Our Previous Samples

in-text citations and reference page.Use the Safe Assign Drafts to check your ...

in-text citations

and reference page.

Use the Safe Assign Drafts to check your match percentage before submitting your work.

Week 11 Assignment

Congratulations! After you have finished all of the assignments for this Module

citing each in APA format. The articles should appear in alphabetical order in ...

citing each in APA format. The articles should appear in alphabetical order in your paper. After the citation

NURS 5051 Module 04 Literature Review Assignment Example Solution IncludedLitera ...

NURS 5051 Module 04 Literature Review Assignment Example Solution Included

Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

Healthcare systems worldwide continue to improve various aspects of the provision of care to meet the needs of the patients and ensure improved health outcomes and patient satisfaction (Manias, 2019). Enhancing the quality of care requires the incorporation of efforts from healthcare providers as well as all stakeholders involved in care. One way of improving patient care is through active engagement of patients and their relatives in care through coordinated care and clear communication.

NURS 5051 Module 04 Literature Review Assignment

The engagement of patients in care affects treatment adherence, satisfaction, healthcare cost, and self-management. Consequently, there is improvement in the quality, safety, and delivery of care provided, as well as a reduction in the cost of care. Information technology and clinical systems have enhanced patient-centered care in various settings through improved technology (Manias, 2019).

Patient Engagement Communication and Technology (PROSPECT) is an example of a clinical system that can be used to improve patient-centered care. The components of the program include electronic health records, checklist tools, patient portals, and messaging platform (Dykes et al., 2017). This paper is a literature review organized in an annotated bibliography that aims to address the impact of using patient-centered care using various components of the PROSPECT to improve the health outcomes of patients with chronic conditions.

Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S., Donze, J., Fagan, M., Gazarian, P., Hanna, J., Lehmann, L., Leone, K., Lipsitz, S., McNally, K., Morrison, C., Samal, L., Mlaver, E., Schnock, K., … Bates, D. W. (2017). Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The promoting respect and ongoing safety through patient engagement communication and technology study. Critical Care Medicine, 45(8), e806–e813. https://doi.org/10.1097/CCM.0000000000002449

The article by Dykes et al. (2017) highlights the importance of patient-centered care in the ICU setting. The article argues that despite most ICU patients being critically ill and unresponsive, engaging their family members in looking after them is also a form of engaging patients. Accordingly, these engagements aim to improve partnerships and the quality and safety of care. The study examined the effectiveness of patient-centered care and engagement programs in the medical ICU.

The intervention includes a patient-centered care and engagement training program and web-based technology involving a safety checklist, messaging platform, and tools to share care plans. Patients and care partners use online portals to access health information and participate in care plans while communicating with providers (Dykes et al., 2017). The findings from the study encouraged the implementation of patient-centered care based on the benefits realized.

The intervention led to a reduction in adverse events while markedly improving patient satisfaction (Dykes et al., 2017). The findings of this article are relevant and encourage the implantation of patient-centered care through adopting effective communication strategies to involve patients and family members to improve overall care. Patients feel motivated and appreciated if they understand whatever is happening to them, as discussed by their healthcare providers.

Penedo, F. J., Oswald, L. B., Kronenfeld, J. P., Garcia, S. F., Cella, D., & Yanez, B. (2020). The increasing value of eHealth in the delivery of patient-centered cancer care. The Lancet Oncology, 21(5), e240–e251. https://doi.org/10.1016/S1470-2045(20)30021-8

This article review presents summarized evidence-based information regarding eHealth’s impact on cancer patients’ care. They argue that the evolution of eHealth ushered in a new era of managing patients with various chronic conditions by improving patient-centered care (Penedo et al., 2020). Through eHealth, traditional in-person care with the adoption of real-time care that is dynamic with improved assessment and delivery of interventions.

The review provided a narrative of peer-reviewed articles published within the last 10 years. From the review, using eHealth to achieve patient-centered care is an acceptable practice due to its benefits. eHealth enhances the care of patients through improved diagnosis, planning of care, surveillance, and monitoring of patients.

Improved communication enhanced toxicity assessment, improved management, and optimized patient engagement throughout care (Penedo et al., 2020). The article’s findings are important to add knowledge on the importance of using technology in long-term patient follow-ups. Engaging patients through eHealth can improve various aspects of their lives, including improving their quality of life by addressing their symptoms (Manias, 2019). Healthcare organizations should incorporate and implement the use of eHealth to offer care for individuals with chronic conditions such as cancer.

Tebeje, T. H., & Klein, J. (2021). Applications of e-health to support person-centered health care at the time of the COVID-19 pandemic. Telemedicine Journal and E-Health: The Official Journal of the American Telemedicine Association, 27(2), 150–158. https://doi.org/10.1089/tmj.2020.0201

The surge of COVID-19 got many people unaware, including the healthcare department. The rapid spread of the virus, with associated mortality and morbidity, shook the whole world. Prevention of COVID-19 requires the implementation of various measures, including hand hygiene, avoiding social gatherings, and working from home. Restrictions on social gatherings meant that a limited number of people could access healthcare simultaneously.

Limited access to healthcare, especially for patients with chronic disease, meant their health was in danger as they often required close monitoring. To close the gap in care access while reducing exposure to infections, healthcare departments embraced telehealth, an eHealth technology to help improve patient-centered care to meet patient needs. Telehealth allows for remote clinician and patient interaction without exposure to COVID-19 (Tebeje & Klein, 2021). This literature review aimed to assess the effects of telehealth on patient care and outcomes during the COVID-19 pandemic.

Literature was systematically searched from publications dated January 1 and May 20, with eight studies out of the 60 articles included in the study. The study findings revealed the importance of telehealth and mobile health in improving patient engagement and access to care while at home (Tebeje & Klein, 2021). The quality of care and, personalized experience and satisfaction improved while using telehealth.

This article is relevant to this literature review and adds more knowledge on the effects pandemics can have on healthcare, as well as providing alternative methods of overcoming the problems. Improving patient-centered care through telehealth is a promising way through which care can be offered in the future to manage chronic conditions, especially for patients in remote settings with a disability who have limited access to care (Lyles et al., 2020).

