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Our readings this week focused on advanced practice roles that include the NP, and the CRNA. In addition, you have had the opportunity to consider evolving and innovative roles that are emerging.

For this question, select a specialty,  i have chosen nurse informatics, that you think is in some stage of evolution toward advanced practice or has the potential to evolve. Conduct an Internet search (including the online library as well as specialty organizations) and address the following:

• Examine the current stage in the specialty’s evolution.

• Describe the reasons why the specialty has the potential to evolve.

• Compare and contrast the advantages and disadvantages for the specialty as it is evolving to the advanced practice level.

• AACN for Nurse Informatics Skills.pdf

250 words solution

URLs to assist you in answering this question:

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Ethics Paper Requirements

Include in the document the utilitarian ethical philosophy of John Stuart Mill (from the lecture

and audio for this week) and ONE OTHER ETHICAL PHILOSOPHER of your choice that we

have studied to date, and use both of those philosophies to bolster your decision. This paper will

be at least two double spaced pages but limited to three pages. Remember both professional

written form and potential audience, as well as tone when writing this sensitive paper.

Scenario

Ok, Lead Surgeon, it is time to do what you do best! There is a lot at stake. The decision must be

made almost immediately. Like all actions, you will need to write your decision into medical

documentation before you begin. Yes, that means YOU! In the limited time before you would

begin surgery, you need to consider the cases; the technical issues involved also, and write a

Memorandum for the Record to document what decision you made and what considerations you

included in your process. This will be on the record, so it needs to be thorough in case it needs to

justify your actions at a later date.

Role

You are the Lead Surgeon in a major hospital, and by virtue of your seniority you are also the

key decision maker for transplant cases. Right now you have three people who are waiting and

hoping for a suitable heart to become available. Your cell phone rings suddenly, and you are

notified that a heart has become available-meaning that you need to make a quick yet sound

decision about which patient will receive the heart and then schedule surgery for today.

Players

Jerry, a father of 3 children and at the age of 55, is in the Ward awaiting a suitable heart for

transplanting. His wife Joanie is a stay at home mother with no education beyond high school

and no career. Jerry is the middle level manager at a carpet distributing business and 5 year short

of his retirement eligibility. Jerry and Joanie have three teenage children aged 14, 16, and 19.

The 19 year old is a sophomore at college; the 14 year old is mildly autistic, and the 16 year old

is an astronaut wannabe. If Jerry gets the heart, his chances of living another 10-15 years are

very high. His heart is damaged due to the use of steroids in his early 20s when he was involved

with bodybuilding before the dangers of steroid use were fully known.

Lisa is one of those precocious girls – a doll-like girl at the edge of becoming a teenager. She

reads voraciously and yet likes the activities of a younger girl playing with her Barbie Doll. She

has suffered health issues all her life due to various viral infections and a lupus-like immune

deficiency. Her heart was damaged during a nasty bout with pneumonia last year and actually

stopped for a brief period. Her mother knew to begin CPR on her or she would have died there.

Even with a transplant, her chances of surviving into her 20s are not good. She is the only child

in the family, and they cannot bear more children. Her parents will do anything for her, and they

have offered to donate $2 million to the hospital's construction of specialized facilities if she can

get a heart soon enough. Her father is also a noted oncologist working in the same hospital but in

a different department.

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The Basic Outline of a Paper

The following outline shows a basic format for most academic papers. No matter what length the paper

needs to be, it should still follow the format of having an introduction, body, and conclusion. Read over

what typically goes in each section of the paper. Use the back of this handout to outline information for

your specific paper.

I. Introduction

The introduction should have some of the following elements, depending on the type of paper:

 Start with an attention grabber: a short story, example, statistic, or historical

context that introduces the paper topic

 Give an overview of any issues involved with the subject

 Define of any key terminology need to understand the topic

 Quote or paraphrase sources revealing the controversial nature of the subject

(argumentative papers only)

 Highlight background information on the topic needed to understand the direction

of the paper

 Write an antithesis paragraph, presenting the primary opposing views

(argumentative paper only)

The introduction must end with a THESIS statement (a 1 to 2 sentences in length):

 Tell what the overall paper will focus on

 Briefly outline the main points in the paper

II. Body

 Clearly present the main points of the paper as listed in the thesis

 Give strong examples, details, and explanations to support each main points

 If an argumentative paper, address any counterarguments and refute those arguments

 If a research paper, use strong evidence from sources—paraphrases, summaries, and

quotations that support the main points

III. Conclusion

 Restate your thesis from the introduction in different words

 Briefly summarize each main point found in the body of the paper (avoid going over 2

sentences for each point)

 Give a statement of the consequences of not embracing the position (argumentative paper

only)

 End with a strong clincher statement: an appropriate, meaningful final sentence that ties the

whole point of the paper together (may refer back to the attention grabber)

Additional Tips

 Decide on the thesis and main points first

 You do not need to start writing your paper with the introduction

 Try writing the thesis and body first; then go back and figure out how to best introduce the body

and conclude the paper

 Use transitions between main points and between examples within the main points

 Always keep your thesis in the forefront of your mind while writing; everything in your paper

must point back to the thesis

 Use the back of this handout to make an outline of your paper

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Consider the relationship of costs to changes in volume and profitability as described in your Learning

Resources. Provide two explanations for the current emphasis on cost control and cost reduction in health

care. Include at least one outside resource from a recent (within the last 5 years) journal article to support

your statements.

 Include information about how risk and uncertainty should be factored into cost control

decisions in health care.

Also do not forget: Citations must be in APA format. Refer to the Essential Guide to APA Style for Walden

Students to ensure your in-text citations and reference list are correct.

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