and be put on birth control. The girls have consented to the exam but seem unsettled.Scenario 5:A 17-year-old boy has come in for a check-up after a head injury during a football game. He has indicated that he would like to be able to play in the next game, which is in 3 days.Scenario 6:A 12-year-old girl has come in for a routine check-up and has not yet received the HPV vaccine. Her family is very religious and believes that the vaccine would encourage premarital sexual activity.Scenario 7:A 57-year-old man who was diagnosed with motor neuron disease 2 years ago is experiencing a rapid decline in his condition. He prefers to be admitted to the in-patient unit at a hospice to receive end-of-life care, but his wife wants him to remain at home.To prepare:· Selectonescenarios, and reflect on the material presented throughout this course.· What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?· Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.To complete:Write adetailedone-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least 3 different references from current evidence based literature.6 years ago09.02.201950Report issueAnswer(2)Aabish Aabidah4.0(137)(Not rated)ChatPurchase the answer to view itNOT RATED6 years agoplagiarism checkPurchase $50Jane the tutor5.0(448)5.0(110)ChatPurchase the answer to view itNOT RATED6512Week11Assignment.docx6 years agoplagiarism checkPurchase $50Bids(72)grA+de plusAllRoundBest TutornicohwilliamOriginal GradeProfessional research writerProf Double RBrainy BrianSynco_SolutionsJane the tutorAgher EditorMichelle_MichySTANWRITTERAsad Ullahkristine tutorFavouritewriterPhd christineHonest Business WriterAngelina Mayindigo11RESPECT WRITERother Questions(10)BA 320 Population Trends and Retail PlanningDiscussion Post Bond Premiums and DiscountsTHE GENDER WAGE GAP.NegativityDue tomorrowfilm analyzeAssignment 3: Business-Level and Corporate-Level StrategiesenglishHomework paperBUS 323 Week 2 DQ 2 ( Insurance Contracts ) ~ 2 Different Answers ~ Perfect Tutorial With References (Scored 100%

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PICOT Question and Literature Search

Home>Homework Answsers>Nursing homework helpThe first step of the evidence‐based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer‐revised research articles, as indicated below. The PICOT question and six peer‐reviewed research articles you choose will be utilized for subsequent assignments.Use the “Literature Evaluation Table” to complete this assignment.Select a nursing practice problem of interest to use as the focus of your research (use hypertension as a topic/problem). Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN‐BSN program of study).The PICOT question will provide a framework for your capstone project.Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer‐reviewed research articles to support your nursing practice problem.6 years ago21.03.201910Report issueAnswer(1)phyllis young4.3(11k+)4.3(321)ChatPurchase the answer to view itNOT RATEDorder_51144_108624.docx6 years agoplagiarism checkPurchase $10Bids(49)Great-WritersMichelle MalkDr. IgnatiusBrainy BrianWitnessProf. KimKarim AsadnjoshJenny BoomAngelina MayWendy LewisReem Hasanmagz64Catherine Owensbrilliant answersperfectoComputer_Science_ExpertMiss Ella WastonProf. Allwood Sonnerbergwangang_aother Questions(10)Discussion Post. Plagarism checker will be usedConstructivist Science Lesson Plans_Create two separate lesson plans that are supported by the theory of constructivism.science PaperACC403_strayer university_week one assignmentMAT 540 MIDTERM (40 Questions)need assistanceabout Biological AnthropologyPlease help in solving my online physics H.W on WileyplusCalculus 1 HomeworkResponding to Intolerance

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Balancing School and Life – My Quality of Life Self-Care Plan