Downes, E., Horigan, A., & Teixeira, P. (2019). The transformation of health care for patients: Information and communication technology, digiceuticals, and digitally enabled care. Journal of the American Association of Nurse Practitioners, 31(3), 156–161. https://doi.org/10.1097/JXX.0000000000000109

Downes et al. (2019) provide an insight into the role of information and communication technology (ICT) in transforming healthcare systems. The presence of innovative technology such as wearable technology, patient portals, remote monitoring, mobile applications, and new services such as virtual visits and telemedicine. The literature review aimed at preventing the use of digitally enabled tools and ICT in patient care. Applying the aforementioned technology in patient care improved the quality of care and patient experience.

ICT helps in improving communication while enhancing patient engagement in their care. Patient-centered care improves health outcomes, curtails care costs, and enhances patient experience (Downes et al., 2019) e. Understanding the various ICT options is essential when determining which type to adopt to enhance patient-centered care (Manias, 2019). This article is relevant in educating healthcare providers about the different ICT options and how to apply these technologies to improve patient care effectiveness and efficiency.

Conclusion

Technology is an integral aspect of patient care, as proven by the evidence. Using technology to improve patient-centered care is associated with various benefits, such as improving health outcomes, reducing the cost of care, improving the patient experience, and improving patient satisfaction. Enhanced communication and engaging the patient in making decisions increases treatment adherence and improves self-management. Therefore, healthcare providers should adopt appropriate information technology that positively impacts patients` outcomes.

References

Downes, E., Horigan, A., & Teixeira, P. (2019). The transformation of health care for patients: Information and communication technology, digiceuticals, and digitally enabled care. Journal of the American Association of Nurse Practitioners, 31(3), 156–161. https://doi.org/10.1097/JXX.0000000000000109

Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S., Donze, J., Fagan, M., Gazarian, P., Hanna, J., Lehmann, L., Leone, K., Lipsitz, S., McNally, K., Morrison, C., Samal, L., Mlaver, E., Schnock, K., … Bates, D. W. (2017). Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The promoting respect and ongoing safety through patient engagement communication and technology study. Critical Care Medicine, 45(8), e806–e813. https://doi.org/10.1097/CCM.0000000000002449

Lyles, C. R., Nelson, E. C., Frampton, S., Dykes, P. C., Cemballi, A. G., & Sarkar, U. (2020). Using electronic health record portals to improve patient engagement: Research priorities and best practices. Annals of Internal Medicine, 172(11 Suppl), S123–S129. https://doi.org/10.7326/M19-0876

Manias, E. (2019). A patient-centered care and engagement program in intensive care reduces adverse events and improves patient and care partner satisfaction. Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses, 32(2), 179–181. https://doi.org/10.1016/j.aucc.2018.10.001

Penedo, F. J., Oswald, L. B., Kronenfeld, J. P., Garcia, S. F., Cella, D., & Yanez, B. (2020). The increasing value of eHealth in the delivery of patient-centered cancer care. The Lancet Oncology, 21(5), e240–e251. https://doi.org/10.1016/S1470-2045(20)30021-8

Tebeje, T. H., & Klein, J. (2021). Applications of e-health to support person-centered health care at the time of the COVID-19 pandemic. Telemedicine Journal and E-Health: The Official Journal of the American Telemedicine Association, 27(2), 150–158. https://doi.org/10.1089/tmj.2020.0201

NURS 5051 Module 04 Literature Review Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare for NURS 5051 Module 04 Literature Review Assignment

Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
Identify and select 5 peer-reviewed articles from your research.

The Assignment: (4-5 pages)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:

Identify the 5 peer-reviewed articles you reviewed, citing each in APA format.
Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

NURS 5051 Module 04 Literature Review Assignment; Literature Review Example Solution 2 on Medication Errors

Medication errors are considered one of the most common errors in clinical settings. The barcode medication administration (BCMA) technology has been advocated as an effective system to reduce medication errors.

However, controversial researchers argue that BCMA implementation does not necessarily eliminate administration or dispensing errors, and the system is only as good as the healthcare professionals using them. A gap exists in understanding whether the BCMA reduces administration errors, reducing patient harm.

The following is an annotated bibliography of four articles that examine the impact of BCMA on medication errors and reducing adverse drug effects.

Annotated Bibliography

Barakat, S., & Franklin, B. D. (2020). An evaluation of barcode patient and medication scanning on nursing workflow at a UK teaching hospital. Pharmacy, 8(3), 148. https://doi.org/10.3390/pharmacy8030148

Barakat, S., & Franklin (2020) stated that while BCMA is said to reduce medication error, there is missing data on its effect on nursing workflow. Thus, they researched to investigate BCMA’s impact on nursing activity. Data on nursing activity was conducted before and after BCMA implementation in two surgical wards with 24 beds.

Dispensed medication was stored in patient lockers, and stock medication was stored in lockable cabinets. BCMA was implemented in one ward, and the second one became a control group. Researchers found that the timeliness of medication administration did not improve with the implementation of BCMA. BCMA yielded active, positive patient identification, whereby all 43 patients’ identification was checked before drug administration, unlike in the non-BCMA ward, where only 74% were verified.

NURS 5051 Module 04 Literature Review Assignment

BCMA enabled positive medication verification, identifying 0.4% of medication errors. Efficiencies noted from the implementation of the BCMA included active, positive patient and medication identification. For instance, even if the patient was in ICU, the nurses could easily identify them to administer the correct medication.

This helped to reduce medication errors. Lessons learned from the article are that BCMA implementation may not decrease drug rotation but increases safety by allowing medication and patient verification. For instance, nurses may take the same amount of time to either identify patients manually using the BCMA. However, nurses’ chances of verifying every patient are low in non-BCMA wards.

Othman, E. H., & Darawad, M. W. (2020). Nurses’ compliance with barcode medication administration technology. CIN: Computers, Informatics, Nursing, 38(5), 256- 262. https://doi.org/10.1097/cin.0000000000000591

The research aimed to assess the significance of using barcode medication administration technology on medication errors in the in-patient setting. The BCMA technology was implemented in fifty in-patient nursing units between September 2008 to 0ctober 2010. During the study, 500,000 medications were dispensed every month.

Medication errors decreased by 17% during the barcode system implementation. Additionally, reporting of non-medication events increased by 20%. Errors reduced from 37.25 to 21.03 per 100,000 administered medication after the implementation. The researchers also measured adherence to BCMA implementation in nursing. Results showed that adherence was at 70% during implementation, but by post-implementation, adherence was at 94.4%.

