Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.

For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?

In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue.

To Prepare:

• Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1.
• Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.

Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples.

Create a Concept Map for each of the following types of drugs: An Adrenergic Agonist, an Adrenergic Blocker, a Cholinergic Agonist, and an Anticholinergic Agent; there should be FOUR concept maps submitted for this assignment.

Each section of the map MUST BE COMPLETED IN FULL.

All written assignments (Concept Maps, Lab logs, antidote assignments, insulin table, case studies) must be accompanied by a Reference List in APA 7th edition format. Points will be deducted for missing Reference Lists

Rubric

Concept Map
 

Criteria

This criterion is linked to a Learning Outcome Nursing Interventions. Must include 7 interventions. Your nursing interventions will consist of assessments and interventions based on the disease process and medication: What will you want to assess or implement with a patient with this disease process taking this medication. Be sure to incorporate the interventions necessary to prevent injury related to side and adverse effects of the medication.

This criterion is linked to a Learning Outcome Nursing Diagnosis This is based on your Assessment. Each student is to identify one nursing diagnosis per care plan. The diagnosis should be the highest priority for the patient. Use your reference book for identifying your nursing diagnoses. Make sure your nursing diagnosis statement is complete, include R/T (related to) and S/T (secondary to) and AEB (as evidenced by).

This criterion is linked to a Learning Outcome Mechanism of Action-Pathophysiology Summary. You are required to complete a pathophysiology summary of your patient’s health issues (acute or chronic) as it relates to the medication. This includes a brief summary of the surgical procedure or the medical condition AND the DRUG Class, as well as evidenced-based practice nursing care for this type of patient. 

Cite your reference(s) using APA format. The summary should be written in your own words. DO NOT cut and paste from your reference(s). It is important to understand what is happening to the body related to this disease process.

This criterion is linked to a Learning Outcome Patient Teaching. Describe the teaching you will do with this patient and family.

This criterion is linked to a Learning Outcome Indications & Contraindications . List the most common indications and contraindications for the drug/class

This criterion is linked to a Learning Outcome Side & Adverse Effects. List the common, and most lethal, side and adverse effects. Remember, your nursing interventions will include teaching, monitoring, and preventing injury related to these effects