Home>Homework Answsers>Nursing homework helpBalancing School and Life – My Quality of Life Self-Care Plan. The purpose of developing this Plan is to set a framework and a plan to maintain wellness and to stay motivated and engaged throughout your Program. Doing this will help you achieve success during your coursework and as a professional nurse.The goal of the Project is to help you become self-aware and reflective as a means of identifying personal self-care strategies that will increase your energy and help you manage your stress. The Project will give you a chance to learn how this is accomplished as you will be doing similar work with clients during the Program and as a professional nurse to assist them in the same way.Use theQuality of Life Self-Care Wheelto assess your current state. After you determine your scores, in a 2-3 page paper complete the following:Discuss those areas that are strengths (higher scores) and those areas that need further development (lower scores).Identify two strategies you can use to maintain or maximize each identified strength.Identify two strategies you can use to strengthen each area needing development. Explain how you will put these strategies into action. Be specific. For example, instead of stating, “I need to exercise,” your action should state “I will begin to walk 20 minutes a day, 3 days a week.” The action should be SMART-Specific,Measurable,Attainable,Realistic,TimeframeAlso attach your completed formMinimum length 2-3 pages not including cover or referencing. APA formatting6 years ago12.04.201910Report issueAnswer(1)Wendy Lewis4.7(19k+)4.8(3k+)ChatPurchase the answer to view itBalancingSchoolandLife.docxQualityofLifeSelfCareWheelAssement.docx6 years agoplagiarism checkPurchase $10Bids(51)Prof Double RnicohwilliamRanju LewisMichelle MalkProCastrol01Math GuruuWitnessProf. KimColossal GeniusArizona WriterBrainy BrianReem Hasanfactorised_factsKATHERINE BECKSkite_solPapersGuruansRohanAngelina Maybrilliant answersWendy Lewisother Questions(10)Management of Human ResourcesDiscussion Questions 1 and 2A bakery use 4 cups of flour for a cake.  How much flour would you need for .80 of a…FOR CATHERINE OWENS ONLYLab reportA+ Work*****For Essays Guru only*****A+ WorkA+ WorkQ.2 Please use Maple to verify de Morgans laws

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Project Milestone Two: Ethical Components of the Malpractice Case

Home>Homework Answsers>Nursing homework helpIn this assignment, you will complete a draft of the next section of your analysis of a malpractice case.To complete this assignment, review the Milestone Two Rubric and Guidelines document.You will use the following case to analyze:Surgery: Iturralde v. Hilo Medical Centerhttp://caselaw.findlaw.com/hi-intermediate-court-of-appeals/1597588.htmlIHP420MilestoneTwoGuidelinesAndRubric1.pdf6 years ago08.06.201920Report issueAnswer(1)brilliant answers4.8(3k+)4.9(349)ChatPurchase the answer to view itNOT RATEDEthicalComponentsoftheMalpracticeCase.docx6 years agoplagiarism checkPurchase $20Bids(51)Michelle MalkAmanda SmithBrainy BrianKATHERINE BECKSnjoshChance Of a LifetymWendy LewisAngelina MayBill_WilliamsAll Works solverDiscount Assignkim woodsbrilliant answersCatherine OwensperfectoJessica LuisTerry Robertswizard kimRESPECT WRITERJOHN JUNIOR001other Questions(10)Week 2 Homework Assignment Set 1Rough DraftPsychological Aspects of AgingRebuttal PaperNEED IN 12 HOURS PLAGIARISM-FREEPhase 2 DB Anxiety Disorders and Obsessive-Compulsive & Related Disorders”An Overview of Financial Management” Please respond to the following: • * From the e-Activity, examine ethical behavior within firms in relation to financial management. Provide two (2) examples of companies that have been guilty of ethics-based malfeasaFOR ZEEK THE GEEK ONLYA population has a known standard deviation of 25. A simple random sample of 49 items is taken from the selected population. The sample mean (x-bar) is 300. What is the margin of error at the 95% confidence level?You draw five cards, one at a time, from a standard deck

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2 Responses for 2 discussion questions