The implementation of the BCMA was efficient and reduced medication errors. For instance, nurses could identify the right patient and the right medication, hence eliminating bedside errors. This reduced the medication harm caused to patients. As the medication errors reduced, nurses’ compliance with BCMA also increased. Lessons learned from the article are that the use of technology in the nursing process helps in eliminating medication errors.

By implementing BCMA, nurses follow the principle of the five rights of medication, which include the right patient, right dosage, right routine, right time, and right drug. This is clear because, after implementing BCMA, nurses could administer medication at the right time compared to pre-BCMA implementation. This way, nurses can reduce the harm caused by medication, thus improving the quality of the patient outcome.

Shah, K., Lo, C., Babich, M., Tsao, N. W., & Bansback, N. J. (2016). Bar code medication administration technology: A systematic review of the impact on patient safety when used with computerized prescriber order entry and automated dispensing devices. The Canadian Journal of Hospital Pharmacy, 69(5). https://doi.org/10.4212/cjhp.v69i5.1594

Shah et al. (2016) conducted a systematic review to assess the BCMA impact on medication errors in the medication administration system. Researchers reviewed articles from databases such as MEDLINE, PubMed, and Embase. Keywords used during the search included bard codes, medication errors, medication system, and hospitals.

Articles that used randomized controlled trials, observational studies, and before and after studies were included. Articles that implemented barcodes outside the hospital were excluded. Of 37 articles, only 5 met the inclusion criteria.

The studies divided errors into near-miss and errors that reach the patients. Researchers found that with BCMA implementation, near-miss errors increased to 90%, which included administration errors. However, there was a 75% reduction in errors reaching the patient.

The use of barcodes increased from 94% to 98%. Findings show that BCMAs were efficient in medication error reduction, hence improving the quality of patient outcomes. However, the major lesson learned is that BCMAs may reduce the harm that reaches the patient.

However, nursing should also be trained in medication dispensing to reduce errors occurring during administration ordering and dispensing. For instance, if nurses do not understand different medicines based on the patient’s age or disease, they will continue making dispensing or ordering errors.

This means that BCMA cannot reduce ordering or dispensing errors but will identify the error right before medication is given to the patient.

Truitt, E., Thompson, R., Blazey-Martin, D., Nisai, D., & Salem, D. (2016). Effect of the implementation of barcode technology and an electronic medication administration record on adverse drug events. Hospital Pharmacy, 51(6), 474-483. https://doi.org/10.1310/hpj5106-474

The research aimed to evaluate the impact of barcode medication administration (BCMA) and electronic medication administration records (e-MAR) on adverse drug events (ADEs). Data on ADEs were taken pre- and post-BCMA and eMAR implementation.

The research was conducted in a 415-bed hospital from 2008 to 2010. A total of 1183 reports were collected throughout the two years and reviewed for accuracy, and a total of 775 reports were analyzed. The number of errors had decreased significantly by 0.20% in ADEs. The number of transcription errors had decreased from 134 to 66, but errors in order writing had increased from 148 to 176.

Researchers also noted that errors occurring in order writing and dispensing did not reach the patient or cause harm. There was no record of ADEs that had caused permanent harm to patients.

The study showed that BCMA and e-MAR technologies reduced medication errors by 20%, from 0.26% to 0.20%. The implementation of BCMA had various efficiencies. BCMA technology alerted the nurses to ensure that medication was given on time.

BCMA implementation encouraged the reporting of more administration errors. Also, even if errors in ordering and transcribing increased, the harm did not get to the patients because the nurses could identify the five rights of medication as they administered medication to patients.

The lesson learned from the article is that BCMA may not reduce medication errors in ordering, transcribing, and dispensing, but it will help nurses identify the right medication, dosage, and patient, ensuring that harm does not reach the patient.

For instance, when the nurse is dispensing medication, he may provide amitriptyline instead of Zoloft. However, the barcode will identify that the patient is supposed to take Zoloft and alarm the error nurse. The article shows that as much as the BCMA can be implemented to reduce medication errors, nurses need to be knowledgeable in using the technology and the right process of ordering medication.

Conclusion for NURS 5051 Module 04 Literature Review Assignment

The four research articles have similar conclusions; BCMA implementation reduces medication errors. BCMA may not reduce the dispensing or order writing errors because they occur before screening can be conducted.

However, before medication is provided to the patient, any medication errors can be identified by scanning the bar on the medication and the patient’s band. Thus, harm will not reach the patient. Therefore, BCMA is an effective technology that reduces medication errors and ADEs.

References for NURS 5051 Module 04 Literature Review Assignment

Barakat, S., & Franklin, B. D. (2020). An evaluation of the impact of barcode patient and medication scanning on nursing workflow at a UK teaching hospital. Pharmacy, 8(3), 148. https://doi.org/10.3390/pharmacy8030148
Othman, E. H., & Darawad, M. W. (2020). Nurses’ compliance with barcode medication administration technology. CIN: Computers, Informatics, Nursing, 38(5), 256- 262. https://doi.org/10.1097/cin.0000000000000591
Shah, K., Lo, C., Babich, M., Tsao, N. W., & Bansback, N. J. (2016). Bar code medication administration technology: A systematic review of the impact on patient safety when used with computerized prescriber order entry and automated dispensing devices. The Canadian Journal of Hospital Pharmacy, 69(5). https://doi.org/10.4212/cjhp.v69i5.1594
Truitt, E., Thompson, R., Blazey-Martin, D., Nisai, D., & Salem, D. (2016). Effect of the implementation of barcode technology and an electronic medication administration record on adverse drug events. Hospital Pharmacy, 51(6), 474- 483. https://doi.org/10.1310/hpj5106-474

NURS 5051 Module 04 Literature Review Assignment Rubric Detail

Select Grid View or List View to change the rubric’s layout.
Name: NURS 5051 Module04 Week08 Assignment Rubric

Excellent
Good
Fair
Poor

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:

Properly identify 5 peer-reviewed articles selected.
Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described.

Be specific and provide examples. 77 (77%) – 85 (85%)

The responses accurately and clearly identify 5 peer-reviewed research articles for the Assignment.
The responses accurately and thoroughly summarize in detail each study reviewed, explaining in detail the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described.

