Posts

Professional Obligations of Advanced Nurses

/in /by

Professional Obligations of Advanced Nurses

Advanced registered nursing graduates are entering the profession at dynamic time when roles and scope of practice are shifting based on developments in legislation and policy in response to the evolving needs of the health care system. Professional nursing organizations play an important role in making sure the perspectives of advanced registered nurses are heard, and in supporting nurse specialties in their efforts to expand their scope of practice and their full participation throughout the health care system.

For this assignment, you will conduct research on the current scope of practice for your specialty and efforts that are being made to expand that scope and the role of the advanced nurse in positively influencing the health care system. Write a 1,250-1,500-word paper that includes the following:

  1. A discussion of the scope of your future role as an advanced registered nurse- NURSE EDUCATOR, including any regulatory, certification, or accreditation agencies that define that scope.
  2. A discussion of three professional nursing organizations that you think are most influential in advancing the scope and influence of advanced nursing. Of these organizations, evaluate the one that you would most like to join. How do its goals and mission fit in with your worldview and philosophy of care? How might membership in this organization improve your practice?
  3. A discussion of a controversial or evolving issue that is most likely to affect your scope of practice or role in the next few years. How do you think this issue could influence the profession and other stakeholders, and why does it matters to the advanced registered nurse?

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

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.

 

SAMPLE ANSWER

Future Scope, Role, and Professional Obligations

Introduction

Advanced registered nursing graduates are going into a nursing field that is changing fast. They need to have a good understanding of specific issues happening in their field and how they can affect their practice as well as how they can take advantage of them. The following analysis discusses the scope of an advanced registered nurse-nurse educator, the regulators, and certification as well as accreditation bodies in place. It also discusses three key professional nursing organization and why American Nursing Association ANA stands out. Finally, it explores the evolving issue of nurse shortage and how it is going to affect the profession. With the increased responsibilities, an advanced nurse needs to have a good understanding of the scope of their role, the organizations to join and evolving issues and how they will affect their practice.

Scope of Advanced Registered Nurse – Nurse Educator

As a nurse educator, one is expected to use their experience and knowledge to bring knowledge as well enthusiasm in the process of training and preparing the students to be great nurses for generations to come (Hall & Mast, 2015). The role of nurse educator includes facilitating learning as well as using assessment and evaluation strategies to gauge how ready the students are for a future career in nursing and guide them accordingly on their areas of weakness. Nurse educators also participate in curriculum design and also help in evaluation of program outcomes. They are also engaged in scholarship, work as agents of change and as leaders as well as work on ways to make nurse educator role even better. They are involved in major activities that help to produce competent nurses that are going to meet the ever-changing needs of the health care sector.

Professional Obligations of advanced nurses

A lot of regulatory activities for nurse educators are conducted at the state level although the National Council of States Boards of Nursing also is involved. The regulators use the provision of the Nurse Practice act to come up with their regulatory guides (Rose & Regan-Kubinski, 2014). A case would be an educator working in Texas, the Texas state board of Nursing provides licensing, regulation, and monitoring or all the licensed nurse in the state including educators. For accreditation, the Accreditation Commission for Education in nursing which is a non-governmental organization accredits the educational programs and educators. The commission on Collegiate Nursing Education is also involved on matters of quality and integrity of programs offered and their mandate include regulation of the educators themselves.

Professional Obligations of advanced nurses

Nationally, the most famous accreditation body for nurse educators is the national league of nurses.it established the National League for Nursing Accrediting Commission with the primary role of accreditation (Rose & Regan-Kubinski, 2014). The commission has since changed its name to Commission for Nursing Education Accreditation CNEA. The commission describes its accreditation activities as guided by its parent body’s core value of diversity, integrity, and excellence. NLN is also involved in the certification programs through the Academic Nurse Educator Certification program. It offers two nurse educator certifications which are certified nurse educator and certified academic nurse educator. For the certified nurse educator, they facilitate learning by teaching, evaluating, and curriculum design. Certified academic nurse educators facilitating learning for students using clinical components of the learning program.

Nursing Organizations

There exist many professional nurses’ organizations for one to choose. One of those organizations is the American Nurses Association and it is one of the oldest and largest organizations in the in the country. Members receive many benefits from joining such as accessing an online library with various academic sources that relate to nursing (Mathews, 2015). It can be very helpful especially for those nurses that are involved in study or research activities. Members also get access to webinars on various topics that cover various areas of their profession. Members also get to save money on areas of certification and publications as they receive special offers. ANA is also credited with the development of the code of ethics for nurses with interpretive statement which is a huge source of guidelines on the steps that nurses need to make in ensuring that they operate ethically and helps to promote the scope of advanced nursing.

A second organization to consider is the hospice and palliative nurses association. The organization focuses mainly on hospice and palliative care as its name suggests. Nurses work in areas where dealing with death can be an often occurrence and they find being a member of this organization helpful as members support each other (Catallo, Spalding, & Haghiri-Vijeh, 2014). It provides a strong support system for nurses especially during the tough times when they lose patients or are exposed to a lot of human suffering. The organization allows members to have access to various professional journals that touch on areas of hospice and palliative care. Most of the members that join become either mentees or are mentors to others. Other benefits that members get include training on leadership skills and learn on approaches to better deal with patients and colleagues at work.

ORDER A PLAGIARISM FREE PAPER HERE

Finally, nurses can also choose to be members of national league of nurses. It is an organization operating in the entire USA and its members are those in nursing education and faculty nurses. Among some of the benefits that members receive and which can help promote the work of advanced nursing is helping with faculty development (Catallo, Spalding, & Haghiri-Vijeh, 2014). It also allows members to network and provides testing services as well as providing grants for nurse involved in research. It is a good organization to consider for those in the teaching area mainly because it focuses on helping them become better educators. It is also one of the only few organizations that focus exclusively on the education sector and therefore gives that undivided attention on one specific area.

Professional Obligations of advanced nurses

The organization that is most interesting of the three is the ANA. There are several issues that makes it stand out key of them being ethics. As the developer of the code of ethics used in nursing work, stands for great issues that a lot of modern nurses would want to associate with (Mathews, 2015). As a nurse, it is natural for one to be attracted to ethics and human rights. The organization has it as one of its core areas and even has a center of ethics and human rights. Being a member of the organization therefore allows one to be a part of a group of people that are doing something to make the world better in matters of health but also ensure that human rights are protected and promoted.

Nursing Paper Help

Being a member of ANA would also promote a nurse’s practice through provision of free development resources and webinars. Field of nursing is dynamic with new evidence coming in all the time that helps make nurses more effective in their work (Mathews, 2015). Having an organization that allows nurses to have access to these resources will mean that such a nurse will always be in the know and have a chance to continuously improve him/herself.

