Essay For this assessment, an essay will be used for information tool for your nursing peers on a contemporary nursing topic. An essay has an introduction, body and conclusion. The paragraphs in the body of your assignment will need good linkage in order for your essay to flow.This assignment is a 2000 word essay on the below topic:Topic: Discuss challenges with nursing skill mix in contemporary healthcare and how this can impact on patient careWhen you submit your essay to Turnitin, please use the link provided in Blackboard. Late submissions will receive a 5% penalty per day if no extension is in place. The format of your essay and any innovative ideas you use to present your topic should cover the following sections and also the points to consider below:1. IntroductionA good introduction is interesting and tells the reader:• what the essay is all about- provide definitions and references• A little bit about why this is important• Outlines for the reader what you will be discussing in the rest of the essay.2. BodyUsing logical well-formed paragraphs discuss the following:• What is a nursing skill mix?• How has nursing shortages impacted on skill mix?• Consider the best ratio of RN’S to other levels of healthcare workers.• Discuss the impact of AIN’s – assistants in nursing on skill mix• Consider how issues with skill mix can impact on nurses• Consider how skill mix impacts on patient healthcare outcomes and the care we provide Please note your paragraphs need to link and flow well to formulate a good well rounded discussion.3. Conclusion A ‘good’ conclusion should summarise all the points raised within the discussion. Please note there should be NO references within your conclusion as no new information should be presented here.4. Reference listThis should include an alphabetical full end text reference list of all in-text references used. Please note that online referencing software systems are usually incorrect. You need to follow the APA style as per the ECU referencing guide. This can be downloaded from the library. This assignment requires a minimum of 10 references with at least 5 of these being academic journal articles. The references should be no older than 5 years. However, some material related to this topic is older so references up to 10 years can be used as long as the information has not been superseded. All references need to be from reputable sources. Do not use lecture notes as references.General points:• Please use the assignment template provided within the current SNM Assignment Guidelines (note: there have been a few changes re layout, etc.)• Only submit via TurnItIn, no hardcopy required.• This assignment is all about the process of researching a topic and being able to articulate your findings in a comprehensive and logical sequence.• Make sure you use approved abbreviations and write in the third person.• Your report should facilitate peer learning: use an appropriate language level suitable for RNs, not mums and dads! Ensure that content is relevant to nursing practice, i.e. sufficient depth of information but not too detailed• Support your discussion with relevant and recent literature and websites. Use peer-reviewed articles, evidence based research and best practice guidelines (Australian and international if relevant, e.g. WHO). Do not use public access medical websites designed for non-health professionals, eg. eMedicine, MayoClinic, BetterHealthChannel, GPNotes,etc. This assignment requires a minimum of 10 references with at least 5 of these being academic journal articles. The references should be no older than 5 years. However, some material related to this topic is older so references up to 10 years can be used as long as the information has not been superseded. All references need to be from reputable sources. Do not use lecture notes as references.• Read the marking criteria of the rubric; it is a good guide for how much emphasis needs to be placed on each section.• You will need to include title page and table of contents – Please refer to the school of nursing and midwifery guide for presentation. Your paragraphs need to be logical and clearly formed. Do not use dot points or direct quotations for this assignment. Marking criteriaBelow you will find two tables: The first is the SNM generic marking rubric, the second is an interpretation of that rubric to help you recognise which areas are important.The column on the left in table 2 is the high distinction column from the generic rubric (table 1). The column on the right shows you what elements you need in order to get full marks. The points in brackets show you how those elements are weighted, naturally elements with more points require more words/paragraphs.

Assignment 3

No directly quoted material may be used in this project paper.

Final Project: Case Study

Ethical dilemmas permeate the criminal justice. At every level, in each segment of the system, people are exercising discretion that will influence the fate of an individual and/or the security of the community. Incongruous laws, regulations, policies and practices create conflicts and distort the basis upon which judgments are made. Very often these conflicts result in an ethical dilemma. Which is the appropriate course of action? What is the moral/ethical rational for the decisions that were made? What purposes or principles are served? This project will ask you to consider a sequence of decisions (do, or not do) all of which contribute, directly or indirectly the final scene.

For each of the three (3) scenarios, your assignment is to: 

•  Examine each situation and describe the ethical and/or moral question,
•  Describe what you believe to be the motivation of the actor and the potential consequences of BOTH/EACH options,
•  Identify the decision you believe the actor SHOULD make, and
•  Provide the ethical basis for your decision.
•  Connect the ethical basis for your decision to ethical theories introduced at the beginning of the course and explain the rational for this connection.
•  Each decision must be considered separately and not be influenced by earlier decisions and/or actions.

 This project is an opportunity for the student to demonstrate their understanding of ethics and value-based decisions. Most of these situations do not have a single correct answer. Grading is NOT based on solving the problem that is presented to the actor but in identifying the ethical dilemmas and determining and explaining the most ethical course of action.

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 1. The judge

Judge Jeffery Owens is very troubled by the felony case before him.  The defendant, Woodrow Wilson, had been found guilty of armed robbery of a liquor store.  The case alleged that Wilson had a handgun in plain sight when he entered the Sin-Yon liquor store, that he hit the owner in the head with the weapon and forced him to open the cash drawer. Fleeing the scene on foot, Woodrow only got a few blocks before responding police officers spotted him and made the arrest. The prosecutor, armed with the recovered cash, video surveillance and an eyewitness as evidence had an easy case. Now it is time for sentencing.