Specific, accurate, and detailed examples are provided which fully support the responses. 68 (68%) – 76 (76%)

The responses identify 5 peer-reviewed research articles for the Assignment.
The responses summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described.

Accurate examples are provided which support the responses provided. 60 (60%) – 67 (67%)

The responses vaguely or inaccurately identify 5 or less peer-reviewed articles for the Assignment.
The responses summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described that is vague or inaccurate.

Examples provided to support the responses are vague or inaccurate. 0 (0%) – 59 (59%)

The responses vaguely and inaccurately identify less than 5 peer-reviewed articles for the Assignment, or are missing.
The responses vaguely and inaccurately summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described, or are missing.
Examples provided to support the responses are vague and inaccurate, or are missing.

Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. 5 (5%) – 5 (5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. 4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time. 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors. 4 (4%) – 4 (4%)
Contains a few (1-2) grammar, spelling, and punctuation errors. 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) grammar, spelling, and punctuation errors. 0 (0%) – 3 (3%)
Contains many (? 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list. 5 (5%) – 5 (5%)

Uses correct APA format with no errors. 4 (4%) – 4 (4%)
Contains a few (1-2) APA format errors. 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) APA format errors. 0 (0%) – 3 (3%)
Contains many (? 5) APA format errors.

Total Points: 100

Name: NURS 5051 Module 04 Literature Review Assignment

Learning Resources for NURS 5051 Module 04 Literature Review Assignment

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Media for NURS 5051 Module 04 Literature Review Assignment

Laureate Education (Producer). (2018). Public Health Informatics [Video file]. Baltimore, MD: Author.

Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Laureate Education (Producer). (2018). Electronic Records and Managing IT Change [Video file]. Baltimore, MD: Author.

Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

NURS 5051 Module 04 Literature Review Assignment Template

The Use of Clinical Systems to Improve Outcomes and Efficiencies

This type of assignment is considered an “Annotated Bibliography”. You should review the sample Annotated Bibliography from the writing center to help you complete this assignment. You do not need a reference page as you will cite each article before discussing it. In this assignment, you will review research studies focused on the application of one type of clinical system of your choosing. Listed below are examples of clinical systems:

Inpatient Electronic Health Records (EHR)
Outpatient EHRs
Computerized Provider Order Entry (CPOE)
Specialty Systems:
- Emergency Department Information System
- ICU Information System
- Cardiology Information Systems
- Operating Room Information System
Ancillary Information Systems
- Laboratory Information Systems
- Pharmacy Information Systems
- Radiology Information Systems
Electronic Medication Administration Record (eMAR)
Bar Code Medication Administration (BCMA) Systems,
Smart Pumps
Care Planning Systems
Messaging Systems
Alerts and Clinical Decision Support Systems
Telehealth Systems
Patient Portals
Patient Tracking Systems
Remote Monitoring Systems
Artificial Intelligence Systems
Patient Education Systems

After selecting one type of clinical system, you will conduct a search for recent (within the last 5 years) research studies that examined the improvement in outcomes and/or efficiencies. These studies need to report on the results of a research study and appear in a scholarly journal, you should not use studies reported in conference proceedings.

NURS 5120 Problem Focused History SOAP Note Form Breast CancerNURS 5120 Problem ...

NURS 5120 Problem Focused History SOAP Note Form Breast Cancer

The student will complete a written documentation of the encounter utilizing the Adult SOAP note template (under Student Resources), including Subjective & Objective findings, Diagnosis with differentials, diagnosis with ICD 10 codes, plan for treatment/referrals, rationale, pathophysiology and follow up with citations and references (APA format).

ORDER THROUGH BOUTESSAY

NURS 5120 Problem Focused History SOAP Note Form Breast Cancer Instructions

Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the
Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

NURS 521 Essays Ethics in HealthcareNURS 521 Essays Ethics in HealthcareNursing ...

NURS 521 Essays Ethics in Healthcare

Nursing and Health Care Ethics explores the work of nurse scholars in ethics, and creatively looks back to assess previous accomplishments and forward to find new directions and strengthen future scholarly contributions in nursing ethics. The content of each class is focused on weekly critical thinking discussion groups based on the reading assignment which gives the student an opportunity to examine and evaluate information regarding the unique contributions of nurses to ethics and health care. Critical thinking activities, organized by the book’s themes are examples of applying these scholarly insights into practice.

Week 1 Discussion Forum in NURS 521 Essays Ethics in Healthcare

Discussion Prompt #1

Reflect upon the survey you took. In your initial response, address some of the following questions. Explain your answers.

Did you find it easy to make confident and decisive decisions with several strongly agree or strongly disagree answers, or did you select mostly moderate responses?

Did any subject areas trigger personal emotions or issues? If so, do you feel you were able to remain objective?

Were any of the decisions especially difficult to make?

Did you employ any critical thinking or resolution strategies to determine a response?

Did you rely on policy or legal parameters to make your decisions?

Would you be comfortable making your answers to the survey public, or do you prefer anonymity?

Have you dealt with similar situations and could you perceive similar situations occurring in your clinical practice?

How might a moral inventory such as this survey impact your clinical practice?

Please share additional thoughts as well.

Discussion Prompt #2

Identify examples of active and latent errors. Provide examples from your clinical experience, if possible. How can such errors be avoided to support better patient care?

Week 2 discussion on NURS 521 Essays Ethics in Healthcare

Discussion Prompt #1

Explain the statement, “What may be an ethical dilemma for one registered nurse may not be an ethical dilemma for another registered nurse.” Be sure to define an ethical dilemma in the course of your discussion. Describe a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. (Be sure to respect and maintain patient and colleague confidentiality.)

Discussion Prompt #2

Apply the framework of The Five R’s approach to ethical nursing practice from this week’s reading to answer the questions about values and choices.

What are values?

Q. What are your personal values?

Q. Why do you value them?

Q. What are the values in your society?

Q. How do you make choices?

Q. Are your choices based on your values?

Q. What values are useful in society?

What are the limits to personal choice?

Q. Who limits your choices?

Q. Are limits to choices good?

Q. Do you limit other people’s choices?

Q. Should the health care organization or the government limit people’s choices? If so, how, and under what circumstances?

In your responses to peers, feel free to agree, disagree, question, compare, and discuss each other’s responses in a way that fosters thoughtful and respectful dialog. You may also address the following: Did any responses surprise you? If so, how? Did reading your peers’ responses to the questions expand your own view of ways to answer questions?