Discussion 1

It is common practice in my ICU to stop all non-life sustaining medications. This seems practical at first given most of the medications we think of are doing the opposite of what we are trying to achieve (adequate blood pressure, protecting airway) but it also includes any psychiatric medications they were on. I spoke with two physicians in my practice and several charge nurses and they have seen the same thing repeated with the same results, longer stay in the ICU with a longer intubation time. In a study done by Gacouin et al., they found that psychiatric patient admitted for a self-harm event were more likely to survive their admission than their admission for medical reason counterparts (2017). Those with admission for chronic or acute medical needs were more difficult to treat and is thought to be associated with poor adherence to treatment required to stay healthy (Gacouin et al., 2017). Some common medications have been found to increase inflammatory responses so stopping those in many cases would be appropriate, however, not restarting them after the acute phase may cause setbacks in extubation.

To bring the problem to light I will explain a common scenario and the most extreme case I worked with: Patient comes in for respiratory failure and all medications are stopped. Patient is found to have sepsis due to pneumonia and it is now known they are on several psychiatric medications, but they are not restarted or even considered during rounds. Daily awakening trials take place with no success due to agitation. Patient then self-extubates and codes, we get the patient back. Spouse is also a psychiatric patient and has attempted suicide upon hearing of the changes. Patient remains a full code is on four pressers (that is the limit unless we get creative) and it looks grim. Patient rebounds, recovers enough to get a tracheostomy and feeding tube placed. The state designated crisis responder for this patient asks when the last dose of psychiatric medication was administered, it had never been restarted. Nearly 30 days into the stay home medications are restarted. Patient fully recovers but must do it in the hospital setting without formal rehabilitation, due to their psychiatric diagnosis on file no facility would accept the patient.

The quality of care in this case was lacking in respect to the patient and their full picture of health. Our facility ignored a significant diagnosis and it led to challenges that may have been avoided if we had continued to treat their chronic illness. This is not the first facility I have practiced in that employs this way of thinking, but it needs to change. Having a dedicated psychiatric practitioner available in the ICU would decrease these incidences and improve outcomes. This is not just a national problem but a global problem. In India they found on average 20%-60% of ICU patients have a psychiatric diagnosis and early identification along with early treatment resumption could lead to shorter stays and better outcomes (Nongmeikapam et al., 2018).

Discussion 2:

Participating in the collaborative interview was two staff nurses, a pharmacist, and a nursing administrator.  It was discussed in the collaborative meeting that obtaining adverse drug event (ADE) data is challenging because of a lack of reporting.  Current evidence suggests that only 5% of ADEs are reported in the clinical setting (Bailey et al., 2016).  Both nursing and pharmacy participants reaffirmed that they believe ADEs are underreported through their practice.  They informed that fear of being reprimanded, personal insecurity due to the error, time, workload, termination, and possible revoking of their licenses were core to not reporting ADEs.

Additionally, ADE reporting standardization and tools to report these events are lacking.  Currently, the U.S. Food and Drug Administration tracks ADEs, which are relayed to them from manufacturers, healthcare facilities, and individuals.  This system, however, is limited because it houses duplicate and incomplete reports.  Also, the reports have not been verified, there is no causation, and national rates of incidence cannot be established (U.S. Food and Drug Administration, 2019).  Currently, there is no comprehensive database to compare ADEs.  I would propose that the Agency for Healthcare Research and Quality (AHRQ) incorporate ADEs as a core healthcare quality indicator and develop means of tracking data without repercussion and with anonymity.  I believe that the need for more aggressive tracking is justifiable due to current evidence suggesting that most ADEs are not reported.  Also, medication errors are the most common challenges within healthcare that are endangering patients worldwide (Mirzaee et al., 2015).  Individuals must develop shareable and standardized tracking tools to provide transparency concerning ADEs between clinical settings and nationwide.

