LP3.2 Assignment: Clinical Dilemma

In Learning Activity 1, you dealt with an ethical dilemma caused by your physicians’ refusal to correct their own errors due to resistance to your facility’s new Electronic Medical Records (EMR) system. In this assignment, you’ll consider this case from the perspective of an administrator.

You’ve just spend a lot of money on your new EMR System. Although the purchase and use of the system is in compliance with new federal requirements and will ultimately help improve continuity of care for patients, some physicians refuse to use the new system. They complain that the new system slows them down and is creating errors in documenting procedures. They insist that their old charting methods have always been adequate.

The quality assurance department reports to the VP of Operations that several nurses and student-nurses have observed an increase in the number of physician documentation errors in patients’ medical records. Several physicians field a grievance against the hospital. They claim the hospital is engaging in unethical behavior by forcing clinicians to use the new EMR system.

Address the following points in a 2-page response paper:

  • How is technology changing the ethical issues the healthcare administrator must face?
  • Discuss the challenges of balancing ethical principles, quality control, fiscal (monetary) concerns, and the organizational mission.
  • Describe the position of the doctors in this scenario in ethical terms. The physicians argue the hospital is acting unethically. Upon what ethical bases do they claim this?
  • Generate a solution to this conflict. Support your solution with ethical concepts. How can you argue that the hospital is acting in the best interests of the patients, staff, and medical community?

Your paper should be formatted in APA style, including a references list.

Kaplan University School of Health Sciences

Unit 2 Assignment Unit outcomes addressed in this Assignment:

● Discover personal leadership style using contemporary leadership theory and principles in regards to professional development for self.

● Apply personnel management skills in regards to people developer/staffing mentor.

● Apply personnel management skills, in regards to leadership and governance. ● Apply personnel management skills in regards to emotional intelligence. ● Apply personnel management skills in regards communication and interpersonal

skills. Course outcome(s) practiced in this Assignment: HS230-1: Evaluate the roles and responsibilities of administering, managing, and leading healthcare organizations. For the Assignment this week, you imagine yourself developing your initial plan of moving yourself toward a healthcare career and describe your plan and what you will need to develop yourself toward the goal. You will also describe the health care business you wish to work in and create a mission statement for your hospital or practice. Think about what types of patients you will be seeing, what types of care you will provide, and the members of the team that you have assembled. Remember that a mission statement provides the guidelines for all decision making and what outcomes they are based upon. Instructions Part 1: Imagine yourself embarking on a new career path toward becoming a Healthcare Administrator. You need to study contemporary leadership theories and principles and create a plan for professional development for yourself to help make your dream come closer to reality. Describe your vision of your plan for success (the more detail you give the clearer your path will be to yourself and others). Part 2: Imagine yourself as healthcare administrator for a hospital or practice (one in which you are familiar) and describe it in detail. Thoroughly describe the forces that impact the business including finance, insurance payment and delivery stakeholders and describe how each stakeholder group is satisfied (The more detail you give, the better your board will be able to understand how well your mission statement applies). Part 3: Create a mission statement for your hospital or practice, taking into account that the mission should you strive toward developing and empowering employees and your desire to provide leadership and governance direction for the business. Also, describe

HS230 Unit 2 Assignment

Kaplan University School of Health Sciences

how you will communicate the mission statement to all stakeholder groups and the interpersonal communication skills you will use. Requirements This Assignment will be 2 pages long in APA format, with a word count of at least 500. The paper should have at least two references other than the book for the course. Grading criteria will be based upon APA guidelines, spelling and grammar, as well as how well your mission statement reflects the goals of the practice you have set up. Submit your work to the unit Dropbox.

APA format (include citation within the tex and reference page- 1.5 pages (cover page a reference page not counted)Six strategies to improve guidelines and protocols for the delivery of health services in the future where mentioned in the textbook:1 Practitioners, payers, and policy makers need to become stakeholders.2. Computer-based models will have to be developed to incorporate EBM into medical decisions making. Models that are easily usable and understandable are essential.3. Robust research designs, using clinical trials where applicable, should be the backbone of EBM.4. Guidelines and protocols must be revised and kept current to incorporate subsequent scientific evidence.5. Future practice guidelines must incorporate economic analysis. Mounting health care expenditures will pressure society to make rational choices about when certain types of services become unwarranted because costs begin to exceed the expected benefits from certain treatments.6. Financial incentives, including provider payments and patient cost sharing, must be restructured. Reimbursement methods should focus on paying for best achievable outcomes and the most effective care over the course of treatment instead of paying for units of service.choose two and offer an analysis of your choice. Include citations to support your thoughts.

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.
This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).
In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

  1. New practice approaches
  2. Interprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Practices of culturally sensitive care
  6. Ensuring the integrity of human dignity in the care of all patients
  7. Population health concerns
  8. The role of technology in improving health care outcomes
  9. Health policy
  10. Leadership and economic models
  11. Health disparities

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Worldview and Nursing Theory

APA

Nursing

7 sources

No plagiarism, copy pasting or previously done work

12 hours from nowlease!

