NR506NP Week 5 Ethical and Legal Implications Papers
This is a graded discussion: 100 points possible
Week 5:Ethical and Legal Implications (orig post due Wednesday, responses due Sunday)
Purpose
Discuss potential complications in a clinical scenario at an out-patient family practice. Students will explore potential effects on patient outcomes and implications for members of the heath care team as a result of conflict among the healthcare team. Students will develop strategies that result in prevention of untoward outcomes that result in a positive practice culture.
Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:
- Recognize potential areas of conflict in NP clinical practice (CO1)
- Determine methods of data collection to assess the conflict (CO3)
- Examine corporate compliance and its effect on clinical practice (CO2)
- Understand risk management in clinical practice (CO4)
Due Date: Wednesday by 11:59PM MST of Week 5
Initial responses to the discussion topic must be posted by Wednesday 11:59pm MT. Two additional posts to peers and/or faculty are due by Sunday at 11:59pm MT. Students are expected to submit assignments by the time they are due.
A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday of week 5, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0).
Total Points Possible: 100
Requirements:
You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient’s chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you.
Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety.
Case Study Responses:
- Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based upon the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members:
- Medical assistant
- Nurse Practitioner
- Medical Director
- Practice
- What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes?
- What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.
- A scholarly resource must be used for EACH discussion question each week.
| DISCUSSION CONTENT | |||
| Category | Points | % | Description |
| Potential ethical & legal implications for healthcare team members | 30 | 30% | Provides relevant evidence of scholarly inquiry of the potential ethical and legal implications for each of the practice members. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion. |
| Strategies to prevent further dangerous patient outcomes | 30 | 30% | Provides relevant evidence of scholarly inquiry of strategies to implement to prevent further episodes of potentially dangerous patient outcomes. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion. |
| Leadership qualities to effect positive change | 15 | 15% | Provides relevant evidence of scholarly inquiry of leadership qualities to apply to effect a positive change in the practice. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion. |
| 75 | 75% | Total CONTENT Points= 75 pts | |
| DISCUSSION FORMAT | |||
| Category | Points | % | Description |
| Interactive Dialogue | 20 | 20% | 4 Required Elements: Responds a minimum of two other posts to peers and/or faculty in the threaded discussion; Responses to peer/faculty are substantive (adds importance, depth, and meaningfulness to the discussion) Responds to all direct questions from faculty (if no question asked directly, student responded to questions posed to the entire class) Summarizes what was learned from the lesson, readings, and other student posts for the week. The summary could be included in one of the three minimum posts. |
| Grammar, Syntax, Spelling, & Punctuation | 5 | 5% | Grammar, syntax, spelling, and punctuation are accurate. |
| 25 | 25% | Total FORMAT Points= 25 pts | |
| DISCUSSION TOTAL=100 points | |||
Legal and Ethical Implications of Conflicts in Healthcare Sample Solution
Being a workplace like any other, conflicts in the healthcare setting are common. These conflicts have dire consequences on care quality both directly and indirectly. Team conflicts directly affect care quality by delaying care provision and failure to provide essential care to patients. Indirectly, team conflicts may demotivate healthcare professionals, thus making them exhibit a negative attitude towards patients and their families (Cullati et al., 2019). This discussion focuses on the legal and ethical implications of conflict to the care team, strategies to prevent conflicts that lead to undesirable patient outcomes, and the leadership qualities to effect positive change.
Conflicts have potential legal and ethical implications for each healthcare team member. To begin with, the nurse practitioner can be faced with ethical cases of negligence and work overload when tasks are not delegated. The medical director, who should be in charge of the team, may face legal implications when conflicts lead to negligence and the institution issued for it. On the other hand, the medical assistant can be met with legal implications of malpractice. For instance, in the case study, a patient with very low blood pressure had not been attended to. Practice can be faced with an ethical issue of inappropriate nurse-patient relationships, which would lead to loss of clientele due to arguing inpatient areas.
I would implement strategies to prevent further episodes of potentially dangerous patient outcomes: staff training, clearly outlining duty roasters, setting clear goals, and having conflict resolution guidelines. These would help prevent conflicts among the healthcare team members and inform them of the steps to take in case of a dispute arises.
The leadership qualities I would apply to effect positive change include change management. I would steer the team towards cultivating a conflict-free working environment. I would also ensure effective communication to avoid conflicts arising from a communication breakdown. Effective communication enhances interpersonal and professional relationships, preventing conflicts (Katz et al., 2020).