Evolving Issue

An issue that is emerging and that is likely to impact the scope of practice for advanced registered nurse is nursing shortage. More and more people a living longer and needing care that only nurses can provide. The population is also growing and the demand for healthcare is also growing. Between years 2020 and 2030, the population of Americans older than 65 is expected to increase by close to 20 million people (“U.S. Nursing Workforce in 2018 and Beyond,” 2018). This is most likely to result in increased demand for nurses with research showing that by year 2026, nurses will represent one of the three paths of career that will see the biggest growth in new job openings.

Professional Obligations of advanced nurses

One of the impacts of the issue is that there will be shortages and the existing nurses will be required to work for longer hours and do a lot more work than they would have had to do. This should matter to advanced registered nurse because a lot of them will be having supervisory responsibilities. They will be required to come up with approaches that will help offset the problem and ensure that Americans continue to receive the nursing care that they deserve. Other stakeholder will also need to be involved such as government considering allowing foreign trained nurses to have easier chance of working in the USA

Conclusion

Advanced registered nurses-nurse educator has the responsibility of providing the USA with nurses with the right skills and abilities to perform their duties. However, the existing regulatory, certification and accreditation agencies are doing a great job of assisting with this goal. In America there exists numerous professional nursing organizations to choose from. However, ANA easily stands out from the rest mainly because if its stand on issues of ethics and human rights. In the field of nursing, it is expected that there will be huge shortage in nurses before 2030. Professionals and stakeholders need to come up with approaches to fix the situation while at the same time making do with the limited numbers of professionals’ nurses at their disposal. The future of nursing has its challenges but advanced registered nurses will hopefully be a part of the solution to these problems.

References

Catallo, C., Spalding, K., & Haghiri-Vijeh, R. (2014). Nursing Professional Organizations. SAGE Open, 4(4), 215824401456053. doi:10.1177/2158244014560534

Hall, N., & Mast, M. (2015). We Want You: Nurse educators. Nurse Education in Practice, 15(5), 339-340. doi: 10.1016/j.nepr.2015.05.003

Mathews, J. (2015). Role of Professional Organizations in Advocating for the Nursing Profession. OJIN: The Online Journal of Issues in Nursin, 17(1). Retrieved from DOI: 10.3912/OJIN.Vol17No01Man03

Rose, L., & Regan-Kubinski, M. J. (2014). Update on Advanced Practice Registered Nurse Regulation: Licensure, Accreditation, Certification and Education. Archives of Psychiatric Nursing, 24(6), 440-441. doi: 10.1016/j.apnu.2010.08.003

The U.S. Nursing Workforce in 2018 and Beyond. (2018). Journal of Nursing Regulation, 8(4), S3-S6. doi:10.1016/s2155-8256(18)30015-2

 

 

 

 

 

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Informatics Proposal

/in /by

Informatics Proposal

  • Review the concepts of technology application as presented in the Resources.
  • Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

  • Describe the project you propose.
  • Identify the stakeholders impacted by this project.
  • Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
  • Identify the technologies required to implement this project and explain why.
  • Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

 

SAMPLE ANSWER

Informatics Proposal

Electronic Health Records

Electronic Health Record refers to a tool of documentation that produces data which is useful in evaluating the quality of care, enhancing the safety of patients, measuring the needs of the staffs, and maximizing efficiency. The implementation of Electronic Health Records reduces the costs incurred by the patients and the health organization. This paper proposes the use of electron health records as a documentation tool to ensure accurate patient information which is necessary in making discharge, admissions and transfer decisions.

Informatics Proposal

Stakeholders that will be Impacted by the Project

The main stakeholders that will be affected by the project on the implementation of Electronic Health Records in the organization will be the nurses, physicians, pharmacists, and patients. Nurses will find it easy to signal and monitor when patients need to be discharged. Physicians will be able to prioritize rounding quickly (Ben-Assuli, 2015). The project will also impact on the pharmacists where the filling processes will be improved as well as the efficiency of discharge. The most significant impact will be on the patients since there will be no delays in discharge which results in higher costs. Thus, the implementation of the medical health records will contribute in provision of quality care leading to positive outcomes in patients.

Patient Outcome the Project is Aimed at Improving

The management of bed capacity in health care institutions has been a big challenge, which has resulted in inefficient discharge leading to slow care, high costs and also affects the flow of the patients.  Most hospitals focus on discharging a particular percentage of patients to free up hospital beds. However, the inefficiencies of bed capacity management system led to delayed discharges, transfers, and admissions (Ben-Assuli, 2015). As a result, there have been unnecessary lengths of stay in the hospital, which result in increased costs for every person involved, including the health organization. Therefore, the project team will develop a criterial for standard discharge for 15 inpatient diagnoses according to the expert consensus and available evidence. Then the information will be entrenched in the Electronic Health Record System to enhance a new process of discharge that will be specifically focused on the needs of the patients. The patients will be discharged when medically ready but not when beds are needed.  This will be a sign of the hospital’s commitment to the provision of quality patient care.

Informatics Proposal

Besides, by the implementation of the project, the inefficiencies related to discharges, the costs savings for patients and the organization will be enhanced. More beds will be available for the admission of more patients. Thus, the implementation of the medical health records will contribute in provision of quality care leading to positive outcomes in patients. Besides, the cost of care will be reduced by decreasing the length of stay at the hospital beds. The project will have estimated results of more than 40% percent of patients who are discharged after 3 hours. It also estimates approximately 6 million dollars cost savings.

The Technologies Needed to Implement the Project

Some of the techniques that will be necessary for successful implementation of the project will include:

  1. Configuration of software

The project team will work with the health IT to configure the Electronic Health Record to meet the necessary security measures. This will require the assessment of HIPAA risks (Lavin, Harper, & Barr, 2015). Customization of the software will also be required by developing a list of the elements built such as computerized order entry, demographics which are moved from practice management software, medication management systems, default patient history and discharge that is updated with new consents and codes.

  1. Server and Internet

Internet and server will be required for signaling the nurses on the patient needs. It will ensure that information is passed on effectively to minimize inefficiencies in hospital discharge, admissions as well as transfers.

  • Transfer data

Preparation of checklist of information needed to be transferred to the new Electronic Health Record system will be necessary. The list will upload all the past medical patient medical history, demographics, and discharge information in the new HER system (Lavin, Harper,& Barr, 2015).

Project Team Members and their Roles

The project team will be composed of the clinical members, lead physician, project manager, the super lead user and the nurse informatics. The clinical members will have two main roles, that is, bringing the clinical challenges to the project implementation team and teaching colleagues the skills of the new Electronic Health Record system (Daly, 2015). The lead physician will be in practice. He will also guide the health institution throughout the process of implementation by acting as a link between administrative staff, the technical team, and the frontline users.

The project manager will closely work with all the staff and the EHR vendor to ensure that the project stakeholders are acting according to their timeline, manage daily issues, and evaluate the progress of the project.