Finally, consider this: A common idea in health care is that if you are drawn to health care as a profession, you are inherently guided by an inner compass that is composed of a strong moral framework. Why is this a dangerous assumption?

NURS 521 Essays Ethics in Healthcare Assignment Papers – Week 3 discussion

Discussion Prompt #1

Discuss the potential controversy when considering a patient’s right to know whether a caregiver has AIDS, and the caregiver’s right to privacy and confidentiality. Consider the following: A physician cut his hand with a scalpel while he was assisting another physician. Because of the uncertainty that blood had been transferred from the physician’s hand wound to the patient through an open surgical incision, he agreed to have a blood test for HIV. His blood tested positive for HIV and he withdrew himself from participation in further surgical procedures. Discuss the ethical and legal issues.

Discussion Prompt #2

The following questions refer to your experience in this week’s exercise, Conducting Moral and Ethical Dialog in Clinical Practice. Describe your overall experience with the moral and ethical dialog exercise, and address at least three (3) of the following:

Did you find any of the scenarios more difficult to deal with than others?

Did you feel any internal conflict with any of the scenarios?

How did your personal and professional background impact how you decided to interact with the patient?

Do you feel the responses the patient gave to the practitioner’s response were reasonable or typical?

Were you taken aback by any of the patient reactions?

How might this activity contribute to your role as a nurse advocate in a moral and ethical practice?

Did you utilize an ethical decision making model to explore a systematic way to evaluate any of these ethical dilemmas? If so, describe the effectiveness.

NURS 521 Ethics in Healthcare Essay Assignment Papers – Week 4 discussion

Discussion Prompt #1

Apply the differences between negligence and malpractice to the practice of nursing. Provide examples to illustrate your points.

Discussion Prompt #2

Read the following article and view the video on the same case. How can this example be used as an illustration of maintaining patient safety and providing safe, effective care? Identify some of the possible barriers that nurses face when acting on what they believe to be the morally correct action in this particular case.

Patient Safety Advocate Carole Hemmelgarn

NURS521 Ethics in Healthcare Essay Assignment Papers – Week 5 discussion

Discussion Prompt #1

Specifically define the role of the registered nurse in patient advocacy. Describe situations in which nursing advocacy can assist patients within the healthcare environment. Defend why nurses are, or are not, adequately prepared, in prelicensure education, to act as patient advocates.

Discussion Prompt #2

The ANA Code of Ethics currently emphasizes the word “patient” instead of the word “client” in referring to nursing care recipients. Do you agree with this change? Why or why not? Review the ANA Code of Ethics for Nurses with Interpretive Statements found in Appendix B of your Butts text.

Week 6 discussion on NURS 521 Essays Ethics in Healthcare

Discussion Prompt #1

Identify two issues that a nurse might bring to an institutional ethics committee. Describe why the nurse should bring these issues to the ethics committee. Elaborate on how a nurse should prepare to present one of the issues to the ethics committee.

Discussion Prompt #2

Betty, the chief nursing officer, had to make a decision about buying 120 new hospital beds for patient rooms. After she interviewed nurse mangers at the units where the beds were going to be placed, Betty compiled her findings and decided to contact a well-known equipment company to obtain prices and contracts.

The equipment company’s executive salesperson, Jim, discussed options at length with her and invited her and her significant other to an upcoming all-expenses-paid lavish retreat at a five-star hotel in Hawaii to see demonstrations of the beds and to hear a comprehensive sales pitch. Betty thought to herself, “We badly need some relaxation and stress relief. Hawaii would be so much fun. Would it be wrong for us to go?”

If you were Betty, what would you do? Give your rationale. Justify your answer with an ethical framework—a theory, approach, or principle.

Do you consider this situation a conflict of interest? Why or why not? Give your rationale.

What policies, if any, should be in place regarding a scenario such as this one? Do you have any such policies in place at work for similar situations? Do such policies impact day-to-day activities in any way? Explain.

NURS 521 Week 7 discussion on NURS 521 Essays Ethics in Healthcare

Discussion Prompt #1

Discuss the elements of informed consent and provide a clinical example about what can happen when some elements are not adhered to.

Discussion Prompt #2

Describe an organizational environment that would facilitate the ethical practice of nurses caring for chronically ill patients. As you read about patient rights, describe one patient right that is often not fully implemented in the patient care environment. Identify specific strategies to help ensure that this right is supported within the patient care environment. Explain how the registered nurse can assist in protecting patient rights.

Week 8 discussion

Discussion Prompt #1

Describe a clinical situation in which a registered nurse may encounter moral distress. Answer the AACN’s Four A’s found on page 84 in your Butts and Rich text to further explain the situation, and the possible mitigation strategies.

Discussion Prompt #2

Describe different ways that social media use can violate ethical nursing practices. How can ethical social media use be beneficial to health care professionals and their patients?

NURS 521 Ethics in Healthcare Essay – Week 1 Virtue Ethics Essay

Respond to one of the following three “news clippings” related to virtue ethics from your Pozgar text. Write a 1- 2 page essay addressing the discussion questions posed for the one you selected. Be sure to clearly identify the news clipping you selected.

Adhere to APA formatting and cite all sources. Review the rubric for further information on how your will be graded.

Due: Sunday, 11:59 p.m. (Pacific time)

Points: 40

Watch the following 3 videos and choose one to address for your assignment.

#1. Wrong-Operation Doctor

Download Script

Find Out More: You may use these and other outside sources to frame your discussion.

The Pain of Wrong Site Surgery

Judgment Upheld in Arkansas Brain Surgery Lawsuit

National Quality Forum

Assignment Discussion Questions

1. Discuss the issues of integrity in this case.

2. Should criminal charges be considered in this case, if accurately reported? Discuss your answer.

3. Why did you choose to respond to this story?

4. How is integrity displayed in your clinical setting?

#2. Cheney’s Staff Cuts Testimony on Warming

Download Script

Find Out More: You may use these and other outside sources to frame your discussion.

The full story Cheney’s Staff Cut Testimony On Warming

CDC on Air Quality

Assignment Discussion Questions on NURS 521 Essays Ethics in Healthcare

1. Discuss how headlines such as this affect your opinion of politicians.

2. At the end of our days, the most basic principles of life–trust and survival–are on trial. What is your verdict, if you believe there was a cover-up?.

