Nursing Ethics

In this article review, you will explore ethical issues and discuss their implications.Step 1 Read the article,Moral Courage and the Nurse Leaderby Cole Edmonson.Step 2 Based on the article, answer the following questions.What are the sources of ethical dilemmas for nurse leaders?How should nurse leaders handle those issues?Explain the 4As Framework recommended by the Association of Critical Care Nurses (AACN).What are the recommendations that can increase moral courage in nurse leaders?

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Measuring Quality Guidelines and Grading Rubric

Measuring Quality Guidelines and Grading RubricIn an 8 to 10-page paper, APA format and 5 references, describe three rate based measurements of quality.Select three rate based measurements of quality that you will use as the primary basis for this paper.These measurements must relate to some aspect of clinical or service quality that directly relates to patient care or the patient’s experience of care.For the purposes of this assignment, an analysis of staffing levels is not permitted.You can find useful information on quality indicators that are of interest to you on these websites and resources.  You may choose only one of the three measures to be some form of patient satisfaction measure.Deconstruct each measure to include descriptions of the each of the following as numbered below:1) The definition of the measure2) The numerical description of how the measurement is constructed (the numerator/denominator measure counts, the formula used to construct the rate, etc.)3) Explain how the data for this measure are collected4) Describe how the measurement is compared externally to other like settings; differentiate between the actual rate and a percentile ranking.5) Explain whether the measure is risk adjusted or not.  If so, explain briefly how this is accomplished.6) Describe how goals might be set for each measure in an aggressive organization, which is seeking to excel in the marketplace.Describe the importance of each measure to a chosen clinical organization and setting.Using these websites and resources you can choose a hospital, a nursing home, a home health agency, a dialysis center, a health plan, an outpatient clinic or private office; a total population of patient types is also acceptable, but please be specific as to the setting. That is, if you are interested in patients with chronic illness across the continuum of care, you might home in a particular health plan, a multispecialty practice setting or a healthcare organization with both inpatient and outpatient/clinic settings. Faculty appointments and academic settings are not permitted for this exercise. For all other settings, consult the instructor for guidance. You do not need actual data from a given organization to complete this assignment.Relate each measure to patient safety, to the cost of poor quality, and to the overall cost of healthcare.Required ReadingsJoshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.Chapter 5: “Data Collection”Chapter 6: “Statistical Tools for QI”Park, J., Konetzka, R. T., & Werner, R. M. (2011). Performing well on nursing home report cards: Does it pay off? Health Services Research, 46(2), 531–554. doi:10.1111/j.1475-6773.2010.01197.xThe study in this article evaluates whether or not nursing homes benefit from improvements in quality measures. Four financial outcomes are measured before and after the improvements are enacted. The study shows that the nursing homes that improved quality measures benefited financially.Suchy, K. (2010). A lack of standardization: The basis for the ethical issues surrounding quality and performance reports. Journal of Healthcare Management, 55(4), 241–251.Because performance reports are easily found online, this article supports creating ethical guidelines for the performance reports of the health care industry. It compares nearly ten different organizations that provide performance reporting, and then it proposes an ethical framework and principles for public quality reporting.Wachter, R. M., & Pronovost, P. J. (2009). Balancing “no blame” with accountability in patient safety. New England Journal of Medicine, 361(14), 1401–1406.This article addresses the issue of individual accountability in health care organizations. It suggests moving from a culture within health care that does not place blame on individuals to a culture where individuals become more accountable.Centers for Medicare & Medicaid Services. (n.d.). Quality initiatives: Overview. Retrieved from http://www.cms.gov/QualityInitiativesGenInfo/Created by the U.S. Department of Health & Human Services, this website overviews quality initiatives that affect the health care industry. It also provides information and downloadable PDFs on the Post-Acute Care Reform Plan and Development of Quality Indicators for Impatient Rehabilitation Facilities (IRF).Required MediaVideo: Laureate Education, Inc. (Executive Producer). (2011). Organizational and systems leadership for quality improvement: External quality improvement. Baltimore: Author.Note: The approximate length of this media piece is 10 minutes.The presenters in this video discuss various external organizations involved in quality, and examine the enforcement of standards by governmental agencies versus voluntary organizations. This program also addresses the publication of quality information and why organizations should do their own reporting in addition to mandated reporting. Licensing, credentialing, and certification are discussed as they relate to the social compact that health care providers have for quality and safety.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Can you assist

