Required Resources
Read/review the following resources for this activity:

• Textbook: Chapter 12
• Lesson 1, 2
• Link (library article): The Doctors’ Choice is America’s Choice”: The Physician in US Cigarette Advertisements, 1930-1953 (Links to an external site.)
• Link (library article): The Opioid Epidemic: Who Is to Blame? (Links to an external site.)
• Link (article): The Opioid Epidemic: It’s Time to Place Blame Where It Belongs (Links to an external site.)
• Minimum of 1 scholarly source (in addition to the textbook and noted readings)

Introduction
The medical profession has a muddled and contradictory association with its approach toward the tobacco industry. While the profession now firmly opposes to smoking and vigorously publicizes the serious, even fatal, health hazards associated with smoking, this was not always so. Advertisements for tobacco products, including cigarettes “… became a ready source of income for numerous medical organizations and journals, including the New England Journal of Medicine and the Journal of the American Medical Association (JAMA), as well as many branches and bulletins of local medical associations” (Wolinsky & Brune, 1994). Physicians and reference to doctors and smoking were once common in tobacco industry advertisements. The story of physicians and promotion of smoking can be found in “The Doctors’ Choice Is America’s Choice” (Gardner & Brandt, 2006).

The role of physicians in the current opioid crisis is now under scrutiny on television (Farmer, 2019) by trade publications (King, 2018), peer-reviewed journals (deShazo, et al, 2018), and by physicians themselves (Hirsch, 2019).

Initial Post Instructions
For the initial post, research the history of the association of doctors with tobacco companies and tobacco advertising. Read about the association of doctors with the opioid crisis. Then, address the following:

• In what way are the two situations comparable?
• In what way are they different?
• Apply the concept of moral equivalence. Is the conduct of doctors in relation to smoking and the tobacco industry morally equivalent to the conduct of doctors in the opioid crisis? Explain your position and be very specific.

 

Instructions

For this post, select and address one of the following options:

Option 1: Choose a work to discuss from one genre that interprets a work from another genre.

• Include the title, artist, and description of both works.
• Examine how the artist of the second work captured the subject or story of the first.
• Support your point(s) with a statement from the second artist that discusses the influence, reasoning, or interpretation of the original work on the second work.

Click on the following link for examples:

Link: Examples

Option 2: Choose a work that is interdisciplinary (incorporates two or more disciplines), such as Hamilton from our lesson this week.

• Include the title and artist(s).
• Examine the genres that are intermingled to create the work.
• How effective is the blending of genres in the work?
• Why do you think the artist used different disciplines in the work?
• Support your point(s) with a statement from the artist and one from a critic.

Option 3: Choose a work of art from any genre that depicts or tells the story of a real life event from any time period, such as The Consecration of the Emperor Napoleon and the Coronation of Empress Joséphine on December 2, 1804 by Jacques Louis David.

• Include the title and the artist and some background of the event.
• What is the relationship between the work of art and the event?
• Did the artist depict the event accurately?
• Does the artist make changes regarding the event? If so, why do you think the artist made these changes?
• Examine the artist’s message in the depiction.
• Support your point(s) with a statement from the artist.

Writing Requirements

• Length: Minimum of 1 page
• Minimum of 2 sources cited (assigned readings/online lessons and an outside source)
• APA format for in-text citations and list of references

 

To Prepare:

• Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
• Select a healthcare program within your practice and consider the design and implementation of this program.
• Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.

The Assignment: (2–3 pages)

In a 2- to 3-page paper, create an interview transcript of your responses to the following interview questions:

• Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
• Who is your target population?
• What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
• What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
• What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
• Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

  

As Dr. Rempher and Ms. Manna discussed this week, data from the NDNQI is used to improve nursing practices and support the strategic outcomes of an organization. This data is also used to create the Dashboard. The Dashboard, then, is used to create an action plan. Correctly interpreting information presented on the Dashboard provides nurses with a better understanding of the goals of the action plan.

To prepare

For this Assignment, use the Dashboard located in this week’s Resources, to interpret the data and frame a nursing plan based on best practices.

· Review  the NDNQI and use of dashboards

· Choose a Nurse-Sensitive Quality Indicator that needs improvement based on the data presented in the Dashboard. Reflect on how you would develop a nursing plan with suggestions on how to improve performance in the chosen area.

· Develop a nursing plan that outlines suggestions on how to improve performance in the chosen area.

· Provide at least five best practices from evidenced-based literature to support your nursing plan.

Assignment

· Draft a 4- to 5 page paper analyzing areas where there is good performance and areas of opportunity from the sample Dashboard.

· Analyze the data provided in the Dashboard and select an area of performance that needs improvement. Include information on why this area was chosen.

· Develop a nursing plan that includes suggestions on how to improve performance on the selected indicator. Be sure to provide at least five best practices from the evidenced-based literature to support your suggested nursing plan.

Guide

Provided a brief paragraph that included an overview of the assignment and its purpose.

Presented an analysis of the data from the Sample Dashboard.

Provide a thorough description of the area of performance selected that needs improvement and discussed the statistical findings and why the area was selected.

Present a nursing plan on five or more best practices that could be implemented to improve performance on the selected indicator. 

Included how each best practice could address the selected performance. Each best practice must be supported by the professional literature.

Provided a summary of the main points in the paper.

APA Formatting: cover page, title of paper on second page, level headings, Times New Roman 12 font, 1″” margins, and page numbers. APA References: Uses in-text citations appropriately and format correctly. Paraphrases to avoid plagiarizing the source.
Reference list is in alphabetical order, hanging indent, double spaced in format. Each specific entry contains all information required by APA format including author, year of publication, title of publication, pages, DOI, website, as appropriate.