3. Why did you choose to respond to this story?

4. How are government and political trust displayed in your clinical setting?

#3. Surgeon Uses Ministry in Medical Practice

Download Script

Find Out More: You may use these and other outside sources to frame your discussion.

The full story: Praying with patients: A Dallas surgeon finds a way to put ministry into practice

Should Your Doctor Pray With You?

South Korean Hospitals Shut Over MERS Fears; 11th Person Dies

Note the picture in this article

Assignment Discussion Questions

1. Discuss the pressure, if any, placed on the patient to responding to the suggestion of prayer prior to surgery.

2. Describe how you, as the surgeon, or nurse, would address a patient’s religious or spiritual needs if the risks of a complex surgical procedure appear to be threatening.

3. Why did you choose to respond to this story?

4. How is religion or faith displayed in your clinical setting?

NURS 521 Essays Ethics in Healthcare Week 2 Ethical Frameworks Essay

Consider the “Four Topics Approach” (or Four Box method) to ethical decision making on page 61, Table 2.1 in Butts (below). Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.

In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way? Does this seem like a valid process for you to apply in your practice?

Your should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.

Review the rubric for further information on how your assignment will be graded.

Optional: You may download this pdf, complete it using correct grammar and APA, and submit it as your assignment in lieu of writing a paper. *You will need Adobe Acrobat in order to utilize this fillable .pdf form.

Due: Sunday, 11:59 p.m (Pacific time)

Points: 60

TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics Cases

Medical Indications: The Principles of Beneficence and Nonmaleficence

1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?

2. What are the goals of treatment?

3. In what circumstances are medical treatments not indicated?

4. What are the probabilities of success of various treatment options?

5. In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?

Patient Preferences: The Principle of Respect for Autonomy

1. Has the patient been informed of benefits and risks, understood this information, and given consent?

2. Is the patient mentally capable and legally competent, and is there evidence of incapacity?

3. If mentally capable, what preferences about treatment is the patient stating?

4. If incapacitated, has the patient expressed prior preferences?

5. Who is the appropriate surrogate to make decisions for the incapacitated patient?

6. Is the patient unwilling or unable to cooperate with medical treatment? If so, why?

Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy

1. What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?

2. On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?

3. Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?

4. What ethical issues arise concerning improving or enhancing a patient’s quality of life?

5. Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?

6. What are plans and rationale to forgo life-sustaining treatment?

7. What is the legal and ethical status of suicide?

Contextual Features: The Principles of Justice and Fairness

1. Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?

2. Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?

3. What are the limits imposed on patient confidentiality by the legitimate interests of third parties?

4. Are there financial factors that create conflicts of interest in clinical decisions?

5. Are there problems of allocation of scarce health resources that might affect clinical decisions?

6. Are there religious issues that might influence clinical decisions?

7. What are the legal issues that might affect clinical decisions?

8. Are there considerations of clinical research and education that might affect clinical decisions?

9. Are there issues of public health and safety that affect clinical decisions?

10. Are there conflicts of interest within institutions and organizations (e.g., hospitals) that may affect clinical decisions and patient welfare?

NURS 521 Essays Ethics in Healthcare Week 3 Contemporary Issue Position

Choose a case from the AMA Journal of Ethics Case Index and take a position. For this assignment you will evaluate the ethical arguments for or against the issue. Identify the potential legal arguments (consider current federal guidelines), indicate any potential professional code conflicts you foresee, and support your position with an explanation of your own ethical/moral foundation.

In your 2-3 page paper:

Identify the issue and state your ethical position.

How might this scenario play out or impact you in your role as a nurse practitioner?

Defend your position with legal, ethical, and professional evidence.

As part of your position, propose strategies and solutions for addressing the issues.

What other ethical issues does this case bring to light, if any?

Support your position with at least one scholarly source (it may be your text). Be sure to cite the article you choose, use APA format, and include a title page and reference page.

Review the rubric for further information on how your assignment will be graded.

Week 4 Article Summary and Review Essay

Choose one of the articles below, and address the essay prompt associated with it. You will need to log in to the WCU library to access the full article.

Park, M. (2009). Ethical issues in nursing practice. Journal of Nursing Law, 13(3), 68-77. doi:10.1891/1073-7472.13.3.68

Link: Ethical issues in nursing practice

Essay Prompt: Identify primary areas for legal and ethical issues faced by oncology nurses in this study (Park, 2009), and strategies they may have developed to work with those ethical issues.

Or,

Croke, E. (2006). Nursing malpractice: determining liability elements for negligent acts. Journal of Legal Nurse Consulting, 17(3), 3.

Link: Nursing malpractice: determining liability elements for negligent acts

Essay Prompt: Identify primary problems that led to the malpractice suits (Croke, 2006), and identify the role the nurse played and what the nurse did wrong.

Your 1-2 page paper should include adhere to APA formatting and references/ citations for the article. Additional sources are optional.

Review the rubric for further information on how your assignment will be graded.

Week 5 Field Activity Paper

This assignment will have three parts addressing two important pieces of legislation related to the right of individuals to make health care decisions for themselves.

Part I

The Advance Health Care Directive

Locate a copy of an advanced directive (AD) that complies with the laws of the state in which you work. The organization in which you work should have a copy of an advance directive that is given to patients. If not, download your state’s Advance Directives here http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3289.

Complete the advance directive for yourself. Do not turn in your AD with your paper. The AD is for your personal use.

In your paper, Part I:

Identify where you obtained the AD and explain its compliance with state law.

Conduct research (1-2 sources) to learn more about the AD in your state and explain how it works.

Discuss how easy or difficult it was to complete the AD. Your comments should be specific and both objective and subjective. For example, when you state your personal feelings, you must relate them to the literature (textbook and research) that discusses this process and the difficulties that many people face when completing an advance directive.

(Cite/ reference any sources you use to explore these questions, including your texts.)

Part II

Physician Orders for Life-Sustaining Treatment (POLST) Form

What is a Physician Orders for Life-Sustaining Treatment (POLST) form?

When should this form be completed?

Who can complete the form?

Who needs to sign the form to make it a legal document?

(Cite/reference any sources you use to explore these questions, including your texts.)

Part III

Tie the two first sections together by writing a summary and conclusion.