Being able to articulate your personal worldview can help you formulate a personal philosophy of practice and enhance your influence on patients and the industry. In this assignment, you will have an opportunity to reflect on your current and future practice, and the ways worldview and nursing theory influence that practice.   Draft a 1,000 word paper in which you: 1 Describe an integrative worldview, “which attempts to reconcile rational thought and science with a spiritual sense of awe for the environmentâ€, including the religious, spiritual, and cultural elements that you think most influence personal philosophy of practice and attitude towards patient care. 2 Choose a specific nursing theory (Sister Callista Roy’s View of Adaptation) and discuss the similarities. Explain how the nursing theory reinforces your approach to care. 3 Finally, explain how the worldview and the nursing theory can assist in further developing future practice.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.

Enoxaparin (Lovenox) Nursing Implications Question
Before administering medications to a client hospitalized 3 days ago for acute asthma, the nurse compares the morning laboratory results with the admission data.  The nurse should confirm which prescription with the health care provider prior to administration?

  1. Albuterol nebulization every 4 hours
  2. Enoxaparin 40 mg subcutaneously every 24 hours
  3. Methylprednisolone 20 mg intravenously every 6 hours
  4. Potassium chloride 20 mEq/L every 24 hours

Enoxaparin (Lovenox) Nursing Implications Answer and explanation
The corect answer is 2- Enoxaparin 40 mg subcutaneously every 24 hours
Explanation:
ORDER A PLAGIARISM-FREE PAPER NOW
Enoxaparin (Lovenox) is a low-molecular-weight heparin anticoagulant administered for prophylaxis of deep venous thrombosis in hospitalized clients.  Bleeding and thrombocytopenia (platelet count <150,000/mm3 [150 x 109/L]) are possible complications of anticoagulant therapy.  Heparin-induced thrombocytopenia (HIT) is a serious condition that often develops rapidly, requiring prompt recognition and treatment.  Unlike other drug-induced forms of thrombocytopenia, HIT can result in arterial or venous thrombosis(eg, stroke, extremity infarction), although the exact association is unknown.  This client’s platelet count (96,000/mm3 [96 x 109/L]) has dramatically decreased since admission.  The nurse should note this drastic change and question the continuation of the prescription with the health care provider before administering the medication.
(Option 1)  Bronchodilators such as albuterol and ipratropium are indicated in acute asthma and chronic obstructive pulmonary disease exacerbations.
(Option 3)  Methylprednisolone (Solu-Medrol) is an anti-inflammatory corticosteroid drug indicated for treatment of lung inflammation associated with asthma; the route, dosage, and frequency are correct.  This client’s elevated white blood cell count is likely due to glucocorticoid administration and is an expected effect of corticosteroids.
(Option 4)  Potassium chloride is an electrolyte replacement drug and is indicated by the presence of hypokalemia (<3.5 mEq/L [3.5 mmol/L]); the route, dosage, and frequency are correct.  Frequent use of albuterol likely caused hypokalemia in this client.
Enoxaparin (Lovenox) Nursing Implications Educational objective:
Heparin-induced thrombocytopenia can result in arterial or venous thrombosis.  Platelet counts should be carefully monitored in any client receiving anticoagulant therapy.

Name 3 things in bullet form to consider when presenting a good PowerPoint presentation. 

 Psychology homework help
Prior to beginning this discussion, please read and view the following required sources:

  • “Flexible Retrieval: When True Inferences Produce False Memories”
  • “Memory Suppression in Alzheimer’s Disease”
  • “Mnemonic Instruction in Science and Social Studies for Students with Learning Problems: A Review”
  • “Short-Term Memory and Long-Term Memory Are Still Different”
  • “The Development of Real-Time Stability Supports Visual Working Memory Performance: Young Children’s Feature Binding Can Be Improved Through Perceptual Structure”
  • Memory

In your initial post, you will apply what you learned from each of the five articles, but you will discuss the findings and implications for just one of these articles. The articles are assigned based on the first letter of your last name. Please see the list below to determine which of the articles you will focus on for your initial post based on the first letter of your last name:

  • A through E: “Flexible Retrieval: When True Inferences Produce False Memories”

In your initial post,

  • Explain the empirical research presented in your assigned article, applying appropriate citations and references.
  • Describe, in your own words, how the research relates to your own experiences as well as how this area of psychology may have affected your past or current beliefs about memory development. Do the research findings refute or support your current beliefs, and in what ways? Are there variables about memory of which you were unaware based on your article?
  • Apply skeptical inquiry to the potential problems that might arise from research in the area of memory, and relate it to the APA’s Ethical Principles of Psychologists and Code of Conduct.
  • Provide a rationale for whether or not this premise is valid and/or appropriate based on the findings reported by the assigned articles.

It is recommended that you research articles in the Ashford University Library to support your assertions if the required articles do not provide sufficient information. Your initial post should be at least 500 words in length.