ORDER A PLAGIARISM FREE PAPER HERE

The super lead user will act as an expert in the new Electronic Health Record system. His work will be to configure the new EHR system, order sets, create standard operating processes, and create templates for addressing the issues that frontline users raise.

Nursing informaticist will be critically required in the project team. They are specialists in defining, managing, identifying, and communicating data, knowledge, and the information in nursing practice. Nursing informaticist will play a vital role in designing, implementation, evaluation, development, and selection of the Electronic Health Record system (Daly, 2015). They will also play a significant role in the improvement of the new Health Electronic Health System on electronic devices for patient care (Rojas & Seckman, 2014). They will also be involved in the optimization and maintenance of the EHR system (Rojas & Seckman, 2014). The nurse informaticist will also play the role of educating other nurses and health professionals in the organization on the skills required for successful implementation of the new Electronic Health Record System to minimize inefficiencies related to discharges, admissions, and transfers.

Informatics Proposal

Conclusion

Electronic Health Record is useful in evaluating the quality of care, enhancing the safety of patients, measuring the needs of the staffs, and maximizing efficiency. The implementation of Electronic Health Records in the organization will result in more efficient patient discharge information to minimize delays which prolong the time of stay at the hospital beds. As a result, the costs incurred by the patients and organization will be reduced. Also, the implementation of the project will give space for new patient admissions. The overall aim of the project is to increase the quality of patient outcome. Thus, the implementation of the medical health records will contribute in provision of quality care leading to positive outcomes in patients.

 

References

Ben-Assuli, O. (2015). Electronic health records, adoption, quality of care, legal and privacy issues and their implementation in emergency departments. Health Policy, 119(3), 287-297.doi: 10.1016/j.healthpol.2014.11.014.

Daly, P. (2015). Clinical nurses lead the charge with EHR. Nursing 2019, 45(10), 25-26.doi: 10.1097/01.NURSE.0000471426. 47075.d2

Lavin, M. A., Harper, E., & Barr, N. (2015). Health information technology, patient safety, and professional nursing care documentation in acute care settings. Online J Issues Nurs, 20(2).DOI: 10.3912/OJIN.Vol20No02PPT04

Rojas, C. L., & Seckman, C. A. (2014). The informatics nurse specialist role in electronic health record usability evaluation. CIN: Computers, Informatics, Nursing, 32(5), 214-220. DOI:10.1097/CIN.0000000000000042

 

 

 

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Strategic Controls and Monitoring Tools

/in /by

Strategic Controls and Monitoring Tools

Organizational leaders must be aware of external forces that may impact their organization. Strategic controls and monitoring tools allow leaders to evaluate these forces and develop tactical objectives to limit negative consequences. For this Team Discussion, you explore how strategic controls, monitoring tools, and tactical objectives might be used to address issues impacting health care organizations.

To prepare:

In Week 1, the Instructor assigned to your team a scenario that involves a health care organization with an issue requiring an evaluation of the organization’s strategic plan. Reflect on the issue and, as a team, begin identifying and discussing evaluation or monitoring tools that would be useful to address this issue. Be sure to consider the following:

  • What strategic controls (e.g., promise control, implementation control, strategic surveillance, and special alert control) might you use and why?
  • What monitoring tools (e.g., Gantt Chart, Balanced Scorecard, Dashboard, etc.) might you use and why?
  • What are two tactical objectives that the organization might leverage to effectively address operations requirements and limit negative consequences?

Nursing Paper Help

 

  • Group C’s Scenario: Lake County Medical Practice is a large physician practice in Tallahassee, Florida providing one-stop medical and ancillary services to their patients. Of the approximately 80,000 patients Lake County serves annually, 38% are Medicare beneficiaries. Recently, the Centers for Medicare & Medicaid Services reduced reimbursement rates by approximately 11% for office visits, surgical procedures, and a range of diagnostic and therapeutic services. Based on a projection from the chief financial officer, the new reimbursement rates equate to a $5.8 million reduction in revenue for the medical practice. This comes at a time when Lake County Medical Practice has experienced an increase in new Medicare beneficiaries, as one of the area’s medical practices closed its door after the founder and chief executive officer retired four months ago. Other Medicare beneficiaries have been unsuccessful at finding new primary care physicians, as area physicians are not accepting new Medicare patients. Therefore, Medicare beneficiaries are traveling at least 40 miles to the nearest provider to get medical service.

 

SAMPLE ANSWER

Strategic Controls and Monitoring Tools

Strategic and implementation controls are designed to assess the overall organizational strategies and the impacts of internal and external factors. In this scenario, some of the external factors affecting Lake County Medical Practice include a reduction in Medicare and Medicaid reimbursement. The organization can employ various strategic controls such as strategic surveillance, implementations control, and premise control. With strategic surveillance, it would be possible to observe and continuously analyze the necessary factors that might impact the selected strategy (Ginter, Duncan & Swayne, 2018). Further, premise control will enable the management to track each strategy as it gets implemented to make necessary adjustments to achieve maximum results.

ORDER A PLAGIARISM FREE PAPER HERE

Besides selecting and measuring the strategies, it is also essential for the organization to monitor the performance. Using monitoring tools such as balanced scorecard, the management would be able to address business performance comprehensively by combining both financial and non-financial indicators (Bisbe & Barrubés, 2012). With the organization currently projecting a $5.8 million reduction in revenue due to the new reimbursement, employing a balanced scorecard will facilitate proper monitoring and assessment of the implementation process. Besides, the Gantt charts can also be used for planning organizational strategies by determining the required resources and the order in which projects should be accomplished (Bisbe & Barrubés, 2012).

The organization can reduce the negative impacts by implementing tactical objectives that work synergistically with the selected strategies to complement one another in achieving positive results. As such, tactical objectives that should be considered, based on the strategies chosen may involve, increasing the number of primary care providers and reconsidering the hospital’s financial budget to accommodate the Medicare beneficiaries they are going to serve.

 

References

Bisbe, J., & Barrubés, J. (2012). The balanced scorecard as a management tool for assessing and

monitoring strategy implementation in health care organizations. Revista Española de Cardiología (English Edition), 65(10), 919-927.

Ginter, P. M., Duncan, W. J., & Swayne, L. E. (2018). The strategic management of health care

organizations. John Wiley & Sons.

 

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Article Review

/in /by

Article Review

Review the sample argument article for this week and answer the following: (Short answer assignments must meet a word count of 100-150 words per question.)

1- what is the topic of the article and what is the article’s position?  Provide a key sentence from the article that supports your answer.  Provide an example of one appeal that the article uses.  Explain, how/why you feel this appeal is used successfully or not.

2- Joe has to write an argument essay supporting the right to have an abortion.  He begins his essay with a statistic discussing the significant number of cases of severe depression in teenage rape victims who gave birth to children in the past ten years.  What rhetorical appeal is joe using? Explain.