This section should address:

1. the differences between an Advance Health Care Directive and the POLST,

2. the RN’s important role in assuring the patient’s right to autonomy in choosing the healthcare interventions the patient does or does not want.

Use current APA format.

The paper should be between 3-5 pages in length excluding the title and reference page(s).

Cite and reference the course text and at least two (2) additional appropriate professional sources.

Review the rubric for further information on how your assignment will be graded.

NURS 521 Essays Ethics in Healthcare Week 6 Organizational Ethics Presentation

This week, you will submit your presentation using the Kaltura recording tool within Blackboard. See the Getting Started with Kaltura link listed under the Resources area in your course menu to learn how to use this tool. Your presentation must include both audio and visual components and be professional in nature.

You will submit your final presentation here for grading, and you will submit it to the discussion board this week as a draft for your peers to review and as a final product to share. See the discussion board for details.

1. Choose a topic below.

Taken from the assigned reading in Butts chapter 12, page 401, “Ethical Reflection: Typical Unethical or Illegal Behaviors in Organizations”

2. Create a presentation of 10-15 slides or screens excluding the title and references.

Your slides/screen should include titles, main ideas, bullet points, and relevant images, charts, graphs, etc.

3. In your presentation:

Describe an ethical situation, based on the chosen topic, that can get in the nurse’s way of practicing ethically. Describe the situation clearly and concisely.

Identify how this situation relates to one provision within the Code of Ethics for Nurses.

Identify two ethical principles that may arise when facing this situation.

Discuss how a nurse might lessen the impact of the situation on the nurse’s practice.

In addition to the course texts, cite and reference a minimum of two (2) additional scholarly sources to support your work.

Close with a summary of your topic, and APA formatted reference slide(s).

Audio is optional.

Review the rubric for further information on how your assignment will be graded.

NURS 521 Week 7 Advocacy Paper

Choose a patient-care situation in which the RN should intervene and advocate for the patient. An example of such a situation might be when a patient has not been given complete informed consent.

Include the following in your paper:

Describe the clinical situation concisely and descriptively. It can be an actual situation or a hypothetical one.

Apply the Bioethical Decision Making Model to the specific clinical ethical situation that you choose. Address each section of the model in your paper.

Conclude with a discussion of nursing advocacy in the clinical setting and the nurse’s role as a patient advocate.

Your paper should be 4-5 pages.

You must reference and cite 1-2 scholarly sources other than your text. Include a title page and a reference page to cite your text and adhere to APA formatting.

Review the rubric for further information on how your assignment will be graded.

Week 8 Nine Tenets Essay

Reviewing Appendix B in Butts, choose two of the Nine Tenets of the Code of Ethics for Nurses and describe how you will personally apply each tenet in the practice setting with your patients. Describe in detail the purpose of the tenet and provide examples of the tenet applied in practice. Explain why it is important to uphold the tenet in maximizing the quality of patient care, and identify how it enhances your own practice as a nurse.

Your paper should be 1-2 pages.

Include a title page and a reference page to cite your text. Adhere to APA formatting throughout, and cite any outside sources you may use.

Review the rubric for further information on how your assignment will be graded.

NURS 521 Week 4 Article Summary and Review Assignment EssayNURS 521 Week 4 Artic ...

NURS 521 Week 4 Article Summary and Review Assignment Essay

Choose one of the articles below, and address the essay prompt associated with it. You will need to log in to the WCU library to access the full article.

Park, M. (2009). Ethical issues in nursing practice. Journal of Nursing Law, 13(3), 68-77. doi:10.1891/1073-7472.13.3.68

Link: Ethical issues in nursing practice

Essay Prompt: Identify primary areas for legal and ethical issues faced by oncology nurses in this study (Park, 2009), and strategies they may have developed to work with those ethical issues.

Or,

Croke, E. (2006). Nursing malpractice: determining liability elements for negligent acts. Journal of Legal Nurse Consulting, 17(3), 3.

NURS 521 Week 4 Article Summary and Review Assignment Essay

Link: Nursing malpractice: determining liability elements for negligent acts

Essay Prompt: Identify primary problems that led to the malpractice suits (Croke, 2006), and identify the role the nurse played and what the nurse did wrong.

Your 1-2 page NURS 521 Week 4 Article Summary and Review Assignment Essay paper should include adhere to APA formatting and references/ citations for the article. Additional sources are optional.

Review the rubric for further information on how your assignment will be graded.

CLICK HERE TO ORDER YOUR NURS 521 ASSIGNMENTS

NURS 521 Ethics in Healthcare Essay Assignment Papers – Week 5 Field Activity Paper

This assignment will have three parts addressing two important pieces of legislation related to the right of individuals to make health care decisions for themselves.

Part I The Advance Health Care Directive

Complete the advance directive for yourself. Do not turn in your AD with your paper. The AD is for your personal use.

In your paper, Part I:

Identify where you obtained the AD and explain its compliance with state law.
Conduct research (1-2 sources) to learn more about the AD in your state and explain how it works.
Discuss how easy or difficult it was to complete the AD. Your comments should be specific and both objective and subjective. NURS 521 Week 4 Article Summary and Review Assignment Essay. For example, when you state your personal feelings, you must relate them to the literature (textbook and research) that discusses this process and the difficulties that many people face when completing an advance directive.

(Cite/ reference any sources you use to explore these questions, including your texts.)

Part II

Physician Orders for Life-Sustaining Treatment (POLST) Form
What is a Physician Orders for Life-Sustaining Treatment (POLST) form?
When should this form be completed?
Who can complete the form?
Who needs to sign the form to make it a legal document?

(Cite/reference any sources you use to explore these questions, including your texts.)

Part III

Tie the two first sections together by writing a summary and conclusion.

This section should address:

1. the differences between an Advance Health Care Directive and the POLST,

2. the RN’s important role in assuring the patient’s right to autonomy in choosing the healthcare interventions the patient does or does not want.

Use current APA format.

The paper should be between 3-5 pages in length excluding the title and reference page(s).
Cite and reference the course text and at least two (2) additional appropriate professional sources.
Review the rubric for further information on how your assignment will be graded.

Week 6 Organizational Ethics Presentation

This week, you will submit your presentation using the Kaltura recording tool within Blackboard. See the Getting Started with Kaltura link listed under the Resources area in your course menu to learn how to use this tool. NURS 521 Week 4 Article Summary and Review Assignment Essay. Your presentation must include both audio and visual components and be professional in nature.

