NR 510 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
Chamberlain University NR 510 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 510 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NR 510 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
Whether one passes or fails an academic assignment such as the Chamberlain University NR 510 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NR 510 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
The introduction for the Chamberlain University NR 510 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for NR 510 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
After the introduction, move into the main part of the NR 510 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NR 510 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NR 510 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NR 510 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
My immediate action is to address the patient’s reason for the visit. According to Mitchell and Oliphant (2016), I have a responsibility to conduct a comprehensive patient interview or consultation before prescribing any medications. While there are ethical issues with what Stephanie did, even though her intentions were good, this must be addressed in private later. Mrs. Smith has already taken a prescribed dose of amoxicillin for her cough. If the amoxicillin has not cleared up the cough, I should not provide her with a refill order just yet. This may have been the wrong medicine to prescribe for a cough in the first place. For one, if Mrs. Smith felt comfortable with Stephanie calling in a prescription order without the doctor’s consent, this may not be the first time she has been prescribed an antibiotic without being checked-out first. Mrs. Smith may have developed a resistance to the antibiotic. Norris et al. (2013) state antibiotic resistance is a serious, growing threat that causes the bacteria in patients’ bodies to become immune to the antibiotics medicinal properties. Many respiratory conditions are viral infections not bacteria-based illnesses, and Mrs. Smith may not have known that antibiotics only work against bacteria. There are many possible factors as to why Mrs. Smith has developed a chronic cough. I should conduct her physical exam and ask her questions about her cough (when it developed, the type of cough like wet or dry, does the patient smoke, any shortness of breath, has she taken any medication other than amoxicillin to treat the cough). I should then draw Mrs. Smith’s blood to send to lab for testing to determine if she has become resistant to amoxicillin. Also, during her physical, I can see if movement or exertion prompt her to cough. Once the physical has been performed and cough symptoms evaluated, I will take medications, past health history, and any present conditions I have recognized during the physical into consideration then decide on the best cough treatment plan. Once the patient has been taken care of, I will create thorough notes to document the visit, my findings and actions, and Stephanie’s actions then report what has occurred to the primary physician and office manager.
Reference
Mitchell, A., & Oliphant, C. M. (2016). Responsibility for ethical prescribing. The Journal for Nurse Practitioners, 12(3), A20. Retrieved from DOI: https://doi.org/10.1016/j.nurpra.2016.01.008Links to an external site.
Norris, P., Chamberlain, K., Dew, K., Gabe, J., Hodgetts, D., & Madden, H. (2013). Public beliefs about antibiotics, infection and resistance: A qualitative study. Antibiotics, 2(4), 465-476. doi:10.3390/antibiotics2040465
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Sample Answer 2 for NR 510 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
I am glad that you brought up looking at Stephanie’s reasoning or mindset about the situation. I think you are right that Stephanie was trying to help or avoid a confrontation with the patient, but Stephanie’s decision definitely made the situation worse instead of better. I cracked up about your comments regarding the patient who wrote a letter to the president of the hospital for not receiving an antibiotic for dehydration. That patient should be writing the president a thank you note for your great nursing. What this patient did not realize is that a possible side effect to taking antibiotics is diarrhea. If not monitored properly, diarrhea can cause severe dehydration. Today, patients are so quick to file lawsuits against doctors and nurses if they do not get their way or if the outcome of the medical procedure is not what they expected it to be. Is there a solution to minimizing the number of medical lawsuits filed per year? After researching my own question, I came across an article that discusses the profile of patients most likely to file litigious claims. The article states, respecting patients’ need for information during clinical consultations and disclosing medical errors when they occur is the more patient-centered approach and the best way to lessen the likelihood of a claim (Tsimtsiou, 2014). The point of this statement is that medical staff need to be more forthcoming to patients instead of trying to please them. If Stephanie had politely informed the patient that she would have to wait until her appointment to discuss her refill request for the antibiotic, noted the patient’s file, and forwarded the patient’s request to the NP assigned to the patient, Stephanie would have followed protocol and taken a patient-centered approach.
References
Tsimtsiou, Z., Kirana, P., Hatzimouratidis, K., & Hatzichristou, D. (2014). What is the profile of patients thinking of litigation? Results from the hospitalized and outpatients’ profile and expectations study. Hippokratia, 18(2), 139–143.
Sample Answer 3 for NR 510 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
For this case study, I feel that having a prescription or any medication ordered and placed under my name is a major concern, especially seeing that it was not order with a provider’s judgment. My view regarding this case study may seem strong however; this may be related to the fact that I am currently learning and developing a foundation and understanding of the roles, function, and scope of practice of an advance-practicing nurse, family nurse practitioner. According to Gregory (2014), regardless of the years of services of a medical assistant, they are not allowed to prescribe medication to clients. In fact, depending on the state laws and facility policy that the medical assistant is working, they may be allow to telephone prescriptions to the pharmacy, assess and record vital signs, and report acute, abnormal lab such as glucose findings to nurses. However, they are not allowed to prescribe any form of medication as this is not within their scope of practice and is considered unethical and unlawful (Hoke and Hexem, 2017).