Nursing Paper Help

3-Refer to the soapstone analysis handout to answer this question:

Juan is doing a research paper on the powers of the US presidency.  He has found a really good article from the library databases.  He decides to read the article closer in order to think about why the author wrote the article and what the author’s goals were for writing the article.  What type of close reading strategy is Juan using?  what other strategy from the handout would be beneficial for Juan to use also?

4- Debbie is writing an essay on illegal immigration.  Her first body paragraph uses a PBS News interview with the Border Patrol Commissioner.  What appeal is Debbie using in this paragraph? Explain.

 

SAMPLE ANSWER

Article Review

Question 1

The topic of the article is about the threats to reproductive health in the United States posed by the policies being implemented by the Trump administration. It particularly notes that the administration has been working to gut the Title X program. The program assists women from poor backgrounds to access cancer screening, birth control, and other reproductive health services. The key statement is “The Trump administration’s new Title X rule, announced in February, will lay waste to that progress. The rule bars facilities that receive Title X money from providing abortions, even with a separate source of money, as has been required by law for decades”. One of the appeals that the article uses is pathos, which is appealing to the emotions. The appeal is used successfully since it allows the article to appeal to the emotions of the readers.

ORDER A PLAGIARISM FREE PAPER HERE

Question 2

The rhetorical appeal that Joe is using is logos. The appeal is associated with appealing to the logic of the audience, which involves using facts, figures, and reason to appeal to persuade them. Logos requires one to reason with his or her audience, which includes providing them with credible statistics and facts. Therefore, since Joes starts his article with a statistical figure, his rhetorical appeal may be described as logos since it persuades the audience using data.

Question 3

Juan tends to focus on why the author wrote the article as well as his goals for writing the article. Therefore, his strategy may be described as having focusing on the purpose of the article. With the strategy, one focuses on the purpose of a text, which includes the reasons why the author wrote the article, the message, and how the author conveys the message. However, incorporating other strategies would also be beneficial for Juan to use. This involves focusing on the subject of the article as well. The strategy includes reading closer to understand elements related to the content, topic, and ideas of the text. It also includes exploring whether there is more than one subject in the article.

 

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Steps on Becoming a Grassroots Lobbyist

/in /by

Steps on Becoming a Grassroots Lobbyist

  1. 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.
  2. 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?

 

SAMPLE ANSWER

Steps on Becoming a Grassroots Lobbyist

Part 1

The AHCA may introduce many changes and enhance the American healthcare system. The country has changed drastically during the last decade. As such, the health care policies that may have worked during the past may not be the most effective during the current period. The American Health Care Act of 2017 (AHCA), therefore, may be the solution that is needed to address some of the key challenges associated with the current healthcare system in the country.

Steps on Becoming a Grassroots Lobbyist

Enacting the bill would result in better healthcare services since it will be addressing some of the challenges related to healthcare that the American people face. AHCA would be better relative to AHA for some reasons, which include:

  • Increased flexibility since not having health insurance would not attract a federal penalty, thus making AHCA more flexible.
  • Tax credits to aid in the payment of tax premiums, which tends to be particularly important for low-income earners. Furthermore, these credits phase out as incomes rise, which in turn increases equality.
  • The introduction of a maximum subsidy or tax credit the government can pay. Such ensures that public resources are utilized in the best way possible.
  • People can buy plans that do not cover benefits that they may not want. Such increases the flexibility, which in turn may lead to increased insurance coverage in the country (Fielder et al., 2017).

For the above reasons, therefore, it is my believe that enacting AHCA and repealing ACA would be more beneficial to the American people considering the former addresses new healthcare challenges, increases flexibility, and results in a better use of public resources relative to the latter.

Steps on Becoming a Grassroots Lobbyist

The rationale for the position that I take in the letter is that AHCA offers a better opportunity to improve healthcare in the United States compared to using the current Obama Care are system. One of the reasons for supporting AHCA is that it will lead to a repeal of AHA, which is associated with multiple problems and it does not fulfill on the promises that it made.

ORDER A PLAGIARISM FREE PAPER HERE

One of the reasons why I support AHCA is that it will increase flexibility in taking insurance cover in the country since not having an insurance cover would not attract penalties. With AHA, failing to take an insurance cover attracts some penalties. By removing such penalties and introducing incentives, more people would take insurance cover. Furthermore, citizens would have the option to select the benefits that they would like to be covered for, unlike the AHA, which has mandatory areas that need to be covered. Such may lead to lower insurance premium, thus attracting more people to take insurance cover (Rice et al., 2018).

Moreover, enacting AHCA would lead to better use of resources, which includes having a cap on the amount of tax credits and subsidies that the government can pay. Such would result in better uses of resources for other critical elements, such as making healthcare affordable for all people, and not only those who have insurance cover. Moreover, the cost of healthcare in the country may decrease because of introducing maximum credits, and paying them based on the income of families, which would contribute to equality (Thompson et al., 2018). For instance, when family or individual incomes exceed certain amounts, they do not qualify for the tax credits or subsidies.

Part 2

The member was in opposition of AHCA in congress. He was strongly opposed to the bill and strongly campaigned against it. However, such may have been caused by his party affiliation, but not an analysis of the bill fully to understand how it would affect healthcare in the United States. As such, it would have been prudent for the representative to support the bill since it would have been more beneficial to the American people compared to AHA.

Steps on Becoming a Grassroots Lobbyist

One of the reasons for the need for supporting is increased cost of health insurance. While AHA promised to save around $2,500 per family each year, it has not. In fact, the Department of Health and Human Services notes that since 2013, insurance premiums have more than doubled. However, the family incomes have only risen by around 19%, which shows that the rise in premiums is not because of an improving economy (Fielder et al., 2017). Therefore, introducing AHCA may control the increasing cost of insurance premiums, while at the same time offering individuals with more flexibility since they can choose whether to be covered or not, or the benefits that they would like to be covered for.

Furthermore, there is an urgent need to repeal AHA because entitlement spending has increased drastically during the last few years. AHA has caused entitlement spending to increase more than it had been expected. For instance, the projected costs of Medicaid and AHA subsidies are expected to be $4.8 trillion, with both being responsible for an estimated 44% of the anticipated increase in entitlement spending in the future (Williamson & Singe, 2017). Therefore, enacting AHCA would ensure that such costs spending are controlled, which will be beneficial to the economy.

Research Paper Help

Furthermore, AHCA presents a new opportunity for lowering the costs of healthcare in the United States. With the enactment of AHA, it was hoped that healthcare in the country would become more affordable. However, with the enactment, healthcare costs have continued rising. Before the implementation of AHA, healthcare costs amounted to an estimated 17.2% of the GDP. However, in the year that followed, it rose to 18.3%, which represented an increased or around $200 billion on healthcare spending (Fielder et al., 2017). Forecasts indicate that medical by 2025; medical expenses will make around 20% of the country’s GDP (Rice et al., 2018). Therefore, there is a need to enact a bill that would lower and control the increasing costs of health care in the country since AHA has not been addressing the issue. Enacting AHCA may be the ideal solution for addressing the problem in the country.