Conflicts in the healthcare setting should be avoided at all costs. They alter team dynamics and communication, decrease trust, and reduce team performance. As discussed above, conflicts also have legal and ethical implications for the team members. Team members should work together to minimize and manage conflicts.
References
Cullati, S., Bochatay, N., Maître, F., Laroche, T., Muller-Juge, V., Blondon, K. S., Junod Perron, N., Bajwa, N. M., Viet Vu, N., Kim, S., Savoldelli, G. L., Hudelson, P., Chopard, P., & Nendaz, M. R. (2019). When Team Conflicts Threaten Quality of Care: A Study of Health Care Professionals’ Experiences and Perceptions. Mayo Clinic proceedings. Innovations, quality & outcomes, 3(1), 43–51 https://doi.org/10.1016/j.mayocpiqo.2018.11.003
Katz, N. H., Lawyer, J. W., Sosa, K. J., Sweedler, M., & Tokar, P. (2020). Communication and Conflict Resolution Skills., 1-161. Retrieved from 30th May 2022 from https://nsuworks.nova.edu/shss_facbooks/177
NR506NP Week 6: Scope of Practice and Patient’s Healthcare Accessibility
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Purpose
The purpose of this assignment is to identify the scope of practice in one’s state including level of independence of practice, prescribing authority, any limitations of practice, process for obtaining licensure in your state, certification and education requirements for licensure. Next, students will discuss how the level of independence of practice in their state, i.e., reduced, restricted or full practice, affects patient’s access to care in their local community.
Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:
- Understand NP practice as defined by law (CO2)
- Determine legislation as defined by legislation, statutes and regulations (CO2)
- Identify barriers to ensuring patient’s rights (CO3)
Due Date: Wednesday by 11:59pm MST of Week 6
Initial responses to the discussion topic must be posted by Wednesday 11:59pm MT. Two additional posts to peers and/or faculty are due by Sunday at 11:59pm MT. Students are expected to submit assignments by the time they are due.
A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday of week 6, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0).
Total Points Possible: 100
Requirements:
(State virginia)
- Discuss your state NP community in terms of scope of practice. Include the your state’s scope of practice for NPs including:
- Level of independence of practice **In California, NPs are required to practice under Standardized Procedure Guidelines. If CA is your intended practice state, please provide details on how Standardized Procedures Guidelines are developed in California and an example of a California SPG.
- Prescribing authority
- Any limitations of practice
- Process for obtaining licensure in your state
- Certification and education requirements for licensure.
- If you live in a restricted or reduced practice state, how has patient care been impacted in your local community from these barriers? For instance, is the ED used for primary care? Are the EDs overcrowded with long wait times? Are there urgent care clinics readily available? Is there adequate access to primary care? If you live in a full practice, how has independent practice of the APN resulted in improved patient access to healthcare?
- How does access to NPs impacts any healthcare disparities?
- A scholarly resource must be used for EACH discussion question each week.
| DISCUSSION CONTENT | |||
| Category | Points | % | Description |
| Scope of practice and NP requirements | 30 | 30% | Provides relevant evidence of scholarly inquiry of their state’s NP scope of practice. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion. |
| Practice barriers and access to healthcare | 30 | 30% | Provides relevant evidence of scholarly inquiry of whether their state is a reduced, restricted or full practice state and the impact on the local community with respect to healthcare access. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion. |
| Healthcare disparities | 15 | 15% | Provides relevant evidence of scholarly inquiry of how access to NPs impacts healthcare disparities. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion. |
| 75 | 75% | Total CONTENT Points= 75 pts | |
| DISCUSSION FORMAT | |||
| Category | Points | % | Description |
| Interactive Dialogue | 20 | 20% | 4 Required Elements: Responds a minimum of two other posts to peers and/or faculty in the threaded discussion; Responses to peer/faculty are substantive (adds importance, depth, and meaningfulness to the discussion) Responds to all direct questions from faculty (if no question asked directly, student responded to questions posed to the entire class) Summarizes what was learned from the lesson, readings, and other student posts for the week. The summary could be included in one of the three minimum posts. |
| Grammar, Syntax, Spelling, & Punctuation | 5 | 5% | Grammar, syntax, spelling, and punctuation are accurate. |
| 25 | 25% | Total FORMAT Points=25 pts | |
| DISCUSSION TOTAL=100 points | |||
NR506NP Week 7: APNs as Healthcare Policy Leaders
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Purpose
The purpose of this assignment is to discuss healthcare policy of the APN profession and how Transformational Leadership can help to influence policy changes. This week’s assignment focuses on the APN as a Health Policy Leader, one of the nine NONPF NP competencies. Students will analyze how health policy may affect NP practice and how Transformational Leadership can help to influence policy changes.
Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:
- Critically analyze how healthcare systems and APRN practice are organized and influenced by ethical, legal, economic and political factors (CO2)
- Demonstrate professional and personal growth concerning the advocacy role of the advanced practice nursing in fostering policy within diverse healthcare settings (CO3)
- Advocate for institutional, local, national and international policies that fosters person-centered healthcare and nursing practice (CO4)
Due Date: Wednesday of week 7 by 11:59PM MST
Initial responses to the discussion topic must be posted by Wednesday 11:59pm MT. Two additional posts to peers and/or faculty are due by Sunday at 11:59pm MT. Students are expected to submit assignments by the time they are due.
A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday of week 7, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0).
Total Points Possible: 100
Requirements:
Criteria for Content
- Explanation of how healthcare policy can impact the advanced practice nurse profession
- Explanation of why advocacy is considered an essential component of the advance practice nurse’s role
- Discuss the four pillars of Transformational leadership and the effect it may have on influencing policy change
- A scholarly resource must be used for EACH discussion question each week.
| DISCUSSION CONTENT | |||
| Category | Points | % | Description |
| Explanation of how healthcare policy can impact the advanced practice nurse profession | 25 | 25% | Research healthcare policy for APNs on a state and national level and the impact on the APN profession |
| Explanation of why advocacy is considered an essential component of the advance practice nurse’s role | 25 | 25% | Describe advocacy in healthcare terminology. Discuss how advocacy is an essential role of the APN and the impact on patient care. |
| Discuss the four pillars of Transformational leadership and the effect it may have on influencing policy change | 25 | 25% | Define Transformational leadership. Discuss how Transformational Leadership may have an effect on influencing policy change |
| Total CONTENT Points= 75 pts | |||
| DISCUSSION FORMAT | |||
| Category | Points | % | Description |
| Interactive Dialogue | 20 | 20% | 4 Required Elements: Responds a minimum of two other posts to peers and/or faculty in the threaded discussion; Responses to peer/faculty are substantive (adds importance, depth, and meaningfulness to the discussion) Responds to all direct questions from faculty (if no question asked directly, student responded to questions posed to the entire class) Summarizes what was learned from the lesson, readings, and other student posts for the week. The summary could be included in one of the three minimum posts. |
| Grammar, Syntax, Spelling, & Punctuation | 5 | 5% | Grammar, syntax, spelling, and punctuation are accurate. |
| Total FORMAT Points= 25 pts | |||
| DISCUSSION TOTAL=100 points | |||
APNs as Healthcare Policy Leaders Example Solution
Universal and state healthcare policies enormously impact the advanced practice nurses (APN) profession. These policies may enhance or limit their practice. However, advanced practice nurses can play a role in changing unfavorable policies. This discussion focuses on the impact of healthcare policy on the advanced practice nurse profession, the concept of advocacy in nursing and its effect on patient care, and transformational leadership and policy change.
Healthcare policy considerably impacts the advanced practice nurses’ profession on state, regional and national levels. Due to their scope of practice, advanced nurses should ideally bring healthcare services closer to the populations. However, healthcare policies in some states limit this by having restrictions on the practice of APNs. Advanced practice nurses can carry out comprehensive nursing interventions, thus helping a state achieve universal health coverage (Sevilla et al., 2022). Healthcare policies that allow APNs to run their healthcare institutions encourage APN professionals to fully use their knowledge and education in practice. Favorable healthcare policies can promote the growth of the advanced nurse practice profession. Healthcare professionals should advocate for healthcare policies that favor the practice of advanced practice nurses.
Advocacy in nursing has been defined as the act of nurses expressing patients’ needs and preferences to the hospital staff on their behalf (Kalaitzidis &Jewell, 2020). Advocacy is one of the roles that advanced practice nurses must play. Advocacy is considered an advanced practice nurse’s role since nurses are the ones who interact with the patients most compared to other healthcare providers’ team members. Therefore, they are best suited to know the patients’ preferences and needs. They are also best suited to link the hospital staff and the patients due to the strong nurse-patient relationships created when giving care to the patients. The nurse is the patient’s voice; thus, it is an obligation to advocate for their needs to other stakeholders in the healthcare department. Advocacy in nursing has had a significant positive impact on patient care. It has influenced service delivery and the overall quality of care in healthcare institutions, leading to better patient outcomes and patient satisfaction. Advocacy can also influence change of policies in healthcare, thus better care delivery.