1. Choose a topic below.

Taken from the assigned reading in Butts chapter 12, page 401, “Ethical Reflection: Typical Unethical or Illegal Behaviors in Organizations”

2. Create a presentation of 10-15 slides or screens excluding the title and references.

Your slides/screen should include titles, main ideas, bullet points, and relevant images, charts, graphs, etc.

3. In your presentation:

Describe an ethical situation, based on the chosen topic, that can get in the nurse’s way of practicing ethically. Describe the situation clearly and concisely.
Identify how this situation relates to one provision within the Code of Ethics for Nurses.
Identify two ethical principles that may arise when facing this situation.
Discuss how a nurse might lessen the impact of the situation on the nurse’s practice.
In addition to the course texts, cite and reference a minimum of two (2) additional scholarly sources to support your work.
Close with a summary of your topic, and APA formatted reference slide(s).
Audio is optional.
Review the rubric for further information on how your assignment will be graded.

NURS 521 Week 7 Advocacy Paper

Choose a patient-care situation in which the RN should intervene and advocate for the patient. An example of such a situation might be when a patient has not been given complete informed consent.

Include the following in your paper:

Describe the clinical situation concisely and descriptively. It can be an actual situation or a hypothetical one.
Apply the Bioethical Decision Making Model to the specific clinical ethical situation that you choose. Address each section of the model in your paper.
Conclude with a discussion of nursing advocacy in the clinical setting and the nurse’s role as a patient advocate.
Your paper should be 4-5 pages.
You must reference and cite 1-2 scholarly sources other than your text. Include a title page and a reference page to cite your text and adhere to APA formatting.
Review the rubric for further information on how your assignment will be graded.

NURS 521 Week 4 Article Summary and Review Assignment Essay Week 8 Nine Tenets Essay

Reviewing Appendix B in Butts, choose two of the Nine Tenets of the Code of Ethics for Nurses and describe how you will personally apply each tenet in the practice setting with your patients.

Describe in detail the purpose of the tenet and provide examples of the tenet applied in practice.
Explain why it is important to uphold the tenet in maximizing the quality of patient care, and identify how it enhances your own practice as a nurse.
Your paper should be 1-2 pages.
Include a title page and a reference page to cite your text. Adhere to APA formatting throughout, and cite any outside sources you may use.
Review the rubric for further information on how your assignment will be graded.

NURS 521 Week 7 Discussion AssignmentsNURS 521 Week 7 Discussion AssignmentsDisc ...

NURS 521 Week 7 Discussion Assignments

Discussion Prompt #1

Discuss the elements of informed consent and provide a clinical example about what can happen when some elements are not adhered to.

Discussion Prompt #2

NURS 521 Week 8 discussion on NURS 521 Week 7 Discussion Assignments

Discussion Prompt #1

Discussion Prompt #2

Describe different ways that social media use can violate ethical nursing practices. How can ethical social media use be beneficial to health care professionals and their patients?

NURS 521 Week 7 Discussion Assignments

NURS 521 Ethics in Healthcare Essay Assignment Papers – Week 1 Virtue Ethics Essay

Adhere to APA formatting and cite all sources. Review the rubric for further information on how your will be graded.

Due: Sunday, 11:59 p.m. (Pacific time)

Points: 40

Watch the following 3 videos and choose one to address for your assignment.

#1. Wrong-Operation Doctor

Download Script

Find Out More: You may use these and other outside sources to frame your discussion.

The Pain of Wrong Site Surgery

Judgment Upheld in Arkansas Brain Surgery Lawsuit

National Quality Forum

Assignment Discussion Questions

1. Discuss the issues of integrity in this case.

2. Should criminal charges be considered in this case, if accurately reported? Discuss your answer.

3. Why did you choose to respond to this story?

4. How is integrity displayed in your clinical setting?

#2. Cheney’s Staff Cuts Testimony on Warming

Assignment Discussion Questions on NURS 521 Week 7 Discussion Assignments

1. Discuss how headlines such as this affect your opinion of politicians.

2. At the end of our days, the most basic principles of life–trust and survival–are on trial. What is your verdict, if you believe there was a cover-up?.

3. Why did you choose to respond to this story?

4. How are government and political trust displayed in your clinical setting?

#3. Surgeon Uses Ministry in Medical Practice

Download Script

Find Out More: You may use these and other outside sources to frame your discussion.

The full story: Praying with patients: A Dallas surgeon finds a way to put ministry into practice

Should Your Doctor Pray With You?

South Korean Hospitals Shut Over MERS Fears; 11th Person Dies

Note the picture in this article

Assignment Discussion Questions

1. Discuss the pressure, if any, placed on the patient to responding to the suggestion of prayer prior to surgery.

2. Describe how you, as the surgeon, or nurse, would address a patient’s religious or spiritual needs if the risks of a complex surgical procedure appear to be threatening.

3. Why did you choose to respond to this story?

4. How is religion or faith displayed in your clinical setting?

NURS 521 Week 7 Discussion Assignments Assignment Papers – Week 2 Ethical Frameworks Essay

Your should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.

Review the rubric for further information on how your assignment will be graded.

Due: Sunday, 11:59 p.m. (Pacific time)

Points: 60

TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics Cases

Medical Indications: The Principles of Beneficence and Nonmaleficence

1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?

2. What are the goals of treatment?

3. In what circumstances are medical treatments not indicated?

4. What are the probabilities of success of various treatment options?

5. In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?

Patient Preferences: The Principle of Respect for Autonomy

1. Has the patient been informed of benefits and risks, understood this information, and given consent?

2. Is the patient mentally capable and legally competent, and is there evidence of incapacity?

3. If mentally capable, what preferences about treatment is the patient stating?

4. If incapacitated, has the patient expressed prior preferences?

5. Who is the appropriate surrogate to make decisions for the incapacitated patient?

6. Is the patient unwilling or unable to cooperate with medical treatment? If so, why?

Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy

1. What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?

2. On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?

3. Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?

4. What ethical issues arise concerning improving or enhancing a patient’s quality of life?

5. Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?

6. What are plans and rationale to forgo life-sustaining treatment?

7. What is the legal and ethical status of suicide?

Contextual Features: The Principles of Justice and Fairness