Steps on Becoming a Grassroots Lobbyist

My nursing experience has considerably influenced the advocacy position that I have taken with regard to AHCA. The experience has introduced me to some of the critical elements that need to be considered in the healthcare sector. For instance, medical expenses and healthcare costs are some of the key considerations that influence the quality of healthcare in a country. At the same time, nursing experience has enabled me to gain the relevant research skills, which means that I can be able to search for the right resources to support or opposes elements related to the healthcare sector. The research findings, coupled with my experience, inform the decisions that I make regarding whether to support a healthcare issue or not.

 

References

 Fiedler, M., Aaron, H. J., Adler, L., & Ginsburg, P. B. (2017). Moving in the wrong direction—health care under the AHCA. New England Journal of Medicine, 376(25), 2405-2407.

Rice, T., Unruh, L. Y., van Ginneken, E., Rosenau, P., & Barnes, A. J. (2018). Universal coverage reforms in the USA: From Obamacare through Trump. Health Policy, 122(7), 698-702.

Thompson, F. J., Gusmano, M. K., & Shinohara, S. (2018). Trump and the Affordable Care Act: Congressional repeal efforts, executive federalism, and program durability. Publius: The Journal of Federalism, 48(3), 396-424.

Willison, C. E., & Singer, P. M. (2017). Repealing the affordable care act essential health benefits: Threats and obstacles. American journal of public health, 107(8), 1225.

 

 

 

 

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Reviewing the Classical Argument

/in /by

Reviewing the Classical Argument

Please answer them thoroughly and in the order they are given. This type of journal should be at least 300 words or more.

 

FYI: Enclosed files might help to answer the assigment

 

How is the classical argument structure different from what you think of as a normal argument you might encounter in a conversation with somebody or an argument you might see on TV? Talk about the classical argument sections you feel you understand and do not understand.

 

SAMPLE ANSWER

Reviewing the Classical Argument

The classical argument differs from normal arguments as it strictly focuses on different sections. This type of argument aims at making inquiries, convictions, negotiations and persuasions. In normal conversations, these sections may not be present because there are no rules on how a person may approach a concept or subject. Therefore, there are different ways in which people argue or converse in a television setting. From another perspective, it can be seen that a classical argument does not involve more than one party (Winthrop, n.d.).

ORDER A PLAGIARISM FREE PAPER HERE

In my understanding, all the different sections of a classical argument are necessary. In my view, the introductory section is easy to understand because it brings about the general information of the argument. I find the narration part to be tedious due to one’s involvement with various developments to create a position on an issue. In addition, it is difficult to understand because it restricts one from developing specific claims yet it requires one to state facts. The first reason and claim section is easy to develop because it involves developing one’s support of an argument basing on what they think to be strongest reasons (Winthrop, n.d.).

In addition, I find the second and third reason and claim sections to be well elaborated. They do not need much development a s long one brings about a suitable reason. Moreover, the rules involved in these sections are easy to follow. For instance, one needs to analyze a source and to support his or her position with suitable elaboration. The acknowledgement and refutation section is well-defined. However, it needs suitable techniques for writer to refute his position and come up with a better way to depict his position as the most relevant. In that regard, I find it to be difficult because it may make one to lose his direction when he acknowledges the opposing views without refuting it with the same rigor (Winthrop, n.d.).

 

Nursing Paper Help

References

Winthrop (n.d.). The classical argument. Retrieved from

https://www.winthrop.edu › centerHandoutClassicalArgument

 

 

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Strategic Objectives Response Paper

/in /by

Strategic Objectives Response Paper

Need a peer respond to the selected posts.

 

Peer Post 1- Cornel Bedward

For this discussion I chose to discuss the strategic objectives of the Olympic Medical Center. The Olympic Medical Center is a public hospital district on the North Olympic Peninsula located in Port Angeles and Sequim, Washington. “Olympic Medical Center is responsible for proactively planning for the community’s health care need” (OMC, n.d.). Their strategic plan focuses on three areas:  quality, patient safety and satisfaction, Olympic Medical Center and community relationships, and organizational performance.

The first strategic objective Olympic Medical Center (OMC) has revolves around ensuring that they offer the safest, highest-quality health care with compassion. They will do so by continuing to standardize their care processes and fortify their systems in order to amplify patient safety and quality, and perfect their ability to deliver positive patient experiences (OMC, 2018-2020, p. 5).  OMC strategies include following evidence-based best practices through national quality initiatives, being a leader in adopting national patient safety initiatives, and encouraging a culture of service that constantly acknowledges the expectations and fulfills the needs of our patients, their families and our community in the services they provide (OMC, 2018-2020, p. 8). In order to implement these strategies OMC will continue to foster a culture of quality, patient safety and experience for their patients and staff. They will concentrate on explicit quality goals that will prevent unnecessary readmissions, and improve emergency department wait times. Lastly, OMC will ensure their Quality Management System will effectively sustain compliance with International Organization for Standardization (ISO) 9001: 2015 standards (OMC, 2018-2020, p. 8).

Strategic Objectives Response Paper

The second strategic objective Olympic Medical Center (OMC) has is to continue to work with their community partners and representatives and maintain recruitment and retention of the best doctors, advanced practice clinicians, clinical staff and employees to continue to achieve excellence in health care (OMC, 2018-2020, p. 5). The strategy OMC wants to achieve is to promote and inform the community about the services OMC provides. They will support public health, and promote health and wellness by discussing appropriate lifestyle choices, addressing social factors that negatively affect their community’s health and educating the community on chronic disease management. A third strategy they aim to achieve is to assist community partners to help support community development by “promoting health care access, advocacy and disaster preparation” (OMC, 2018-2020, p. 9). The goals they will implement to achieve this are: continue to meet with elected federal and state officials and their healthcare aides to further meet the needs of their healthcare system, organize annual goals and operating plans for the Swedish affiliation, to further enhance community health over time OMC will participate in agreed-upon Olympic Community of Health (OCH) programs and align with OCH-identified Medicaid measures with a focus on primary care access, continue to develop of wellness initiatives, and lastly preserve positive relationships with funding partners and donors (OMC, 2018-2020, p. 9).

