Choose two issues or challenges that the leaders of today’s health care organizations face. Select from among the following topics:

1. Staff Shortage (Physicians, Nurses, Allied Health Providers, Ancillary Services)
2. Reorganization in Response to Merger or Consolidation of Services
3. Layoffs as a Result of Declining Revenues
4. Influx of Registry, Part-Time, and Temporary Contract Staff
5. Poor Performance Outcomes Leading to a Reduction in Medicare Reimbursement Dollars
6. Poor Job Satisfaction Rates Resulting in Turnover

You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (750-1,200 words) that is directed toward your staff, in which you address the following:

1. Inform the staff of the two issues (from the topics provided) your organization is facing.
2. Describe the impact of these issues on your department.
3. Describe how improved communication, collaboration, and teamwork can improve conditions in your department.
4. Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration.
5. A minimum of three academic references from credible sources are required for this assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to LopesWrite. Refer to the directions in the Student Success Center. Only Word documents can be submitted to LopesWrite.

In a reflection of 450-600 words, explain how you see yourself fitting into the following IOM Future of Nursing recommendations:

1. Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020.
2. Recommendation 5: Double the number of nurses with a doctorate by 2020.
3. Recommendation 6: Ensure that nurses engage in lifelong learning.

Identify your options in the job market based on your educational level.

1. How will increasing your level of education affect how you compete in the current job market?
2. How will increasing your level of education affect your role in the future of nursing?

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

PART A

In the following case, identify the ideals, or ideals and obligations, that are in conflict. Examine the action taken or proposed and decide whether it achieves the greater good (or lesser harm).

2. The issue of health care rationing was an important factor in the debate over the health care bill that President Obama signed into law in 2010.
Whether such rationing will occur remains to be seen.  If it does, though, it will undoubtedly have the greatest effect on the elderly — that is, some government administrator or health care panel may decide that certain expensive medical procedures will not be approved for people above a certain age.
Similar decisions could also be made about the level of care given in assisted living facilities and nursing homes.

PART B

Select ONE of the inquiries below to answer.

For the one you select to respond, identify the conflicting obligations and decide whether the action taken is morally right.  Be sure to consider the requirement of proportion.

13. A very competent druggist, well versed in the latest pharmacological studies, receives a prescription from a physician and recognizes that it is for a dangerous, highly addictive, and largely discredited medication.  She calls the physician and is told curtly to mind her own business.  As the customer waits in the front of the store, the druggist ponders the situation. “Should I refuse to fill it? Should I tell the customer I am certain the doctor has made a mistake?  Should I call the medical board and report the incident?”  She decides to fill the prescription.

OR

15. A doctor on duty in a hospital emergency room one Halloween night treats a 15-year-old boy whose eye was injured by an exploding firecracker.  He notices the boy is drunk.  Because the extent of the injury is not certain, he has the boy admitted to the hospital and notifies his parents.  When they arrive, the boy is under sedation, so his drunken condition escapes their detection.  Nevertheless, the doctor informs them that their son had been drinking.

OR

16. A psychiatrist is treating a very disturbed and potentially violent man. One day the man tells her that he has recurring thoughts of killing a stranger, whom he will choose at random.  He details exactly how he will carry out the crime.  A few days later the psychiatrist reads in the newspaper that the very same crime her patient described has been committed.  She has no doubt that her patient committed it; every detail is identical.  The psychiatrist would like to inform the police, but she decides not to.

You should have a total of TWO answers for this activity.  Submit your answers for Part A and Part B in a Word Document. 

 This  course is Medical Surgical -Professional Nursing (10th Edition)

Please, need references and intext citation

Your written assignment for this module should be a 1-2 page paper (not including title page and reference page) that describes the following:

• What did you learn from this course that you did not already know?
• How will you apply what you learned to your patient care?

You should include a minimum of 2 references. Include a title page, in-text citations, and a reference page in APA format.

Module 11 – Comprehensive Final

Scoring Rubric:

Criteria

Points

What did you learn from this course that you did not already know?

2

How will you apply what you learned to your patient care?

2

Grammar, APA and Organization

1

Total

5

Reaching out a Solution

This assignment is designed to assist you in developing a thoughtful process for advocating about an issue as a nurse, from identifying a problem that needs to be solved through articulating a process for doing so.

This assignment consists of answering each of the questions listed below from the “Political Analysis and Strategies” chapter of your course textbook. Write each question as a new topic area; then follow with a paragraph or two to answer the question. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources, if any used. This project should be no longer than 4 pages.

Let us assume that you are a school nurse in a high school. At a recent school athletic event, a spectator suffered a cardiac arrest in the stands. A coach of the home team went into the high school to fetch the automatic emergency defibrillator (AED) only to find out that it was not readily available. In the meantime, an emergency squad arrived and resuscitated the spectator. On Monday morning, you learn of the absence of the AED only to find out that it had been locked in the custodian’s closet. Reflect on the following questions outlined in the “Political Analysis and Strategies” chapter:

• What is the issue?
• Is it my issue, and can I solve it?
• Is this the real issue or merely a symptom of a larger one?
• Does it need an immediate solution, or can it wait?
• Is it likely to go away by itself?
• Can I risk ignoring it?
• What are the possible solutions? Are there risks to these solutions?
• What steps would you need to take in order to solve the issue?
• Does anyone else at the school need to be involved in the solution?
• Where is the power leverage in the school to reach the preferred solution?

Reaching a solution requires the use of power vested in the nurse. Review Box 9-1 (Sources of Power) and determine which type(s) of power the school nurse has in this situation. State your reasons for your answer.

Submission Details:

• Submit your response in a 4-page Microsoft Word document.
• Name your document SU_NSG4068_W4_Project_LastName_FirstInitial.doc.
• Submit your document to the Submissions Area by the due date assigned.
• Cite sources in the APA format on a separate page.