case them 2025

Unit 9 Assignment: Professional Standards and Institutional Ethics In each case, answer the questions at the end of the case and give researched references to support your assertions; also, explain what would be the ethical course of action and the legal requirements for action in the case. Case One Mrs. Lewis was head nurse on a medical surgical floor in a community hospital with 250 beds. Over the course of 6 months, she noticed that all patients admitted from the Shady Rest Nursing Home had signs of severe injuries other than those connected with the admitting diagnosis. There appeared to be patient abuse in the nursing home. Mrs. Lewis investigated discreetly and found no explanation possible except abuse. In accord with the obligations of the law in her state, she reported the matter to the Department of Welfare Bureau of Inspection. The Welfare Department investigated immediately, found proof of abuse, and threatened to close down Shady Rest if there were any more recurrences. Mrs. Lewis was overjoyed until her hospital administrator, bypassing the director of nursing, called her in and warned her that she would be fired if she reported any other instances of abuse. Shady Rest sent the hospital a lot of business, and good relations had to be maintained. Mrs. Lewis was even more shocked when she discovered that the administrator was a golf partner of the owner of Shady Rest and was doing an old buddy a favor. Despite fears of retaliation, Mrs. Lewis consulted a lawyer, who threatened the hospital with exposure and with penalties that would follow if one of its employees failed to follow the reporting provisions of the law on abuse in nursing homes. Did Mrs. Lewis act correctly? What should she have done if she could not have afforded to consult with a lawyer? In what ways can whistle-blowers protect themselves? Must the art of intimidation be part of the toolbox of healthcare professionals in order to protect their patients? Is power an appropriate consideration in healthcare ethics? Case Two On a July weekend, Mrs. Allesfertig, nursing supervisor of the whole hospital, discovered that the intensive care unit was seriously understaffed. She pulled two nurses with previous ICU experience off other floors to bring the unit up to strength in view of the extreme level of acute care needed. On the following Monday, Dr. Bestknabe, who has overall responsibility for the ICU unit, closed the unit for further admissions until the staffing had been worked out on a permanent basis. Should the new staffing policy give the nurses authority to refuse to admit patients when the staff is not sufficient to handle them? (In some hospitals, nurses have this authority.) Can any policy take precedence over the professional judgment of trained ICU nurses? Please follow the grading rubric fully and have three written pages and reference page in APA style.

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Discussion: Chaos and Complexity Theory in Health Care 2025

Discussion: Chaos and Complexity Theory in Health Care Every organization must be considered the sum of its parts: the people, problems, and tools within it. Together, these parts shape the face of the institution and make it unique. When coming into a new organization, one should not presume that anything is so just because “that’s the way it was done at my other institution.” Different organizations have varying structures and approaches to management, and newcomers may find the environment confusing at first. Consumers of health care expect predictable, safe, and quality care. Recall from the readings that organizational theory attempts to explain how organizations are structured and managed. Based on this week’s readings and what has been presented on organizational theory, respond to the following: Do chaos theory and complexity theory have any place in health care systems? Why or why not? Post your response. Support your response with references from the professional nursing literature.

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