Strategic Objectives Response Paper

The last strategic objective Olympic Medical Center (OMC) has is maintaining their organizational performance by sustaining financial solvency by achieving a positive net income (OMC, 2018-2020, p. 5). In order to do this OMC will maintain open communication within the organization and promote creative ideas from all staff. By sustaining prolific and respectful working relationships, OMC can encourage teamwork between employees, management, physicians and commissioners. They will contribute to employee development and education to advance quality, patient safety and experience, and financial stewardship. Lastly, OMC will continue to create a culture that reflects their Mission, Vision and Values (OMC, 2018-2020, p 10). OMC plans to “ implement “OMC Operational Excellence” across all divisions, prioritizing process improvements that result in improved operational efficiency, patient access, wait times, patient experience, and employee experience and engagement” (OMC, 2018-2020, p 10). They will put forth changes based on their 2015 employee survey and conduct a follow-up employee survey to further improve employee engagement. They will imbue a culture initiative to align

Their employees with the Mission and Values they have. OMC will also execute Workforce Development Plan (OMC, 2018-2020, p 10).

References

Olympic Medical Center (OMC). (n.d.). Strategic Plan. Retrieved August 31, 2019 from http://www.olympicmedical.org/default.aspx?ID=11

Olympic Medical Center (OMC). (2018 -2020). Strategic Plan. Retrieved August 31, 2019 from http://www.olympicmedical.org/pdfs/Strategic%20Plan%202018-2020.pdf

Sadeghifar, J., Jafari, M., Tofighi, S., Ravaghi, H., & Maleki, M. R. (2014). Strategic planning, implementation, and evaluation processes in hospital systems: A survey from Iran. Global Journal of Health Science, 7(2), 56–65. Retrieved from http://www.ccsenet.org/journal/index.php/gjhs/article/view/38626/22539

Walston, S. L. (2014). Strategic healthcare management: Planning and execution. Chicago, IL: Health Administration Press.

 

Peer Post 2 – Mackenzie Rodriquez

Tampa General Hospital is a very well-known health care facility located in Tampa, Florida. Some of the strategic objectives of Tampa General Hospital are to ensure quality health care services for all patients, create a safe environment, as well as ensure all staff members are equipped with the needed skills (TGH, 2019). First, TGH wants to make sure that all patients that visit the hospital will receive the best quality care regardless of the patient’s race, religion, economic background, etc… (TGH, 2019). Secondly, the safety of all patients and staff members is extremely important. Offering a safe environment for all patients and staff members allows patients to feel comfortable and allows employees to work more efficiently. Lastly, the hospital wants to ensure that all staff members are equipped with the needed skills in order to provide quality services to all of their patients.

ORDER A PLAGIARISM FREE PAPER HERE

Some of the tactical objectives that will help Tampa General Hospital to achieve each of the strategic objectives are to make constant improvements to the technology equipment, increase security services, as well as create an overall efficient training program for all staff members (Chron, 2019). First, by frequently updating all technology every year, helps to ensure that all machines and equipment are efficient and functioning properly in order to help ensure the quality of services that are provided to patients. Secondly, increasing the number of security members over a period of time, will help keep the hospital safe and secure. Lastly, by making improvements to the training program for staff members every single year helps to ensure that they will have a better understanding of what is expected of them and what skills are required by the hospital. In addition, some of the operational objectives that can be used in order to help TGH achieve their strategic objectives is to fix the day to day issues (Chron, 2019). For example, any technology glitches should be fix immediately in order to prevent any of the machines from shutting down. Also, if any patients or staff members feel that a particular person makes them feel unsafe, it should be addressed immediately, and action needs to be taken. Any employees that are not working properly and working towards the hospitals goals needs to be addressed and potentially removed if needed. Overall, each of these objectives helps Tampa General hospital to achieve all of their overall strategic objectives.

Chron. (2019, April 24th). Tactical and operational planning. Retrieved from;

TGH. (2019). Mission and goals.Retrieved from;

https://www.tgh.org/health-professionals/school-medical-laboratory-science/mission-and-goals

 

SAMPLE ANSWER

Strategic Objectives Response Paper

Dear Cornel Bedward,

Sadeghifar et al. (2014), describe a strategic as being made up of strategic objectives that are important to the organization and have been established to be a significant management practice. This comes out clearly in the strategic plans that have been set out by your institution. I agree with you that the objectives should always be geared towards making the organization better. I also agree with you that strategic plans can be achieved within a specified period of time and as seen in your organization, they are for the year 2018-2020. Olympic medical Centre also has clear operational goals that will be able to help them. However, there is a need to bring out the tactical goals which will aim in the delivery of the strategic plan. Tactical objectives involve objectives at an individual level and are focused on the individuals in the organization.

Reference

Sadeghifar, J., Jafari, M., Tofighi, S., Ravaghi, H., & Maleki, M. R. (2014). Strategic planning,

implementation, and evaluation processes in hospital systems: A survey from Iran. Global Journal of Health Science, 7(2), 56–65. Retrieved from http://www.ccsenet.org/journal/index.php/gjhs/article/view/38626/22539

 

Dear Mackenzie Rodriquez

Tampa General Hospital has established itself to have a strategic plan and set out objectives to achieve them. You have listed some of the objectives that are present in the strategic plan of the organization which is to ensure that all patients get better quality of treatment irrespective of their background. A strategic plan is composed of strategic objectives that are important to the organization and have been established to be a significant management practice (Sadeghifar et al. 2014). I agree with you that for the goals of Tampa General Hospital to be achieved, there is a need to have operational and tactical objectives that have been clearly outlined in your article. However, Strategic objectives are goals that are aimed at being achieved within three to five years, and it has not been brought out when Tampa General Hospital aims at achieving the set out objectives in their strategic plan.

Reference

Sadeghifar, J., Jafari, M., Tofighi, S., Ravaghi, H., & Maleki, M. R. (2014). Strategic planning,

implementation, and evaluation processes in hospital systems: A survey from Iran. Global Journal of Health Science, 7(2), 56–65. Retrieved from http://www.ccsenet.org/journal/index.php/gjhs/article/view/38626/22539

 

 

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Qualitative Study

/in /by

Qualitative Study

Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses.

Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

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.

 

SAMPLE ANSWER

Qualitative Study

Study Protocol of ” Worth the Walk”: a randomized controlled trial of a stroke risk reduction walking intervention among racial /ethnic minority older adults with hypertension in community senior centers by Kwon, et al., (2015).

Background of the study

Stroke has become one of the leading causes of high mortality rates in the United States. Stroke is also responsible for disabling most of the minority seniors. Approximately 30% of the strokes are related to lack of physical activity, but most of the older generations in most of the ethnic groups in the United States tend to participate most in physical exercise.

ORDER A PLAGIARISM FREE PAPER HERE

Significance of the study

Most of the African American, Chinese, Korean, and Latino seniors with hypertension are the most affected groups by stroke. As a result, the cost of health among the mentioned groups tends to be high, and yet the mortality rate continues to be high every year. Walking among the seniors can increase their physical activity, which can, in turn, reduce the risks of stroke, especially among those seniors suffering from hypertension.