Transformational leadership in nursing is a management concept that entails the motivation of nurses to have ownership of their roles and perform them beyond the minimum expectations. Transformational leadership enhances better demonstration of moral values and integrity in practice by cultivating teamwork among care providers. Transformational leaders focus on stimulating and inspiring followers by developing good relationships and enhancing change by emphasizing values (Giddens, 2018). The four pillars of transformational leadership are individualized consideration, idealized influence, intellectual stimulation, and inspirational motivation. These four-pillar pillars are integral for policy change.
Change of policy requires first understanding individual stakeholders of the policy, especially the policymakers and influencers, as well as the people affected by the policy and how the policy affects them. Policy change is hen followed by a planned strategy of how to influence the policymakers to change it. It also requires carefully devised logical and intellectual evidence of why the policy should be changed. In addition, the pillar of inspirational motivation would impact policy change by showing the policy makers how the change of policy would positively impact the people affected.
Advanced practice nurses can use advocacy to improve patient care and satisfaction in their institutions. They should also be on the frontline in applying transformational leadership to influence the change of policies that influence them, thus improving care delivery in their institutions and the entire healthcare field.
References
Giddens, J. (2018). Transformational leadership: What every nursing dean should know. Journal of Professional Nursing, 34(2), 117-121. https://doi.org/10.1016/j.profnurs.2017.10.004
Kalaitzidis, E., & Jewell, P. (2020). The concept of advocacy in nursing: a critical analysis. The Health Care Manager, 39(2), 77-84. https://doi:10.1097/HCM.0000000000000292
Sevilla Guerra, S., Zabalegui, A., Comellas Oliva, M., Estrem Cuesta, M., Martín‐Baranera, M., & Ferrus Estopa, L. (2022). Advanced practice nurses: Analysis of their role from a multicentre cross‐sectional study. International Nursing Review, 69(1), 30-37. https://doi.org/10.1111/inr.12706
NR506NP Week 8: Week 8: Reflection on Achievement of Outcomes
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Purpose
The final week will focus on Global Policy Reform and the impact on patient care. Students read the Berwick article and respond to the required discussions. In addition, students reflect on what they have learned in NR506NP and how it is applicable to their upcoming clinical courses.
Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:
- Understand the role of advanced practice nursing in the International Context (CO2)
- Research global aspects of healthcare and the effect on the US healthcare system (CO5)
- Discuss the implications of global health on your clinical practice (CO5)
Due Date: Wednesday by 11:59pm MT of week 8
Initial responses to the discussion topic must be posted by Wednesday 11:59pm MT. Two additional posts to peers and/or faculty are due by Sunday at 11:59pm MT. Students are expected to submit assignments by the time they are due.
A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday of week 8 by 11:59PM MST, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Saturday (i.e. student will receive an automatic 0). Week 8 discussion closes on Saturday at 11:59pm MT.
Total Points Possible: 100
Requirements:
Berwick, D., Snair, M., & Nishtar, S. (2018). Crossing the global health care quality chasm: A key component of universal health coverage. Journal of American Medical Association, 320(13), 1317-1318.
Read the Berwick article and reflect on the concepts and practices you have learned in NR506 on healthcare systems, politics, and health policy. Reflections should include:
- How to make informed decisions on nursing practice and patient outcomes on a global basis. In addition, state how you will apply what you have learned in this course to your upcoming practicum experience.
- Describe how one will apply content from NR506NP to the upcoming clinical courses.
| DISCUSSION CONTENT | |||
| Category | Points | % | Description |
| Making informed decisions | 40 | 40% | Provides relevant evidence of scholarly inquiry sharing insights as how to make informed decisions on nursing practice and patient outcomes on a global basis. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion. |
| Application to Clinical Practice | 35 | 35% | Provides relevant evidence of scholarly inquiry stating how one may apply content learned in this course to future clinical practice. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion. |
| Total CONTENT Points= 75 pts | |||
| DISCUSSION FORMAT | |||
| Category | Points | % | Description |
| Interactive Dialogue | 20 | 20% | 4 Required Elements: Responds a minimum of two other posts to peers and/or faculty in the threaded discussion; Responses to peer/faculty are substantive (adds importance, depth, and meaningfulness to the discussion) Responds to all direct questions from faculty (if no question asked directly, student responded to questions posed to the entire class) Summarizes what was learned from the lesson, readings, and other student posts for the week. The summary could be included in one of the three minimum posts. |
| Grammar, Syntax, Spelling, & Punctuation | 5 | 5% | Grammar, syntax, spelling, and punctuation are accurate. |
| Total FORMAT Points= 25 pts | |||
| DISCUSSION TOTAL=100 points | |||