Identify relevant legal concepts and laws and how they might guide management, Examine relationships between the clinical-ethical decision and the law.

Identify relevant legal concepts and laws and how they might guide management,
Examine relationships between the clinical-ethical decision and the law.

Nursing Ethical and Legal Case Study

Case Study : The Case of Muna

Muna was admitted via the Emergency Department to the ward following a fall at home. She was treated for a fractured neck of femur and had a total hip replacement from which she is recovering well. She is 66 years old, recently widowed and, two years ago, she was diagnosed with Alzheimer’s disease.
Muna displays certain behaviours that are annoying other patients on the ward and some of the nursing staff. The main issue is that she refuses to remain either in bed or in her chair and attempts to mobilise without assistance. She continually appears agitated and can be aggressive to other patients who try to approach her. The nursing staff are concerned for her safety and the safety of other patients.
To address Muna’s behaviour, a nurse has contacted the doctor to discuss prescribing sedative medication and the doctor has consequently prescribed diazepam to see if it would help.
Muna’s family visit her in the afternoon and find her lying in a wet bed. She is non responsive and very sleepy. They are concerned that she no longer seems able to recognise them or respond to their questions.
They complain to the nursing staff that they were not consulted about their mother’s treatment and insist on the sedative being discontinued.
• Use the ethical decision making framework to determine your recommendations for the ongoing care of Muna
• Consider the legal and ethical implications surrounding the chemical restraint of Muna.
Can chemical restraint be justified to be in the best interests of Muna
Consider interests of all stakeholders and resource availability
Consider Safety and hazards
Consider mental health legislation.

Model for Ethical Decision-Making.

1. Clearly state the problem
Consider the problem within its context and attempt to distinguish between ethical problems and other medical, social and legal problems

2. Get the facts:
Find out as much as you can about the problem through history, examination and relevant investigations.
Are there necessary facts that you do not have? If not search for them.

3. Consider the four ethical principles:
• Autonomy: what are the patient’s preferences?
• Beneficence: What benefits can be obtained for the patient?
• Non-maleficence: what are the risks and how can they be avoided?
• Justice: how are the interests of different parties to be balanced?

4. Identify ethical conflicts:
Explain why the conflicts occur and how they may be resolved.

5. Consider the Law:
Identify relevant legal concepts and laws and how they might guide management,
Examine relationships between the clinical-ethical decision and the law.

6. Making the ethical decision: Clearly state the clinical ethical decision and justify it eg:
Specify how guiding principles were balanced and why( i.e. justify the decision)
Take responsibility for the decision & provide alternative management;
Evaluate the decision;
Document the decision
Reference:
Kerridge, I., Lowe, M., & McPhee, J. (1998). Ethics and law for the health professions (p. 84) Tuggerah, NSW: Social Science Press

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Read the articles listed in the Learning Resources for your assigned informatics pioneer. Conduct research in the Walden Library or on the Internet to find additional works by or information about the individual.

Read the articles listed in the Learning Resources for your assigned informatics pioneer. Conduct research in the Walden Library or on the Internet to find additional works by or information about the individual.
Discussion: Foundational Pioneers in Informatics

The smartphone has become an increasingly valuable tool in the field of medicine. Because of the phone’s small size and powerful computing capabilities, doctors, nurses, and researchers use these smartphones in a wide range of areas. For example, smartphones can be used as an electrocardiogram, to perform ultrasound procedures, to track patient progress, and as a decision support tool for generating diagnoses (Ozdalga, Ozdalga & Ahuja, 2012). Like most innovative technologies, the smartphone and its applications are a result of many years of incremental research and development.

In this Discussion, you focus on those who set the stage for the field of informatics today. By Day 1, your Instructor will assign you one of the pioneers in the field of informatics to research.

To prepare:

Read the articles listed in the Learning Resources for your assigned informatics pioneer.
Conduct research in the Walden Library or on the Internet to find additional works by or information about the individual.
Determine his or her area of interest and affiliations in the medical world.
Reflect on the contributions he or she made to the field of informatics. What most interests you? What most surprises you?
Consider how these contributions impact the field of informatics today.
Assess why it is important to be familiar with the foundational documents of nursing informatics.
By tomorrow 11/30/2016 12pm

Post a minimum of 550 words essay in APA format with a minimum of 3 scholarly references (See list provided below), which addresses the level one headings below:

An overview of the individual to whom you were assigned, including his or her principal areas of interest and medical affiliations.
Highlight the contributions this individual made to the field of informatics, and explain how these contributions impact the field of informatics today.
Comment on the importance of being familiar with the foundational documents of nursing informatics.


 

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Craft your healthcare organization’s quality philosophy by discussing the National Quality Strategy priorities

Craft your healthcare organization’s quality philosophy by discussing the National Quality Strategy priorities and their application to the overall organizational quality plan

Analyze how this healthcare organization’s mission is correlated with its quality philosophy.
Assess the role of quality within value-based reimbursement in this particular healthcare organization.
How is leadership involved in the dissemination and application of quality data at this healthcare organization?
II. Quality Infrastructure
Part of any performance improvement (PI) or quality plan is the description of the quality infrastructure or organizational foundation and also of the delineation of how quality information is disseminated throughout the healthcare:
organization.