Furthermore, because both the medical assistant and the nurse practitioner know that prescribing medication under the name of a provider without appropriate orders is unlawful and unethical, I do believe that the next logical sound course of action would be to discuss disciplinary action with the medical assistant. I do not think is an extreme measure due to the years of experience of the medical assistant has, she should definitely know what is lawful and ethical within his or her job description. I actually see and hear of similar situations to this case study in my place of employment, as far as employees practicing or implementing interventions out of their scope of practice and job description. I have personally experience nurse assistants attempt to carry out and delegate Registered Nurses interventions and orders that were outside of their job description. However, I have not witness to the extent of a medical assistant ordering and prescribing a medication under a nurse practitioner or doctor.
In addition to the disciplinary action that I would hold to the medical assistant, I would also reinforce the practice expectations as to what is within their scope of practice/job description including the policy and procedure. I feel this is essential because if nothing the assistant is not held accountable or if the issue is not address regarding her unlawful and unethical actions the next situation could be worse. This is a serious matter because regardless of the rapport and years of experience she has still does not hold the sound judgment and competence of an advance-practicing nurse nor a physician to make such a decision.
Reference
Gregory, M. (2014). Researching the Scope of Practice for Medical Assistants. AAACN Viewpoint, 36(2), 13-14.
Hoke, K., & Hexem, S. (2017). Expanding Access to Care: Scope of Practice Laws. Journal Of Law, Medicine & Ethics, 4533-36. doi:10.1177/1073110517703316
Sample Answer 4 for NR 510 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
This is a tough legal question, but I would think since the employee is in breach of contract, there must be a law established to protect the employer. I really don’t know the answer, so I looked up a recent case Doe v. Guthrie Clinic, Ltd. The ruling was the medical clinic was not liable for employee’s disclosure of confidential medical information. The court ruled, “a medical corporation is generally not liable for an employee’s tort outside the scope of employment” and the court refused to impose “absolute liability” on the medical clinic for the nurse’s dissemination of a patient’s confidential medical information. The court’s reasoning was “the medical corporation’s duty to safekeeping a patient’s confidential medical information is limited to those risks that are reasonably foreseeable and to actions within the scope of employment” (Mulry, 2014). The court did rule that “a medical corporation can still be liable for its own conduct, including negligent hiring or supervision, failing to establish adequate policies and procedures, and failing to properly train employees in safeguarding confidential information” (Mulry, 2014). The best place to check this answer is to examine HIPAA laws. Under HIPAA laws, the clinic is responsible for making sure that it is HIPAA compliant. Furthermore, employees could face individual charges for not being HIPAA compliant, such as if an employee leaked or comprised patient data. Depending on the situation, the clinic may or may not be exempt from making sure the organization and its employees are HIPAA compliant. Untrained or not well-trained healthcare employees are the cause of most HIPAA violations (HHS, 2018). If protected health information is compromised at a healthcare practice, the practice is always considered at fault (HHS, 2018). The employee is also considered at fault and could face serious penalties (HHS, 2018). The law holds that healthcare employers hold some blame for not training employees properly. According to the HHS (2018), health organizations that meet the definition of an entity under HIPAA must protect the privacy and security of patient PHI; employer or employee ignorance is a legitimate excuse in the eyes of the law. This is why employee training is so crucial to the life of a medical practice.
Reference:
Mulry, K. P. (2014). Medical corporation not liable for employee’s disclosure of confidential medical information [Blog post]. Retrieved from https://www.nyhealthlawblog.com/2014/01/13/medical-corporation-not-liable-for-employees-disclosure-of-confidential-medical-information/Links to an external site. U.S. Department of Health and Human Services (HHS). (2018). HIPAA for Professionals. Retrieved from https://www.hhs.gov/hipaa/for-professionals/index.htmlLinks to an external site.
Sample Answer 5 for NR 510 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
I agree with your post. I feel the concept of ‘team integrity’ has a far greater impact and significance in how people present, act, demonstrate and present themselves in a daily fashion. Team integrity really makes or breaks a practice. Obviously we are all patients at some point in our lives, whether it be during our yearly PCP examinations, eye doctor appts, well or sick visits for our children. As patients we understand what we like and dislike at various medical practices (Buppert, 2015). I often can feel the ‘vibe’ of the office culture. Team culture has a huge impact on patients satisfaction as well as employment satisfaction. From personal experience, I have worked at hospitals where it was managed in a very authoritarian demeanor, and other facilities where input and personnel were valued. These qualities are very much relayed and ingrained to how patient care is delivered. When teams are managed kindly with educating staff in mind, employees are apt to being receptive towards corrective criticism and understand the legal scope of how NP’s practice for the welfare of the patient, the practice and legal malpractice aspects as well. Taking time to education the staff will create an atmosphere where the staff values and respects an organization. Discussion and education trimuph’s overs authoritarian discipline. Time to educate will be felt among patients, staff and employees!
Reference:
Buppert, C. (2015). Nurse practitioner’s business practice & legal guide (5th ed.). Retrieved from https://bookshelf.vitalsource.com