Power point nursing

Chamberlain College of NursingNR451: RN Capstone Course

Capstone Project Milestone 3:

Educating Staff: Implementing Change Guidelines

Purpose

The purpose of this assignment is to create the Educating Staff: Implementing Change Project PowerPoint presentation. Your plan is to educate the staff that will be involved in the pilot program. You will need to educate them on the problem, show the supporting evidence, and how your pilot plan will be implemented.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

• CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO #2) 

• CO3: Communicates effectively with patient populations and other healthcare providers in managing the healthcare of individuals, families, aggregates, and communities. (PO #3)

• CO7: Integrates the professional role of leader, teacher, communicator, and manager of care to plan cost-effective, quality healthcare to consumers in structured and unstructured settings. (PO #7)

Due Date

Milestone 3 consists of the PowerPoint presentation Educating Staff: Implementing Change Project. Submit this Milestone to the Dropbox by Sunday, 11:59 p.m. MT at the end of Week 6.

Points

Milestone 3 is worth 200 points.

Directions

1. Create an educational presentation for staff before the launch of your change project. This should inform the staff of the problem, your potential solution, and their role in change project. 

2. The format for this proposal will be a PowerPoint presentation. 

3. Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx The Chamberlain Student Success Strategies (CCSSS) offers a module on Computer Literacy that contains a section on PowerPoint. The link to SSP CCSSS may be found under the Special Courses list in eCollege.

4. The length of the PowerPoint presentation should be 15-20 slides; excluding the title and reference slides.

5. Below are the topics for the slides:

a. Title slide

b. Description of the change model used

c. Practice Issue

d. Scope of the problem—use statistics from what you know of the problem in your work area.

e. Your team/stakeholders

f. Evidence to support your need for change—from your Evidence Summary

g. Action Plan 

h. Timeline for the plan

i. The nurse’s role and responsibility in the pilot program

j. Procedure 

k. Forms that will be used (if applicable)

l. Resources available to the staff—including yourself

m. Summary

n. References

6. Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. Citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means choose peer-reviewed journals and credible websites.

Guidelines

• Application: Use Microsoft PowerPoint 2010.

• Length: The PowerPoint slide show is expected to be between 15-20 slides in length (not including the title slide and reference list slide).

• Submission: Submit your files via the basket in the Dropbox: “Educating the Staff: Implementing the Change Project” by 11:59 p.m. Sunday of Week 6. 

• Late Submission: See the course policy on late submissions.

• Tutorial: If needed, Microsoft Office has many templates and tutorials to help you get started.

Best Practices in Preparing a PowerPoint Presentation

The following are best practices in preparing this presentation.

1. Be creative.

2. Incorporate graphics, clip art, or photographs to increase interest.

3. Make easy to read with short bullet points and large font.

4. Use speaker notes (found under the section View and “Notes” in the PowerPoint template you choose. These are for your personal use to use as a reference if you are giving your presentation to an audience.

5. Review directions thoroughly.

6. Cite all sources within the slides with (author, year) as well as on the Reference slide.

7. Proofread prior to final submission.

8. Spell check for spelling and grammar errors prior to final submission.

9. Abide by the Chamberlain academic integrity policy.

Grading Criteria: Educating Staff: Implementing Change

Grading Rubric: Educating the staffMilestone 3

Choose one of the following health care organizations:

  • Hospital Corporation of America (HCA)
  • Tenet Health System
  • Mayo Clinic
  • Henry Ford Health System
  • Centers for Disease Control (CDC)
  • Children’s Miracle Network
  • Deborah Heart and Lung Center
  • Medtronic
  • Veterans Health Administration (VHA)
  • National Institutes of Health (NIH)
  • Planned Parenthood
  • Indian Health Service (IHS)
  • Health Markets

Conduct an evaluation of the organization based on strategic planning analysis, which includes the strengths and/or weaknesses that are internal to the organization and opportunities and/or threats external to the organization.  Your strategic plan analysis must include at least three strengths and three weaknesses that are internal to the organization and at least three opportunities and three threats that are external to the organization. You must utilize at least five valid sources in your analysis. Examples of valid sources include organizational websites, annual reports, personal interviews with organizational leadership, investigative reports, government reports, and conference transcripts.  Your Final Paper must address at least five key areas, concepts, and strategies that are outlined in the course text.  These include:

  • Internal and external assessments
  • Competitive marketing analysis
  • Identification of stakeholders
  • Overview and assessments of services provided
  • Competencies and resource
  • Public entities and regulatory requirements
  • Demographics served
  • Strategic financial planning
  • Financial and operational outcomes
  • Current and future direction of the organization of choice

Writing the Final Paper
The Final Paper:

  1. Must be 8 to 10 double-spaced pages in length, excluding the title and references pages, and formatted according to APA style as outlined in the Ashford Writing Center.
  2. Must include a title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted
  3. Must begin with an introductory paragraph that has a succinct thesis statement.
  4. Must address the topic of the paper with critical thought.
  5. Must end with a conclusion that reaffirms your thesis.
  6. Must use at least five scholarly sources, including a minimum of two from the Ashford University Library.
  7. Must document all sources in APA style as outlined in the Ashford Writing Center.
  8. Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center.