Provide brief details about the organization’s information management system, including what type of system is used and patient records management.
What phases of meaningful use have been implemented to date?
Outline how performance improvement data and initiatives are tracked through the organization, starting at the department level. Consider using a visual aid to depict this.
Discuss leadership strategies that ensure stakeholder and community input into the quality program.
Discuss how the infrastructure of this healthcare organization supports data abstraction to support pay-for-performance (P4P) reporting requirements for the Centers for Medicare & Medicaid Services (CMS) and other insurance providers.
III. Process for Evaluation and Dissemination
Delineation of key metrics is an essential component of a PI or quality plan. In this milestone, you will discuss and delineate certain required metrics for the healthcare organization. In discussing these metrics, you will learn what quality elements are being measured by them as well as their vital role to the healthcare organization and patient safety and quality:

Describe the various stakeholder groups involved in the performance improvement process (e.g., nursing leadership, departmental directors, etc.). Consider using an organizational chart to depict these stakeholders.
How does leadership in various departments promote involvement in performance improvement?
Evaluate the frequency of performance improvement initiatives and timeline for submission of data.
Describe the processes for collecting, interpreting, and presenting data within the organization.
Define the metrics required for the hospital value-based purchasing program through CMS and provide the rationale for inclusion of these outcome and process-of-care measures.
IV. Define the following metrics for their use in the quality plan, including how they meet accreditation or quality requirements and how their use influences delivery of ethical care in the healthcare organization. Consider including a current example of each of these metrics:

Core measures included in the quality plan
Inpatient and outpatient scores (HCAHPS)
NDNQI included in the quality plan
Serious reportable events related to the quality plan
. CAUTI, CLABSI, and surgical site infections (infection prevention)
Reporting of blood usage
Culture of safety scores
Accreditation Compliance


 

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Originally posted 2020-09-02 17:28:47.

Compare (identify/discuss similarities) and contrast (identify/discuss differences) Health Policy and Public Health Policy. Provide an example of each.

Compare (identify/discuss similarities) and contrast (identify/discuss differences) Health Policy and Public Health Policy. Provide an example of each.

Nursing

Instructions:
•Provide answers to the questions in ESSAY format,. Include a cover page and a reference page.

Please use the following bibliography:

•Nash, D.B. and Reifsnyder, J. (2011). Population Health: Creating a Culture of Wellness. Sudbury,

MA: Jones & Bartlett. ISBN: 978-0-7637-8043-2.

•Nickitas, D.M. and Middaugh, D. J. (2011). Policy and Politics for Nurses and Other Health

Professionals. Sudbury, MA.: Jones & Bartlett. ISBN: 978-0-7637-5659-8.

•Porche (2011) Health Policy. Application for Nurses and Other Healthcare Professionals

Topics/Questions:
1).Outline or diagram how an idea becomes a law.
2).Differentiate the three types of law (legal policy) that originate from our federalist

structure.
3).What is the essential difference between policy modification and policy change?
4).Compare (identify/discuss similarities) and contrast (identify/discuss differences) Health

Policy and Public Health Policy. Provide an example of each.
5).Describe the Problem-Centered Public Policymaking Process Model.
6).Licensure and certification provide special privileges and accountabilities. Discuss how they

differ from each other and what impact they have on the Nurse Practitioner role.
7).Continuing education (CEUs) are required for nursing license renewal. What change in the

requirements of CE categories would you recommend and why?
8).Select a Policy Institute. Review the mission, strategic plan, services and activities provided

by the policy institute. Discuss how these relate to the role of the Nurse Practitioner.
9).List the 8 Institute of medicine (IOM) Recommendations on the Future of Nursing, then select

one of the IOM recommendations on the future of nursing and discuss your opinion on its impact on

your role as a future advanced practice nurse.
10).List the American Association of Nurse Practitioners Federal Policy Priorities, then select

and discuss two priorities that you are most passionate about

http://www.aanp.org/legislation-regulation/federal-legislation/issue-briefs


 

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What are the advantages and disadvantages of having a single shared consensus-driven model of terminology use?

What are the advantages and disadvantages of having a single shared consensus-driven model of terminology use?

Nursing Informatics

1. Nelson and Staggers (authors of chapter 6) report, “The goal of Nursing Informatics (NI) is to improve the health of populations, communities, families, and individuals by optimizing information management and communication.” Provide examples of how NI helps to improve the health of individuals and each of these groups.

2. Imagine that Nursing Intervention Classification (NIC) was implemented in the practice setting tomorrow. How would the use of such a system help nurses to define and document nursing practice? What are the advantages to such a system? What are the disadvantages/barriers to such a system? Who among your colleagues would embrace such a system? Who might be resistant? Why?
3. What are the advantages and disadvantages of having a single shared consensus-driven model of terminology use?