The purpose of the study

To conduct a randomized controlled trial to assess the effects of a culturally designed walking intervention that is community-based to decrease the risk of stroke by increasing the rate of physical exercise among Latino, African American, Korean and Chinese seniors suffering from hypertension.

Research question

Does walking intervention reduce the risk of stroke among the racial/ethnic older adults with hypertension in senior community centers?

Research method

The researchers enrolled the minority seniors of the targeted groups at senior centers and used data collection with complete baseline. The selected groups were then assigned to receive the walking intervention randomly. The sample size was 120, which was obtained after a full 90 days follow up intervention. The researchers’ assigned trained case managers to conduct qualitative methods to answer the research questions. They implemented the intervention sessions two times a week for four consecutive weeks to the targeted intervention group. The measures for primary outcome included the stroke knowledge, mean steps per day for more than seven days, and self-efficacy for reducing the risk of stroke. The measures for exploratory and secondary measures include health-seeking, health-related quality of life, and biological markers for health. The researchers collected the outcome data from participants in the wait-list control and intervention participants three months after complete baseline data collection (Chiu, Bergeron,Williams, Bray, Sutherland & Krauss, 2015). The outcomes were then compared between the two groups using randomized trials data analytic methods. The facilitators and the barrios to the successful implementation of worth the walk were also assessed. The researchers did not indicate the weakness of the available studies and also did not include a conceptual framework in their research.

Qualitative Study

Results of the study

The randomized controlled trial demonstrated considerable improvements in knowledge about stroke and body exercise in the intervention group as compared to the control group (Chiu, et al. 2015). Nurses should consider the intervention as the primary prevention strategy for stroke among seniors in various minority ethnic or racial groups in the United States.

The findings of the study suggest that nursing education should highly consider training the nurses about physical exercise and implement the worth a walk intervention to improve patient outcome.

Ethical considerations

Patient confidentiality was considered in the study. Information regarding individual participants in the study was well handled to avoid its leakage to unauthorized persons. Also, the study was approved by the Institutional Review Board.

Conclusion

The risk of stroke is highly increased with the reduction of physical exercise, especially among the seniors in the minority ethnic or racial groups in the United States. Nursing practice should emphasize increased physical activity among the minority groups, especially the seniors with hypertension, to reduce the risks of stroke. It is the responsibility of the nurses to create awareness on the benefits of body exercise in minimizing the stroke cases, which can, in turn, reduce the treatment costs and reduce the mortality rates.

Quantitative Study

Comparison of the Dash (Dietary Approaches to Stop Hypertension) diet and a higher-fat Dash diet on blood pressure and lipids and lipoproteins: a randomized controlled trial, by Chiu, S., Bergeron, N., Williams, P. T., Bray, G. A., Sutherland, B., & Krauss, R. M. (2015).

Background of the study

The Dietary Approaches to prevent and stop hypertension include incorporation of a dietary pattern that is high in vegetables, fruits, and low in fats, especially dairy foods. The Dash enhances low-density lipoprotein, lowering of high blood pressure and cholesterol, that is high-density lipoprotein.

Significance of the study

Hypertension is a condition that is a highly experienced condition, especially among the aging generations. The leading causes of hypertension are reduced physical exercise and poor dieting. Hypertension increases health costs and also leads to high mortality rates, especially among the senior groups in society.

Purpose of the study

The main objective of the study was to examine the effects of substitution of full-fat with low-fat dairy food products in the DASH diet with a corresponding increase in fat and a decrease in the intake of sugar on plasma lipids, lipoproteins and blood pressure.

Qualitative Study

Research question

Do the DASH and HF-DASH diet lower high-density lipoprotein cholesterol, low-density lipoprotein, and high blood pressure?

Research methods

The researchers used a sample size of three health persons to conduct a randomized crossover trial based on three periods. The individuals consumed a standard Dash diet, a control diet, a lower carbohydrate modification of Dah diet, and a high-fat diet for three weeks each which was separated by two weeks’ periods for washouts (Kwon, et al. 2015). The researchers then conducted laboratory measurements that included the concentration of lipoprotein particles determined by the mobility of ions, which was established at the end of each experimental diet (Kwon, et al. 2015). The researchers used both dependent and independent variables. The dependent variable was high blood pressure, and the DASH and HF-DASH diet were the independent variables that were presented after the tests (Kwon, et al. 2015). The variables were shown on a graph with the high blood pressure being on the y-axes and the DASH and HF -DASH diets being on the x-axes. Each of the researchers analyzed the data using the Statistical Packages for Social Sciences and compared their results to eliminate the chances of personal bias and ensure the accuracy of results.

Results of the study

The participants of the study finished the three dietary periods. The HF-DASH and DASH diets profoundly reduced blood pressure compared to the control diet. There was a reduction in the concentration of medium and large very-low-density lipoprotein particles and triglycerides (Kwon, et al. 2015). The HF-DASH diet also increased the peak particle diameter of LDL and decreased the HDL cholesterol, LDL cholesterol, apolipoprotein A-I, large LDL particles Intermediate density lipoprotein and the width of LDL peak compared with the control diet. The researchers did not mention any limitations of the study.

Qualitative Study

Ethical considerations

The Institution Review Board approved the study. Also, the confidentiality of the participants in the study was highly maintained.

Conclusion

The DAS diet significantly lowered blood pressure to the same extent as the HF- DASH diet and also reduced the concentration of VLDL and plasma triglyceride without increasing the cholesterol. The findings of the study can help improve nursing practice in managing hypertension. Nurses should create awareness among patients and the community at large about the DASH and HF-DASH diet to help reduce the mortality rates and the costs of treatments.

 

References

Chiu, S., Bergeron, N., Williams, P. T., Bray, G. A., Sutherland, B., & Krauss, R. M. (2015). Comparison of the DASH (Dietary Approaches to Stop Hypertension) diet and a higher-fat DASH diet on blood pressure and lipids and lipoproteins: A randomized controlled trial–3. The American journal of clinical nutrition, 103(2), 341-347. https://www.ncbi.nlm.nih.gov/pubmed/26718414

Kwon, I., Choi, S., Mittman, B., Bharmal, N., Liu, H., Vickrey, B., Song, S., Araiza, D., McCreath, H., Seeman, T., Oh, S. M., Trejo, L., … Sarkisian, C. (2015). Study protocol of “Worth the Walk”: A randomized controlled trial of a stroke risk reduction walking intervention among racial/ethnic minority older adults with hypertension in senior community centers. BMC Neurology, 15, 91. https://bmcneurol.biomedcentral.com/articles/10.1186/s12883-015-0346-9

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

The Case of Animal Sacrifices

/in /by

The Case of Animal Sacrifices 

Write a paper that summarizes (in your own words) the “You are the Judge” feature from chapter 4 titled “The Case of Animal Sacrifices” (pg. 96) and then give your opinion; what would you do if you were the judge? It must be a minimum of one page in length, typed and double-spaced.