Can you asisst

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Advance pharm 7 discussion

When faced with a choice between 2 or more possible answers, using a “STEPS” analysis may be a useful clinical decision making tool.  The goal is to provide information for each agent and compare the results to aid in your decision.S:  safety – are there any serious drug interactions?  Possible serious side effects or adverse drug reactions?T – tolerability – consider any adverse drug effects or side effects that may be concerning to the patient such as:  diarrhea, headaches, rash, etc.E – efficacy – is one agent more efficacious than the other for the infection?P – price – does the patient have insurance?  will cost inhibit adherence or access to the medication?S – simplicity – which regimen is simpler?  Once a day dosing will likely have better adherence rates than three times a day dosing.  Also, three days of an antibiotic may be preferable to 7-10 days.  Depending on the drug you choose, the frequency and duration will vary.Here’s an example tableDrug 1Drug 2SafetyModerate drug interactions             No drug interactions / serious ADRsTolerabilityDiarrheaDiarrhea, headachesEfficacySimilarSimilarPrice/Preference$100/7 days$30/3 daysSimplicity7 days, once daily dosing3 days, BID dosing1.  Which one would you choose and why?2.  Identify the available treatment strategies for CAP in an adult outpatient with comorbidities. Create your own “steps” analysis comparing the use of the available treatment regimens. Be prepared to compare and contrast your ideas with your classmates.Reference:  Evaluating the safety and effectiveness of new drugsPost your initial response and respond to one student.  Both responses should be a minimum of 150 words each, scholarly written, APA formatted, and referenced.  A minimum of 2 references are required (other than your text). Refer to the Grading Rubric for Online Discussion in the Course Resource section.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

peer’s response

Hirons,Hi professor and classmates! Value based healthcare is the focused on the quality of care and patient satisfaction. Volume based healthcare focuses more on profit. Patients are charged one large fee for any service they might need from a single provider. The goal in value based healthcare to improve patients’ experiences and outcomes and reduce the extraordinary costs of healthcare services (Caron, 2019).I am a nurse leader in a psychiatric hospital. We talk about patient safety constantly, but the context for a psychiatric population is much different than other patient populations. The most common reason for admission to the psychiatric hospital is suicidal ideation. Usually when safety is discussed, we are considering the patients’ ability and likelihood of harming themselves or others. I teach a training about de-escalation, self-defense, and restraints. All staff are required to attend the training annually to stay updated on the most recent evidence-based safety measures. In this class, I emphasize the importance of maintaining safety. My organization does promote a culture of safety for both patients and staff. This is evident in frequent education, policies, safety protocols, and comprehensive discharge planning (Sanchez et al., 2021).To improve safety outcomes, I would like to implement a discharge program in which we call to check in on patients upon discharge. Patients admitted to a psychiatric hospital are at extremely high risk for suicide completion upon discharge. This is why safety planning is so crucial to patient safety. Our social work team makes sure each patient has a support system, outpatient appointments, medications, and an action plan in case suicidal thoughts return. However, I think adding in an extra precaution, checking on our recently discharged patients, would benefit our patients and reduce the risk of suicide completion(Sanchez et al., 2021).My strategy for implementing this plan is create an inter disciplinary committee of nursing staff, providers, and social workers. My proposal would be to assign one social worker to be our discharge coordinator, who is responsible for making these follow up calls. He or she would touching base with our recently discharged patients. This social worker would document the conversation in the patient’s chart. If the patient need assistance with resources, the social worker could help them. If the patient is voicing hopelessness or suicidal ideation, the social worker could encourage the patient to come back to the hospital. If the patient is voicing suicidal ideation and refusing to go to the hospital, the social worker would need to contact the police for a welfare check. We are a hospital with 60 beds and I do not think this would require another full time social worker. In considering a budget proposal, I would initiallysuggest that this added role would be 50% of a full time social worker’s responsibilities or a part time social worker’s full responsibilities (Conti et al., 2020).Current technology used to support patient safety includes the use of video monitoring throughout the hospital, except for in the bathrooms. The goal is to allow patients to have privacy, so staff members aren’t following them, but can still monitor the patients at all times. Unintended consequences include patients experiencing paranoia. To address this consequence, I am honest and genuine with patients. I say “these cameras are only here to keep you safe. We want to make sure that other patients don’t go to the wrong room and that we can come help you if you need it.” I also assure the patients that there are no cameras in the bathroom, so to change clothes in there. If the patient is based in reality, the patient is usually satisfied. However, if a patient is very paranoid or experiencing psychosis, this is a little more difficult. If this is the case, I resort to active listening skills and validating the patient’s feelings. I also emphasize that the patient is safe (DeMasi, 2018).Working in mental health, I experience daily frustration over insurance companies power over the treatment we can provide to mentally ill patients. I had a patient who was admitted to the psychiatric hospital for a few weeks. The utilization review department (who communicate with insurance companies) said the patient had “exhausted his days” and would need to be discharged. The patient was not safe to leave. He had a very specific plan to die by suicide, no support system, and no place to go. Thankfully, the provider and other members of the treatment team were not willing to risk the patient’s safety based on an insurance company’s willingness to pay. However, this was an eye opening experience. It seemed like volume based care focused on the amount of days the patient was in the hospital, rather than the patient’s actual safety (Caron, 2019).ReferencesCaron, R. M. (2019). Co-producing healthcare in a volume vs. value-based healthcare system: perspective of a parent of a patient and a health professions’ educator. Patient Experience Journal, 6(2), 16–19.https://doi.org/10.35680/2372-0247.1373 (Links to an external site.)Conti, E. C., Jahn, D. R., Simons, K. V., Edinboro, L. P. C., Jacobs, M. L., Vinson, L., Stahl, S. T., & Van Orden, K. A. (2020). Safety planning to manage suicide risk with older adults: Case examples and recommendatioms. Clinical Gerontologist, 43(1), 104–109.https://doi.org/10.1080/07317115.2019.1611685 (Links to an external site.)De Masi, F. (2018). Working with difficult patients : from neurosis to psychosis . Routledge, an imprint of Taylor and Francis.Sánchez-Teruel, D., Robles-Bello, M. A., Muela-Martínez, J. A., & García-León, A. (2021). Resilience assessment scale for the prediction of suicide reattempt in clinical population. Frontiers in Psychology, 12, 673088–673088. https://doi.org/10.3389/fpsyg.2021.673088

