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Present reflective narrative of a nursing clinical situation that led to Ethics Team consult with the following scenario: Elderly 85 year old disoriented male patient with end stage lung cancer, is septic, has low blood pressure only maintained by pressers for an extended period of time, and family insisted on intensive care. The patient full code, and still undergoing invasive procedure. 

2 pages

The purpose of this assignment is to synthesize and apply the knowledge you gained in class into a well-written research paper. For this assignment, you will conduct research and write a paper containing the two elements:

Part I: Choose one of the listed topics

• Implementing change on a nursing unit (Student must incorporate an example and a change theory)
• Leadership traits for successfully managing in the clinical arena.
• Quality improvement in the nursing unit or system
• Mentorship in nursing
• Preceptor programs for nursing leaders
• Solving incivility in the work place, How can a nurse manager help? (conflict resolution)
• Legal Issues within the nursing unit
• Promotion of ethical behaviors within the nursing unit (student must create a plan and implementation strategy)
• Nursing Unit Strategic Planning
• Compare and contrast the following new roles for the changing health care arena:
  • Nurse Navigators, Clinical Nurse Leaders, and Leaders in Patient-Centered Care

Part II: Evaluate how the topic applies to 2 of the following course competencies.

• Integrate concepts related to leadership into the professional nursing role.
• Analyze the philosophy, goals, and organizational structure of a healthcare system in relationship to the delivery of quality healthcare.
• Compare selected theories of leadership, management, and organizations in relation to healthcare agencies.
• Identify how collaborative leadership styles might be utilized in various community agencies to enhance the role of the nurse leader.
• Examine change theory, change management, conflict resolution, and strategies to promote innovation.
• Explain principles of continuous quality improvement (CQI) and the process of quality planning, improvement, and control.
• Discuss the management process and its impact on the delivery of optimal healthcare.
• Analyze how accountability, advocacy, and collaboration augment the management of care.
• Describe the meaning of teamwork in respect to the health care team
• Identify the essential components of a business plan
• Analyze various organization structure/management theories as they relate to nursing practice

In addition to the assignment specifics above, your paper should:

• Be 3-4 pages, not including the title and reference pages.
• Source(s) should be integrated into the paragraphs. Use in-text citations pointing to evidence in the literature that supports your ideas.
• Incorporate a minimum of two (2) peer-reviewed sources into your paper.
• Use current APA format to style your paper and to cite your sources.
• Include a title page and a reference page listing the sources you used. Be sure to plan enough time for proofreading and editing.

Review the rubric for further information on how your assignment will be graded.

Points: 150

Examine the importance of professional associations in nursing. Choose a professional nursing organization that relates to your specialty area, or a specialty area in which you are interested. In a 750‐1,000 word paper, provide a detailed overview the organization and its advantages for members. Include the following:

1. Describe the organization and its significance to nurses in the specialty area. Include its purpose, mission, and vision. Describe the overall benefits, or “perks,” of being a member.
2. Explain why it is important for a nurse in this specialty field to network. Discuss how this organization creates networking opportunities for nurses.
3. Discuss how the organization keeps its members informed of health care changes and changes to practice that affect the specialty area.
4.  Discuss opportunities for continuing education and professional development.

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. 

Reply1

In my nursing experience, I have encountered an ethical dilemma about “healthcare needs vs. resource allocation.” At my previous facility, their budget was limited, and we were a lack of medical supplies, such as blood pressure monitors, needles, foley catheter, etc. Doctors ordered medical treatments for patients, but due to the lack of the supplies, we were not able to carry out the orders on time. As a nurse, I wanted to follow the principle of beneficence, which is clinicians have a duty to provide appropriate care and benefit to a patient. (Bann & Parke, 2018) However, I was not able to follow it several times and felt patients did not get quality care from us. I reported the issue to managers, but the issue was not solved right away. According to Duquesne University (2020), the rising cost of healthcare is increasingly putting nurse managers at odds with budgeting constraints and patient needs. A large number of medical facilities have scarce resources, which puts patients at risk for not getting the care they need. (Duquesne University, 2020) 

Several months later, a new DON came to the facility, and she listened to our concerns. She hired a person who managed medical supplies of the facility. After that, the issue was improved. I learned that the management is very important for nurses and staff to provide quality care to patients. Also, nurses need to speak up the issues that affect patient’s safety. According to Haddad & Geinger (2020), it is important that the patient is protected by reporting any misconduct or potential safety concern. Also, the code of ethics for nurses from American Nurse Association states that the nurse promotes, advocates for, and protects the rights, health, and safety of the patient. (Haddad & Geinger, 2020)

reply2

Nurses are in a unique position when it comes to ethics in healthcare because of their close relationships with patients. As a nurse not only is it important for protecting your patient but coping with dilemmas and feeling confident enough to speak up when it is critical for your well-being. The most frequently occurring and stressful ethical situations are protecting patient’s rights, staffing, advanced care planning, and decision making (Rainer, Schneider, & Lorenz, 2018). In my nursing career, the ethical dilemma that has affected me most is honesty and withholding information. A young boy was brought in and admitted to the hospital and I was the one taking care of him. The tests were done and the boy was diagnosed with cancer. When the boy’s parents got the news they withheld the information from the boy to protect his emotions. However the boy’s age, he deserved to know about his medical condition. Even after a long conversation with the parents about the issue they still froze-off my opinions. Nursing ethics advocates for truth-telling or veracity, as a key factor in nurse-patient relationships while on the other hand decided to share the information with the patient would be going against the parent’s decision.