Jeffery saw the demonstration of business owners in the hallway when he entered the courthouse that morning. They were chanting “Justice for our victims” and were demanding a lengthy prison sentence. The Pre-Sentence Investigation report said Wilson was suffering from acute addiction and associated mental problems that had caused these violent (but not criminal) outbreaks in the past. There is no information in the file that Wilson has ever received treatment for his disorders. Jeffery knows that, due to budget cuts, the state prison system has very little in the way of addictive or behavioral disorder treatment programs. The prisons had reverted to merely warehousing inmates. However, he had read that the county jail had received a federal grant to establish exactly the kind of services that it appeared Wilson needed. Obviously, he had no way of knowing if this or any treatment would be successful for Wilson.

 Sentencing guidelines were established to ensure that defendants convicted of similar offenses received similar punishments. According to the sentencing guidelines, Wilson should be sentenced to 5-7 years in the state correctional prison system. Jeffery knows that the business community was calling for the maximum sentence. The county jail only took inmates sentenced to eighteen months or less. What sentence should Judge Owens impose on Mr. Wilson?  

2. The District Attorney

Jessica ran a successful campaign for district attorney on a very conservative platform generally critical of the incumbent’s inability or unwillingness to prosecute police misconduct with criminal charges. The city’s police chief did not support her campaign. He felt that administrative actions that could result is fines, suspensions, demotion or termination of employment were sufficient punishment. Additionally, victims could sue an officer in civil court if the officer acted outside the scope of their authority and immunity.  The chief felt that these consequences should be sufficient for any police misconduct except, perhaps, a felony. Since her election Jessica has brought criminal charges of larceny against one officer for switching city tires off his patrol car on to his personal car. She also brought assault charges against an officer when she learned a suspect needed medical treatment for wrist abrasions due to her handcuffs being too tight. Recently several assistants have cautioned her that they are losing criminal cases, including serious felony cases, because police officers are either not appearing to testify at court or are having “difficulty remembering” critical details during their testimony. This started in traffic court but has also occurred in misdemeanor trials as well. The feeling is these officers are retaliating against the district attorney’s officer for the criminal charges being brought against members of the police force.  The pattern is quite clear and getting worse. Prosecutors are complaining that police detectives are “too busy” to return their calls. Jessica understands she cannot successfully prosecute criminal cases without the cooperation of the police department. At the same time, she feels as though she is being bullied by an overly protective autocratic police chief. She feels she can and should prosecute police officer for any criminal offense …and feels that her election demonstrated that the community agrees with her. What should Jessica do?

3. The Officer

Scot is still on probation as a police department rookie. While on probation he can be dismissed at any time for any reason and would not be entitled to a trail board or hearing prior to dismissal. 

During the course of his patrol duties Scot has cause to stop a car for a legitimate but minor traffic violation. The motorist was highly agitated at being stopped “for no reason” and, using a variety of obscene references and racial slurs, adamantly expressed how upset he was. Agitated, Scot told the man to exit the vehicle and place his hands on the hood of his car. Scot looked through the car interior, and then took the keys out of the ignition to open the trunk. Seeing what Scot was doing the driver told Scot to stop and that he could absolutely not search the trunk of the car.  Ignoring this, Scot opened the trunk and discovered in plain view a large, clear plastic bag containing thousands of pharmaceutical-type capsules. Scot could hear the driver screaming, “That ain’t mine. That ain’t mine.”  Scot suddenly realized he has committed an illegal search. What should Scot do?

Format Requirements

• Paper must be double spaced, 11 or 12 pt font and 1” margins all around. Submit as a Word document.
• All APA 7th edition format requirements must be followed (cover page, in text citations, reference page). Refer to APA/UMGC – learning resources found in the content page of this course.
• You must have resources to support your thoughts/opinions/information.  These must be cited both in text as well as at the end of the document. Your paper should not contain direct quotes, sourced material must be paraphrased

Paper 1 –   Philosophy of Nursing  
     
Personal beliefs. 
Describe your values and   beliefs about nursing. You may use “I   believe…” statements that include your:
· Definition of nursing. (10pts)
· Assumptions (beliefs) about the interrelationships   among: (10pts)
o clients (Who are they?), 
o health (What is it?), 
o nursing (What is it?) and 
o environment (Where is nursing practiced?). 
· Beliefs about the profession of nursing. (10pts)
· Significance of collaboration with other health   professionals. (10pts)
 
Nursing as a career. Demonstrate that you have given thought to your   career and explain the rationale for your decision. 
· Inspiration from the past. (Who or what?) 
· Define professional   goals. 
· Identify   roles and responsibilities to advance the profession of nursing. 
· How you   will provide safe, effective care? 
· How your   academic preparation will facilitate your positive contributions to the   health care system? 
 
· Spelling, grammar, sentence   structure, neatness, organization
· No more than 2 pages   (excluding title page or optional references), double-spaced, 12 point   font, 1” margins, APA format.

Paper 2 – Values and Empathy paper
 Please respond to the two Scenarios in this paper (See the Answer format attached).    Scenario 1: You are a new nursing student who has been hospitalized for injuries following a major car accident. Earlier today you were told the fracture in your right leg will require complicated surgery to repair and extensive rehab to recover. There is a question as to whether you will ever regain full use of your leg. The surgery is scheduled for tomorrow morning. Tonight you are alone in your hospital room and the night nurse has just entered. What are your concerns when you reflect on this personal patient experience? What will your experience be like? Scenario 2: You realize that you share a different values system from the nurse. You reflect that this might be challenging for you as a nurse someday. These values might be due to differences in lifestyle, cultural background, belief system, or attitudes about health care. Reflect on your own values and identify a personal value/belief that may become a conflict for you in delivering quality patient care.