Causation of ADEs was discussed with errors occurring in multiple stages of administration.  The stages of administration considered were prescribing, transcribing, dispensing, administration, and monitoring.  The pharmacy participant reports that the most common ADEs, within the facility, occur at the dispensing and administration stages.  The pharmacist did say that throughout his time as a pharmacist, he has noticed a considerable reduction in medication errors from transcribing.  He attributed this reduction to the implementation of electronic medical records resulting in decreased handwritten orders.  Still, however, reported medication errors cause at least 1.5 million injuries and cost 3.5 billion dollars in the U.S. annually (Shitu et al., 2020).  The unfortunate part regarding ADEs in the clinical setting is that most are preventable (Bailey et al., 2016).

In my clinical setting, there have been 27 ADEs over the past three months.  My facility uses the National Coordinating Council for Medication Error Reporting and Prevention (NCC-MERP) index to classify potential severity and outcome of medication errors.  Twenty-three of the errors were classified as severity B.  In contrast, four were classified as severity A.  Both are the lowest two classifications of potential harm.  Even though these severity errors posed low severity ratings, nonintervention can cause more severe errors.  Knowing that most ADEs are preventable, healthcare facilities need to develop robust protocols and procedures to prevent medication errors from occurring because even one preventable ADE can be detrimental to the health of an individual.

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Benchmark – Effective Approaches in Leadership and Management