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Change and plan

CHANGE TOPIC: Walking Hand-rails in Hallways in geriatric units for fall preventionIf this topic is not workable please change but remember this is a Nursing assignment.Review the Resources and identify one change that you believe is called for in your organization/workplace.This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.Reflect on how you might implement this change and how you might communicate this change to organizational leadership.The Assignment (5-6-minute narrated PowerPoint presentation):Change Implementation and Management PlanCreate a narrated PowerPoint presentation of 5 or 6 slides with video thats 5–6 minutes in length presenting a comprehensive plan to implement the change you propose.Your Change Implementation and Management Plan should include the following:An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)A description of the change being proposedJustifications for the change, including why addressing it will have a positive impact on your organization/workplaceDetails about the type and scope of the proposed changeIdentification of the stakeholders impacted by the changeIdentification of a change management team (by title/role)A plan for communicating the change you proposeA description of risk mitigation plans you would recommend to address the risks anticipated by the change you proposeResources:https://support.microsoft.com/en-us/office/record-a-slide-show-with-narration-and-slide-timings-0b9502c6-5f6c-40ae-b1e7-e47d8741161chttps://www.youtube.com/watch?v=owU5aTNPJbs

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Nursing

Benchmark – Community Teaching Plan: Community Teaching Work Plan Proposal

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

1. Case Study Power Point Presentation

1. Case Study Power Point PresentationBased on your readings throughout the course, choose a disorder/disease from your text and develop a power point presentation. The presentation must include:An introduction, incidence, prevalence (include to a global perspective), pathophysiology of the disease/disorder to the cellular level, existing prevention and therapeutic measures, current or future research relevant to the disorder/disease. The presentation must specifically address how this disorder/disease impacts ONE of the following age groups: infant/child, adult, or elderly.This presentation should be no more than 20 slides (excluding title and reference slide(s)). APA 7th ed. is required. A minimum of 4 current (within 5-7 yrs) references excluding your text is required. Refer to the Grading Rubric for Written PowerPoint Presentations.CriteriaTopic Description: Introduction, incidence, prevalence (include to a global   perspective), pathophysiology of the disease/disorder to the cellular level,   existing prevention and therapeutic measures, current or future research   relevant to the disorder/disease.Application of   disorder/disease: Specific to age group.References: Use   of 4 scientific references (excluding text). References must be current,   within 5-7 years.Other Criteria: Length not to exceed 20 slides  (excluding title and reference slides). APA   7th ed. format required. Your PowerPoint should utilize graphics including   but not limited to images, graphs, tables, etc. You may also audio record or   voice over to provide an explanation of a slide.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