Required Readings
– McGonigle, D. & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington: Jones & Bartlett Learning: Chapter 6
– Visit the Center for Nursing Classification and Clinical Effectiveness at: http://www.nursing.uiowa.edu/center-for-nursing-classification-and-clinical-effectiveness


 

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.Analyze the current health care delivery structure in your state. Compare and contrast the major

.Analyze the current health care delivery structure in your state. Compare and contrast the major

determinants of healthcare market power.

 

 

2.Analyze the main competitive forces in the your healthcare delivery system in your state, and

compare the major factors that influence the fundamental manner in which these competitive forces

determine prices, supply and demand, quality of care, consumerism, and providers’ compensation.
3.Evaluate the positive benefits and negative aspects, respectively, of HMO managed care from the

provider’s point of view—i.e., a physician and a healthcare facility—and from a patient’s point of view.

Provide a rationale for your response.
4.Assess the efficiency of the types of economic incentives available to providers in the delivery of

healthcare services in your own state.
5.Propose who bears the financial risk of a capitation payment system: the provider, the patient, or

the consumer-driven health plan itself.
6.Use at least five (5) current references. Three of these references must be from current peer-

reviewed sources to support and substantiate your comments and perspectives.
Your assignment must follow these formatting requirements:

•Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides;

citations and references must follow APA or school-specific format. Check with your professor for any

additional instructions.
•Include a cover page containing the title of the assignment, the student’s name, the professor’s

name, the course title, and the date. The cover page and the reference page are not included in the

required assignment page length.
The specific course learning outcomes associated with this assignment are:

•Explain how selected economic principles apply to the health care market and the provision of

health care services.
•Analyze the factors that are influencing the demand and supply of health care services in the U.S.
•Assess current economic trends that influence the cost, quality, and access to care.
•Use technology and information resources to research issues in health economics.
•Write clearly and concisely about health economics using proper writing mechanics.


 

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What are the advantages and disadvantages of having a single shared consensus-driven model of terminology use?

What are the advantages and disadvantages of having a single shared consensus-driven model of terminology use?

Nursing Informatics

1. Nelson and Staggers (authors of chapter 6) report, “The goal of Nursing Informatics (NI) is to improve the health of populations, communities, families, and individuals by optimizing information management and communication.” Provide examples of how NI helps to improve the health of individuals and each of these groups.

2. Imagine that Nursing Intervention Classification (NIC) was implemented in the practice setting tomorrow. How would the use of such a system help nurses to define and document nursing practice? What are the advantages to such a system? What are the disadvantages/barriers to such a system? Who among your colleagues would embrace such a system? Who might be resistant? Why?
3. What are the advantages and disadvantages of having a single shared consensus-driven model of terminology use?

Required Readings
– McGonigle, D. & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington: Jones & Bartlett Learning: Chapter 6
– Visit the Center for Nursing Classification and Clinical Effectiveness at: http://www.nursing.uiowa.edu/center-for-nursing-classification-and-clinical-effectiveness


 

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Analyze one of the following concepts: Advanced Practice Nursing Leadership in Nursing Practice or Holistic Nursing Practice.

Analyze one of the following concepts: Advanced Practice Nursing Leadership in Nursing Practice or Holistic Nursing Practice.

This is Due in 26th March
PLEASE FOLLOW INSTRUCTIONS CAREFFULLY
Analyze ONEof the following concepts: Advanced Practice Nursing Leadership in Nursing Practice or Holistic Nursing Practice in terms of the interrelationships of philosophy theory research and practice.
The paper should be 7 pages/1750 words in length (including title page & reference page).
Paper should be written in APA format. Attention should be paid to proper grammar and correct spelling.
RECOMMENDED OUTLINE
Title Page
Introduction of concept
Discussion of :
o Philosophy
o Theory
o Research
o Practice
Analysis of concept in terms of interrelationship of philosophy theory research and practice.
Conclusion
Reference Page
Note:
1. There must be minimum of 5 References / citations.
2. The references /citations should not be older than 5 years (2012 2017).
3. References / citations must be written in APA Style.
4. The References / citations must be from scholarly articles / textbooks/ journals and not from blogs.
5. Wikipedia must not be used for references at all.


 

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Discuss The History Of Nursing Knowledge And The Development

Discuss The History Of Nursing Knowledge And The Development

Discuss the history of nursing knowledge and the development of nursing theories Custom Essay
Students will provide an informative response for the corresponding question using provided articles or any theory textbook (must reference)

Responses should be single spaced and follow APA format which includes an expectation that posting will be grammatically correct, free of spelling errors, and with an explanation of abbreviation. The postings must include in-text citations and references.


 

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Discuss The History Of Nursing Knowledge And The Development

Discuss The History Of Nursing Knowledge And The Development

Discuss the history of nursing knowledge and the development of nursing theories Custom Essay
Students will provide an informative response for the corresponding question using provided articles or any theory textbook (must reference)

Responses should be single spaced and follow APA format which includes an expectation that posting will be grammatically correct, free of spelling errors, and with an explanation of abbreviation. The postings must include in-text citations and references.


 

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