Assignment: Practicum Journal Entry: Analyzing an Ethical Decision

In your role as a PMHNP, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state.

To prepare:

• Review literature for moral/ethical issues encountered by a PMHNP.
• Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment.

Write a 2-page paper in which you do the following:

• Summarize the moral/ethical issue in the article (no more than 1 paragraph).
• Describe the moral and ethical dilemmas surrounding the issue.
• Analyze the ethical issue and compare them to the state health laws and regulations in your state.
• Outline the process of ethical decision making you would use to address this ethical dilemma.

Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.

• Scenario: A company called Colony Nursery and Landscaping opened a new store located a few hundred miles away from its original location. The company wants to implement an award system that awards their customers with points whenever customers make a purchase, but the two stores are not able to share information. Colony Nursery and Landscaping will need to implement an enterprise resource planning (ERP) system that will solve the information silo problem by collecting and making this user data available. Colony Nursery and Landscaping is hoping that by providing customers with this award system, they will be able to maintain competitive advantage. Colony Nursery and Landscaping cannot afford to purchase, develop, or maintain this system on-site, so they are investigating cloud solutions.
  In addition, for many organizations, Colony Nursery and Landscaping included, information silos make it difficult to tap into needed information. Discuss whether or not the problem of information silos can be solved by using the cloud. Some organizations do not have the resources to construct or maintain their computer infrastructure, so they utilize cloud services instead to reduce costs and improve scalability. In this assignment, you will discuss whether or not the cloud offers solutions for Colony Nursery and Landscaping and identify an application that the ERP system could provide. Compose an essay that includes the elements listed below.
  • Define what an information silo is.
  • Explain why information silos are a problem for organizations.
  • Discuss why organizations are moving to the cloud.
  • Determine whether or not using cloud services, such as a cloud-based host for data storage, would solve the ERP information silo problem at Colony Nursery and Landscaping.
  • Explain how using the ERP system and awards program would provide a competitive advantage for Colony Nursery and Landscaping.
  • Discuss why the implementation of an ERP system might require business process reengineering for Colony Nursery and Landscaping. Be sure to explain the business processes that will be affected (e.g., the customer awards system). Use diagrams or tables as needed, but this is not required.
  • Your essay must be a minimum of two pages in length (not counting the title and reference pages), and it must be formatted in APA style. You should include an introduction section that gives background and context to your reader. You must use at least two scholarly resources as references. Any information from these resources must be cited and referenced in APA format.
    Submit Unit IV Essay »

Advanced registered nursing graduates are entering the profession at dynamic time when roles and scope of practice are shifting based on developments in legislation and policy in response to the evolving needs of the health care system. Professional nursing organizations play an important role in making sure the perspectives of advanced registered nurses are heard, and in supporting nurse specialties in their efforts to expand their scope of practice and their full participation throughout the health care system.

For this assignment, you will conduct research on the current scope of practice for your specialty and efforts that are being made to expand that scope and the role of the advanced nurse in positively influencing the health care system. Write a 1,250-1,500-word paper that includes the following:

1. A discussion of the scope of your future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope.
2. A discussion of three professional nursing organizations that you think are most influential in advancing the scope and influence of advanced nursing. Of these organizations, evaluate the one that you would most like to join. How do its goals and mission fit in with your worldview and philosophy of care? How might membership in this organization improve your practice?
3. A discussion of a controversial or evolving issue that is most likely to affect your scope of practice or role in the next few years. How do you think this issue could influence the profession and other stakeholders, and why does it matters to the advanced registered nurse?

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

respond

An organizational structure identifies the roles and responsibilities of those in leadership positions that will impact the goal of the organization and (Renani, Ghaderi & Mahmoudi, 2017). It also indicates how information is shared through the various levels of leadership (Marquis & Huston, 2017). It identifies the hierarchical leadership structure of an organization for accountability ( Renani et al., 2017).

SLMC is a healthcare organization that has cared for a number of its neighboring communities in the Chamberlain County of South Carolina for the last 50 years. The organization consists of 500 physicians and 450 nurses and as such needs an organized way to function where roles are defined so the goals of the organization can be met. The purpose of the organization is to improve quality care and safety and to make improvements in healthcare and to provide care of the surrounding communities.

As the nurse administrator, the organizational structure that would be best for St. Louis Medical Center (SLMC) would be the shared governance. Shared Governance in healthcare is an essential component of providing quality and safe care to patients (Marquis & Huston, 2017). Based on the structure, the decision-making process is in collaboration with board members, physicians, the leadership team, and nurses (Marquis & Huston, 2017). The structure is made of several committees tasked to lead and make decisions which will affect the care of the community. Shared governance also supports empowerment through nurse autonomy and decision making (Marquis & Huston, 2017).

The organizational theory best for this type of structure would be the contingency theory. The contingency theory allows the organization to respond to its priorities based on the needs of the organizations as well as its community  (Birken, Bunger, Powell, Turner, Clary, Klaman, Weiner, 2017). The reason this type of theory would be ideal is that the structure would facilitate the development of a committee to respond to its community’s challenges. For example, addressing issues related to the ten percent increase in heart failure admissions noted. This organizational theory will positively impact the institutional goals based on the changes that can be made that will address issues inside and outside the organization and its mission and vision. 

Jean Latouche

References

Birken, S. A., Bunger, A. C., Powell, B. J., Turner, K., Clary, A. S., Klaman, S. L., … Weiner, B. J. (2017). Organizational theory for dissemination and implementation research. Implementation science : IS, 12(1), 62. doi:10.1186/s13012-017-0592-x

Marquis, B. L. & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and application. (9th ed.). China: Wolters Kluwer Health.

Renani, G. A., Ghaderi, B., & Mahmoudi, O. (2017). The Impact of Organizational Structure on the Effectiveness of Communication from the Perspective of Employees in the Department of Education. International Journal of Management, Accounting & Economics, 4(10), 989–1001.

 prepare a flyer explaining the effects of Inadequate nurse staffing on patient care and ways of improving patient care.