Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process.  Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Describe the problem in the PICOT question as it relates to the following:

1. Evidence-based solution
2. Nursing intervention
3. Patient care
4. Health care agency
5. Nursing practice

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 the LopesWrite Technical Support articles for assistance. 

Cultural competency and advocacy are listed as skills necessary for effective case management. Define cultural competence and advocacy, and then provide an example from your practice that demonstrates your skill level in that area.

your initial posting should be 250 to 350 words in length and utilize at least one scholarly source other than the textbook

 HA3300D – Healthcare Policy and Ethics

Discussion 04: Ethics in the Era of ACA

Chapter 5 of your textbook discussed how the ACA, or Affordable Care Act, is changing the business of health care, as well as the ethical issues raised by the Act (also known as “Obamacare”).

Get more background on the ACA’s effect on individuals by viewing “Affordable Care Act Goes into Effect” and “Obamacare in 2014: A Tale of Two States,” both from NBC Learn.

INITIAL POST

Now, imagine that you are a healthcare administrator who must explain the pros and cons of the ACA to your hospital’s Board of Trustees. Respond to the following questions in your post:

• Are there existing ethical dilemmas in the healthcare field that the ACA solves? What are they?
• What new ethical conflicts might your hospital face as a result of the ACA?
• Which ethical theorists have the most to say about the ACA?

Your initial post should be 8 – 10 sentences in length and include an APA-style references list.

Respond to your classmate’s post from the perspective of an individual patient. Does the ACA raise ethical dilemmas for you, the individual patient, that it does not raise for hospital administrators? What would you like healthcare administrators to know about the ACA as it relates to ethics?

Each of your responses should be 4 – 6 sentences, and refer to the textbook or other course material.

Minimum of 250 words with at least one peer review reference in 7th edition apa style.

 having a grasp of one’s emotional stability in a time of crisis is essential but it may not be something that comes naturally or can even be taught in a course. What are some strategies you believe might be effective in teaching this kind of self-awareness and self-regulation? If you were a mentor to a younger you, how might you guide yourself in these areas based on your own experiences? 

1. Why is the subject of workplace health and safety of concern to nurses? 

How are these concepts related to patient safety and patient outcomes? 

2. What action is suggested when you are faced with an angry or hostile coworker?

3. Why is substance misuse among nurses a serious concern? What is the most appropriate way to handle a suspicion that a coworker may be involved in serious substance misuse?

4. What is the most common physical injury experienced by LPNs and nursing assistants? How can a nurse manager help staff avoid physical injury at work? 

5. Describe several examples of sexual harassment in the workplace. Discuss methods of dealing with these instances.

6. Review the policies and procedures on the following safety issues in your current clinical rotation. Compare with other students in the class. What are the similarities and differences? What might this mean in terms of workplace safety? 

• Latex allergies

• Needlestick injuries

• Violence 

3. Go to the ANA website and explore the sections on workplace and patient safety under the heading “Professional Nursing Practice.” 

Which concepts discussed in these sections are particularly important to the beginning RN? Why? 

4. Interview one of the staff nurses on your unit. Explore his or her feelings and concerns related to the following topics. Based on the comments, develop strategies to address the concerns.

• Substance abuse among nurses

• Emergency preparation 

• Quality of work life within the organization

250 words or more

3 references 

APA citation