Home>Homework Answsers>Nursing homework helpmarkBenchmark – Effective Approaches in Leadership and ManagementIn this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to LopesWrite. Refer to theLopesWrite Technical Support articlesfor assistance.This benchmark assignment assesses the following programmatic competencies:RN to BSN1.1:       Exemplify professionalism in diverse health care settings.1.3:       Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.3.4:       Demonstrate professional standards of practice.RUBRICAttempt Start Date:05-Aug-2019 at 12:00:00 AMDue Date:11-Aug-2019 at 11:59:59 PMMaximum Points:150.0Benchmark – Effective Approaches for Leadership and ManagementNo of Criteria: 10 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentageUnsatisfactory0.00 %Less Than Satisfactory75.00 %Satisfactory79.00 %Good89.00 %Excellent100.00 %Content80.0Selected Issue, Setting, and Impact on Patient Safety15.0The issue described does not meet the assignment criteria. The description of the issue and its impact to quality of care and patient safety is omitted.A partial summary of the issue is presented. How it impacts quality of care and patient safety is unclear. There are omissions of key information.A general description of the issue is presented. A summary of how it impacts quality of care and patient safety is presented; more information is needed. There are some inaccuracies.A description of the issue is presented. How the issue impacts quality of care and patient safety is presented. Some detail is needed for clarity or accuracy.A clear description of the issue is presented. How the issue impacts quality of care and patient safety is detailed and accurate.Professional Standards of Practice to Rectify Issue or Maintain Professional Conduct (D3.4)15.0How professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct is not discussed.A summary of how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct is presented. The summary is incomplete. More information is needed. There are significant inaccuracies.A general discussion of how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct is presented. There are some gaps in the discussion; some information is needed. There are minor inaccuracies. Rationale is needed for support.A discussion of how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct is presented. Minor detail is needed for clarity or accuracy. Rationale provides adequate support.A through discussion of how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct is presented. An understanding of the importance of professional standards of practice in resolving issues and maintaining professional conduct is demonstrated. Strong rationale supports discussion.Differing Roles and Approaches of Nursing Leaders and Nursing Managers (C1.3)15.0Explanation of the differing roles and approaches for nursing leaders and nursing managers is omitted.A partial explanation of the differing roles and approaches for nursing leaders and nursing managers is presented. It is unclear how the roles and approaches relate to the selected issue, or how they would promote patient safety and quality care. Rationale using theories, principles, skills, and nursing manger or nursing leader roles is not used.A general explanation of the differing roles and approaches for nursing leaders and nursing managers is presented. A general summary of how the roles and approaches relate to the selected issue, and how they would promote patient safety and quality care, is provided. Some rationale using theories, principles, skills, and nursing manger or nursing leader roles is used.An explanation of the differing roles and approaches for nursing leaders and nursing managers is presented. An explanation of how the roles and approaches relate to the selected issue, and how they would promote patient safety and quality care, is provided. Rationale using theories, principles, skills, and nursing manger or nursing leader roles is used. Some detail is needed for accuracy or clarity. More rationale is needed in some areas. The explanation demonstrates a general understanding of the of nursing leadership and management roles in the promotion of patient safety and quality care.A detailed explanation of the differing roles and approaches for nursing leaders and nursing managers is presented. A well-developed explanation of how the roles and approaches relate to the selected issue, and how they would promote patient safety and quality care, is provided. Rationale using theories, principles, skills, and nursing manger or nursing leader roles is used. The explanation demonstrates insight into exercising the roles of professional nursing leadership and management in the promotion of patient safety and quality care.Ensuring Professionalism Through Diverse Health Care Settings (C1.1)20.0Discussion on what additional aspects mangers and leaders would need to initiate to ensure professionalism throughout diverse health care settings while addressing the selected issue is omitted. The discussion fails to meet the assignment criteria.A partial summary on what additional aspects mangers and leaders would need to initiate to ensure professionalism throughout diverse health care settings while addressing the selected issue is presented. The summary contains significant omissions. There are inaccuracies.A general discussion on what additional aspects mangers and leaders would need to initiate to ensure professionalism throughout diverse health care settings while addressing the selected issue is presented. It is unclear how some of the aspects continue to address the selected issue, or the aspects do not appear to relate to a diverse health care setting.A discussion on what additional aspects mangers and leaders would need to initiate to ensure professionalism throughout diverse health care settings while addressing the selected issue is presented. Overall, the aspects presented address the selected issue and relate to a diverse health care setting. The items proposed in the discussion generally support professionalism in diverse health care settings.A detailed discussion on what additional aspects mangers and leaders would need to initiate to ensure professionalism throughout diverse health care settings while addressing the selected issue is presented. The aspects presented clearly continue to address the selected issue and relate to a diverse health care setting. The items proposed in the discussion support the exemplification of professionalism in diverse health care settings.Leadership Style to Address Issue15.0A leadership style to address the chosen issue is omitted. The proposed item is not a leadership style.A leadership style to address the chosen issue is partially summarized. The characteristics of the leadership style are vaguely presented. It is unclear why this style could be successful in this setting.The characteristics of the identified leadership style are described. A general explanation of why this style could be successful in this setting is presented. There are some gaps in the explanation. More information or rationale is needed.The characteristics of the identified leadership style are described. An explanation of why this style could be successful in this setting is presented. Some rationale is needed for support.The characteristics of the identified leadership style are clearly described. A detailed explanation of why this style could be successful in this setting is presented. Strong rationale is provided for support.Organization, Effectiveness, and Format20.0Thesis Development and Purpose5.0Paper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed or vague. Purpose is not clear.Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.Argument Logic and Construction5.0Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.Writer is clearly in command of standard, written, academic English.Paper Format (use of appropriate style for the major and assignment)2.0Template is not used appropriately, or documentation format is rarely followed correctly.Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.Appropriate template is used. Formatting is correct, although some minor errors may be present.Appropriate template is fully used. There are virtually no errors in formatting style.All format elements are correct.Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)3.0Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct.Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Total Percentage  1006 years ago11.08.201920Report issueAnswer(1)kim woods4.5(6k+)4.2(157)ChatPurchase the answer to view itNOT RATEDorder_124180_321129.doc6 years agoplagiarism checkPurchase $20Bids(63)Michel Owenns”Michelle MalkYourStudyGuruGrace GradesDiscount AssignProCastrol01Prof James Kelvinteacher CharlesElprofessorikite_solWIZARD_KIMProf. EsmeraldaWendy Lewisbrilliant answersEmily BluntRESPECT WRITERBill_Williamskim woodsJamie Ackerwizard kimother Questions(10)Voluntary Research and Writing – Based upon Dorocak, The Clinton’s LegalHumanity and JusticePositive Emotion, Courage, Wisdom, and KnowledgeMASTERING MASSIVE DATABASES AT MASTERCARD INTERNATIONALProf JamesContract analysis scenario oneFOR PROF WASHINGTONprogramming JavaI will verify the disussions with professorAssignment 1: Identifying the Organizational Learning Issues