In the end, I ended up not telling the boy anything. I had to respect the decision of the parents despite the need to tell the boy of what he is suffering from. 

Module 1 Assignment: Case Study Analysis

An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature, with a variety of factors and circumstances impacting their emergence and severity.

Effective disease analysis often requires an understanding that goes beyond isolated cell behavior. Genes, the environments in which cell processes operate, the impact of patient characteristics, and racial and ethnic variables all can have an important impact.

Photo Credit: Getty Images/Hero Images

An understanding of the signals and symptoms of alterations in cellular processes is a critical step in the diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.
 

In this Assignment, you examine a case study and analyze the symptoms presented. You identify cell, gene, and/or process elements that may be factors in the diagnosis, and you explain the implications to patient health.

To prepare:

By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

The Assignment (1- to 2-page case study analysis)

Develop a 1- to 2-page case study analysis in which you:

• Explain why you think the patient presented the symptoms described.
• Identify the genes that may be associated with the development of the disease.
• Explain the process of immunosuppression and the effect it has on body systems.

Case study; Week 2

Scenario 4: A 65-year-old obese African American male patient presents to his HCP with crampy left lower quadrant pain, constipation, and fevers to 101˚ F. He has had multiple episodes like this one over the past 15 years and they always responded to bowel rest and oral antibiotics. He has refused to have the recommended colonoscopy even with his history of chronic inflammatory bowel disease (diverticulitis), sedentary lifestyle, and diet lacking in fiber. His paternal grandfather died of colon cancer back in the 1950s as well. He finally underwent colonoscopy after his acute diverticulitis resolved. Colonoscopy revealed multiple polyps that were retrieved, and the pathology was positive for adenocarcinoma of the colon. 

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting.

 Write a 3-4 page paper describing an evidence-based quality improvement project, based on your PICOT question, and your organization (page count does not include title and reference pages).

1. Structure the paper as follows:
   1. Create a title page.
   2. Introduce your topic to the reader.  Tell why the clinical issue or patient outcome needs to be improved.
      1. Why is current practice in the area of interest being questioned? (provide data)
      2. State your PICOT question, and describe what makes up the P, the I, the C, the O, and the T parts of it.
      3. Define the purpose of the project (connect the evidence and the project). What is going to be studied/addressed? Why?
   3. The next several sections (use headings and subheadings as appropriate)  should address the following points. Use the evidence that you have gathered so far from the research studies you reviewed in Modules 2 and 3.
      1. Summarize the evidence with a focus on implications for practice (from the 10 articles you reviewed in Modules 2 and 3). This section will look similar to a review of the literature that you have seen in the research studies you have analyzed.
      • Indicate how the research studies are applicable to the project
      • Identify how similar methods might be applied to this project to be successful
      • Identify who will be involved in the study.
      • What is the process for getting this project/study approved for implementation?
      • Describe who would need to know about the project. Does approval need to be received from the institutional review board (IRB)? When do the person/people need to know? How will the person/people be informed?
   4. Assume that this project/study was proposed to be done at your place of employment.
   5. Describe the process for including stakeholders
   6. Define baseline data collection sources (such as existing datasets, electronic health records, etc.), methods (questionnaires, observation) and measures (how will the results be evaluated). What will be needed to conduct the study?
   7. Define the post-project outcome indicator of a successful project (i.e., how would those doing the project, or researchers, know if the project were successful)?
   8. Summarize the proposed project/study.
   9. Include a reference page in APA format.

See attached instructions.  The instructions must be followed correctly. 

Please use the attached paper and revise based on instructions. 

Link to the video:  https://youtu.be/9f8ZWCQQDic 

In the response post, include the following:

• What suggestions would you offer the speaker to strengthen the persuasive speech?
• What advice would you give the speaker?

Please be sure to validate your opinions and ideas with citations and references in APA format.

 # 1. What is one major issue in the public health arena that you think merits more attention than it is currently getting from the healthcare establishment, the media or the community at large? Explain why you offer that issue and how you think it might be best addressed in the future. 

 Besides addressing the topic, try to include the following information (if applicable):
1. Why is this topic important to Public Health?
2. Why did you select this topic? What is its importance?
3. How can we get involved? 

  supported by at least two references and at least 250 words

Task

Patient Education

a. Create a lesson pertaining to caring for a patient with COPD who is from another culture.

b. Discuss potential barriers and solutions

c. Address learning evaluation methods.

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the  University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.