First Steps on Becoming a Grassroots Lobbyist/Advocate for Health Care Policy

First Steps on Becoming a Grassroots Lobbyist/Advocate for Health Care PolicyThis assignment has two parts, numbered below. Write each question as a new topic area, then follow with a paragraph or two to answer the question. You may find it necessary to search for answers to the questions outside of the assigned reading. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources.Tasks:Imagine that you are going to make a visit to your representative in Congress. Develop a one-page document that supports your position on the AHCA that you would leave with your representative or his or her aide when you make your visit. This one-pager, also called a “leave behind,” should state your position clearly in bullet points and give your reasons why your position is preferred. This “leave behind” should have 1 inch margins and utilize 14-point font throughout. If you were making this visit in person, you would present your “leave behind” to the person with whom you speak during your visit. Include a second page that describes your rationale for the position in your “leave behind” page supported by at least two journal articles.Write a two-page brief to describe the scenario surrounding your legislative visit. Understanding the political affiliation of your representative, include answers to the following:Was your member in support or in opposition to the AHCA?State three points that you would cover in support or opposition to your representative’s position.How does your nursing experience influence the advocacy position that you take on the AHCA?Submission Details:Submit your response in a 4-page Microsoft Word document.Name your document SU_NSG4068_W3_Project_LastName_FirstInitial.doc.Submit your document to the Submissions Area by the due date assigned.Cite sources in the APA format on a separate page.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

CP – Week 1 Discussion 1st REPLY

Reply to the following discussion by supporting the post.  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources. Be objective, clear, and concise.It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources.LH Discussion:Pediatric DepressionThis is a controversial topic and has piqued the interest to explore it further because of the potential adverse impacts, specifically increased risk for violence/aggression, of SSRI therapy in treating adolescent depression. Depression is an overwhelming phenomenon for which there is a wide array of treatment options. It has been suggested and heavily scrutinized that the use of antidepressant medications in the treatment of depression in adolescents and young adults can increase violent or suicidal behavior (Bielefeldt, Danborg, & Gotzsche, 2016).  Youth violence is a growing and significant public health concern that results in the premature death of thousands of people annually (David-Ferdon et al., 2016).  Due to the seriousness of this often-silenced epidemic, it has long been the CDC’s goal to prevent youth violence from occurring in the first place (“CDC ,” 2021).  To successfully achieve this health promotional goal, providers must strive to better understand and address questionable and contributing risk factors. Youth violence can be prevented (David-Ferdon et al., 2016).It was reported two weeks ago that an adolescent boy from Iowa was arrested for brutally stabbing his parents to death with a knife and axe inside their home. When the authorities arrived at the scene of this tragic crime, the 17-year-old teen was sitting outside his house and claimed the reason behind his violent act was that he just wanted to regain control of his life (Casiano, 2021).  Where, as a society focused on the promotion of health and prevention of youth violence, is the gap, that so many mentally unstable young people slip through the cracks without early screening and treatment intervention? What are the safest interventions for treating an underlying pediatric depression or other behavioral disorders? If there is a better and safer form of antidepressant therapy for adolescents and young adults than the typical first line SSRI pharmacotherapy, then more statistically significant research evidence is needed to support this theory (Maroun, Thackeray, & Midgley, 2018).  The only way to determine best practice standards is to challenge the existing ones.ReferencesBielefeldt, A., Danborg, P. B., & Gotzsche, P. C. (2016, October 11). Precursors to suicidality and violence on antidepressants: Systematic review of trials in adult health volunteers. JRSM, 109(10), 381-392. http://dx.doi.org/10.1177/0141076816666805Casiano, L. (2021, October 15). Iowa teen covered in blood admits to killing parents with knife and axe, police say. Fox News . Retrieved from https://www.foxnews.com/us/iowa-teen-covered-in-blood-admits-to-killing-parents-with-knife-and-axe-police-sayDavid-Ferdon, C., Vivolo-Kantor, A. M., Dahlberg, L. L., Marshall, K. J., Rainford, N., & Hall, J. E. (2016). A comprehensive technical package for the prevention of youth violence and assoicated risk behaviors . Retrieved from https://www.cdc.gov/violenceprevention/pdf/yv-technicalpackage.pdfMaroun, R. A., Thackeray, L. A., & Midgley, N. (2018, November 28). Meaning and medication: a thematic analysis of depressed adolescents’ views and experiences of SSRI antidepressants alongside psychological therapies. BMC Psychiatry , 18(374). http://dx.doi.org/10.1186/s12888-018-1961-yViolence prevention strategies . (2021). Retrieved from https://www.cdc.gov/violenceprevention/youthviolence/prevention.html

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.