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Assigment

  • Compare at least two evidence-based treatment plans for adults diagnosed with schizophrenia with evidence-based treatment plans for children and adolescents diagnosed with schizophrenia.
  • Explain the legal and ethical issues involved with forcing children diagnosed with schizophrenia to take medication for the disorder and how a PMHNP may address those issues.

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Summary and Descriptive Statistics

Home>Homework Answsers>Nursing homework helpThere is often the requirement to evaluate descriptive statistics for data within the organization or for health care information. Every year the National Cancer Institute collects and publishes data based on patient demographics. Understanding differences between the groups based upon the collected data often inform health care professionals towards research, treatment options, or patient education.Using the data on the “National Cancer Institute Data” Excel spreadsheet, calculate the descriptive statistics indicated below for each of the Race/Ethnicity groups. Refer to your textbook and the Topic Materials, as needed, for assistance in creating Excel formulas.Provide the following descriptive statistics:Measures of Central Tendency: Mean, Median, and ModeMeasures of Variation: Variance, Standard Deviation, and Range (a formula is not needed for Range).Once the data is calculated, provide a 150-250 word analysis of the descriptive statistics on the spreadsheet. This should include differences and health outcomes between groups.APA style is not required, but solid academic writing is expected.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are not required to submit this assignment to LopesWrite.AttachmentsHLT-362V-RS5-NationalCancerInstitutedata.xlsx6 years ago27.10.20193Report issueAnswer(1)Dr. Beneve4.9(5k+)4.9(629)ChatPurchase the answer to view itSummaryAndDescriptiveStatistics.docx6 years agoplagiarism checkPurchase $2Bids(37)Michel Owenns”Math GuruuPROF washington watsonUrgent TutorMiss LynnDr R Judy MarkProf. EsmeraldaSuper GeekCatherine OwensDoctor OkumuAngelina Maykristine tutorYourstarAll Works solverkim woodsMegan TillmanColossal GeniusSamann060Jenny Boomhassan0906other Questions(10)Epidemiological Studies: Interpretation and PresentationTerm Paper (Literature review Paper)Discussion HelpAssignmentHomeWorkLaws that Drive Policies, Procedures, and Practices.Time Value of MoneyWeek 5 Discussion Questionsdata analysis questionsOnline summer class with kim woods

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Nursing homework help

Reply 1

Any domestic violence, child abuse, or elder abuse. Should be notated. In the state of New Jersey, the Department of Justice defines domestic violence, or intimate partner violence, as a pattern of abusive behavior in any relationship that is used by one partner to gain or maintain power and control over another intimate partner. Domestic violence can be physical, sexual, emotional, economic, or psychological actions or threats of actions that influence another person. This includes any behaviors that intimidate, manipulate, humiliate, isolate, frighten, terrorize, coerce, threaten, blame, hurt, injure, or wound someone. Domestic violence can happen to anyone regardless of race, age, sexual orientation, religion, or gender. Domestic violence affects people of all socioeconomic backgrounds and education levels. Domestic violence occurs in both opposite-sex and same-sex relationships and can happen to intimate partners who are married, living together, or dating.