Nursing Paper Help

 

SAMPLE ANSWER

Summary

The article talks about the church of Lukumi Babalu Aye, a church in Florida whose religious practices differ from others such as the pure traditionalists and the Catholics. The church is devoted to spirits although the process involves iconography of the catholic saints because they also have catholic symbols and practices. This element makes it be categorized as having a religion that is a fuse of modern and traditional religious beliefs. One major characteristic of this religion is that they are devoted to Santeria, which involves the sacrifice of living animals to their Gods. They carry out these sacrifices at different parts of an individual’s life such as in rituals performed when an individual is born and when they marry as well as during death. Also, the sacrifice is made during other rituals such as cleansing ceremonies for curing the sick among others. The animals are sacrificed, cooked and eaten. However, their activities are not appreciated by the city of Hialeah, which sought to ban all forms of animal sacrifices under the argument that it was cruel. The santerians, however, feel discriminated because they are a religious minority. They argue that other forms of killing animals are legal and hence their actions should not be viewed as different.

ORDER A PLAGIARISM FREE PAPER HERE

Judgment

The santerians have a right to sacrifice animals in their religious rituals if the rituals are carried out under the legal aspects of ritual slaughter as is seen with Muslims and Jews. Because other rituals are accepted and the city allows certain activities such as having some animals like lobsters boiled alive, it then becomes a double standard to infringe on the practices of others. Therefore, the church of Lukumi Babalu Aye should be allowed to carry out their religious rituals and have their festivities whenever they should and they should not be targeted or attacked simply because they are a religious minority.

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Ethical and Legal Implications of Prescriptions

/in /by

Ethical and Legal Implications of Prescriptions

You will also evaluate and analyze ethical and legal implications and practices related to prescribing drugs.  As advanced practice nurses, almost every clinical decision you make will have ethical or legal implications.  Your ethical and legal knowledge is fundamental to your ability to resolve the multitude of challenging issues encountered in practice.  For the Week 1 Assignment, you will explore the ethical and legal implications of the following scenario, and consider how to appropriately respond:

Scenario

A friend calls and asks you to prescribe a medication for her. You have this autonomy, but you don’t have your friend’s medical history. You write the prescription anyway.

 

Write a 2- to 3-page paper that addresses the following: all papers submitted include a title page, introduction, summary, and references.

1.      Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.

2.      Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.

3.      Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.

4.      Explain the process of writing prescriptions, including strategies to minimize medication errors.

To Prepare

Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure.

Review the scenario assigned by your Instructor for this Assignment.

Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region and reflect on these as you review the scenario assigned by your Instructor.

Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.

Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.

 

SAMPLE ANSWER

Ethical and Legal Implications of Prescriptions

Introduction

In healthcare, practitioners often find out that their friends, co-workers, or relatives may request informal medical advice. In addition, people close to the practitioners may ask for medical prescriptions without following medical procedures.  Practitioners realize that engagement in informal prescriptions increase their chances of having malpractice liability. In serious cases, they face legal investigations and risk going to jail or losing their job (Arcangelo et al., 2017). This paper tries to determine the ethical and legal implications that are associated with casual prescriptions. It involves a scenario where a female friend calls for medical prescription while the practitioner does not have her medical history. With that autonomy, the prescription is still written.

Ethical and Legal Implications

The scenario creates an ethical challenge to the practitioner. Due to their close association, the practitioner’s professional objectivity may be affected. The fact that the practitioner prescribes medicine for the client without her medical history shows that the doctor’s judgment is based on their relationship. Legally, if the state law requires the patient to be present during prescription, the process would be against the authority. In addition, the process would be inefficient due to lack of physical examinations (Kling, 2015).

ORDER A PLAGIARISM FREE PAPER HERE

From another perspective, if the state requires an association between the physician and nurse, an investigation may be enforced on the practitioner for engaging in the process alone. Moreover, if the prescription is done away from the facility setting, it will be illegal. It can also be viewed that if the patient’s condition deteriorates after prescription, there will be no documentation to reveal the drugs she had taken. This act would jeopardize further assistance. Also, there will be no evidence of the patient’s informed consent (Arcangelo et al., 2017).

Strategies for Disclosure and Nondisclosure

Disclosure of patient safety is an important aspect in any healthcare situation. From the scenario, the practitioner may choose to orally disclose the error to a colleague and the patient. This act would increase trust between the practitioner and co-workers. In addition, it would create a suitable patient-nurse relationship. Also, the practitioner may create a formal report to the facility, revealing the details of the error in a way to reduce such errors in future (Kling, 2015).

Strategies for Decision Making

When it comes to decision making, the practitioner may choose to reject the patient’s request. This act would be done in a polite way, with the practitioner giving an explanation of associated ethical concerns. This may be followed by the practitioner assigning the patient to a different qualified nurse to engage in the prescription. Contrarily, the practitioner may choose to engage in the prescription process. However, the process needs the nurse to have a professional relationship with the patient. The procedure should be done in a facility setting, with the practitioner making suitable medical assessments of the patient. It would need official documentation which would enhance a suitable follow-up (Bao et al., 2016).

Research Paper Help

Prescription Writing Process

Having a systematic approach in prescribing drugs is required to enhance prescription quality. The process should start with proper evaluation and definition of the patient’s problem. This step is followed by development of a therapeutic objective. A proper drug therapy is initiated. Thereafter, details, warnings, and instructions should be provided. To avoid errors, the practitioner may apply the five rights of drug prescription. They involve the needs for the right drug, right patient, right dosage, right process, and right time. Another strategy is to employ computer technology in designing the prescription (Ladd & Hoyt, 2016).

Conclusion

The paper shows that prescription of drugs to people close to a practitioner is associated with ethical and legal implications. These issues may make a nurse lose his or her job, especially if it is associated with errors. Nurses need to be careful when administering drugs to patients who are associated with them. The paper tries to reveal that with proper strategies, the process can be done properly, thereby limiting ethical and legal consequences. In addition, it is observed that drug prescription needs to follow a systematic approach to avoid errors.

 

References

Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017).

Pharmacotheraeutics for advanced practice: A practical approach (4thed.). Ambler, PA: Lippincott Williams & Wilkins.

Bao, Y., Pan, Y., Taylor,A., Radakrishnan, S., Luo, F., Pincus, H. A., &Schackman, B. (2016).

Prescription drug monitoring programs are associated with sustained reductions in opioid prescribing by physicians. Health Affairs, 35(6), 1045 -1051.

Kling, S. (2015). Is it ethical to treat one’s family and friends?: ethics article. Current Allergy &

            Clinical Immunology, 28(2), 118-120.

Ladd, E., & Hoyt, A. (2016). Shedding light on nurse practitioner prescribing. The Journal for

            Nurse Practitioners, 12(3), 166-173.

 

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now