All nursing facilities, are required to notate and report first hand, any kind of the injuries, bruises, abuse, neglect, mistreatment and any inappropriate signs showing or proving that the patient has been put in rough circumstances. They have a legal obligation to inform the police also, when they notice or suspect any such situation. Any sprains, fractures, cuts and bruises should not be taken any lightly. The nursing professionals should also carefully administer the fearful behavior a patient my show when talking. Specially when the person accompanying is there and is not giving privacy and trying to dictate all the questions and answers and also some times showing signs of fear and pushing away things o showing signs to pull / push the patient, or cutting through the conversation. Many a times the accomplice will also try to be rough and rude and yell and scream and try to walk out and away with the patient, dragging the patient with him. The first and foremost duty of the health care professional is to make the situation calm and not to show any signs of suspicion. Carefully try to engage them and call for help without endangering the patient’s life or health. Or ask for private check if possible where the patient can be talk without any fear. The health care professionals should insist on accurate and comprehensive notes as it can help to be a good evidence which can be used to protect patient and support the legal proceedings.

It’s a no brainer for a hospital or a nursing facility, that If a patient comes in with a variety of wound patterns that show an abuse context it should take advantage of all the options it has like psychiatrist on call or a social worker on call, before contacting police. It is important that hospitals have policies that are well written and detailed enough so that the staff knows how to handle these cases. Once the staff calls the police the state law takes over ad they will investigate domestic violence and prosecute if appropriate.

Reference: –

https://www.njsp.org/division/operations/domestic-violence-info.shtml

Reply 2

 

Some of the characterictis that would lead a provider to supect abuse or warning signs of abuse are clues that something is happening in the life of the person that should be looked into. Some indicators are obvious signs of abuse. Other indicators are subtle, requiring careful observation. In some situations abuse may not be occurring at all. It is important to think about the person and any health or behavioral issues they have. Some people may get injured more easily due to health reasons or aging. For example, some medications and some health problems like hemophilia (where the blood clots slowly) can cause easy bruising. Some people may engage in self-injurious behaviors that cause injuries that look like abuse. Even if you discover that a person has a health or behavioral issue that might be the cause of the injury, it is still important to investigate to rule out abuse as the cause. It is important to put aside any biases that you might have that care providers would not abuse a person with a disability that they support. As you interact with someone with a developmental disability, you should pay close attention to any changes in how that person looks or acts. A sudden or gradual change in appearance or behavior can be an indicator that abuse or neglect has occurred (or may still be happening.) Some of the signs are

  • Bruising on the face or trunk, as most accidental elderly bruising occurs on limbs and extremities
  • Broken bones, sprains, or serious injury, especially without a reported fall
  • Signs of being restrained, like strap or rope marks
  • Sudden changes in behavior
  • Direct reports of physical abuse from the elderly victim

Women who have been assaulted by their partner generally have worse heath than other women. Health issues include chronic problems with digestion, stomach, kidney and bladder function and headaches, poorer pregnancy outcomes and lower birthweight babies.
Recognition by nurses about the extent of these health consequences is central to their commitment to working with women to address the underlying cause of poor health. If nurses think a woman in their care may be experiencing domestic violence, the detail of questioning will depend on how well they know the woman and what indicators they have observed. Nurses should begin with broad questions, such as: ‘How are things at home?’ ‘How are you and your partner relating?’ ‘Is there anything else happening that may be affecting your health?’ Specific questions linked to clinical observations could include. ‘You seem very anxious and nervous. Is everything all right at home?’ ‘When I see injuries like this, I wonder if someone could have hurt you?’ ‘Is there anything else that we haven’t talked about that might be contributing to this condition?’

If you suspect that a child you know is being abused, you can take one or more of the following actions:Look out for signs of child abuse. If you have the feeling that something is going on, you might well be right. You are probably not the only one who has noticed something, but you might be the first person to do something about it. Talk to the child or to the child’s parents. Understand that child abuse is often the result of desperation. You can help just by being there for the family. Or by offering the child a listening ear. In my facility I will report abuse to my supervisor who then get social worker then psych that would report to the compliant officer who will then take it forward to the state.

reference

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.

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