“Nurses are often placed in situations where they are expected to be agents for patients, physicians, and the organization simultaneously, all of which may have conflicting needs, wants, and goals.” Marquis, p. 84.

     You are the evening shift charge nurse of the postanesthesia care unit (PACU).  You have just admitted a 32-year-old woman who 2 hours ago was thrown from a Jeep in which she was a passenger.  She was rushed to the emergency department and subsequently to surgery, where cranial burr holes were completed and an intracranial monitor was placed.  No further cranial exploration was attempted because the patient sustained extensive and massive neurologic damage. She will probably not survive your shift.  The plan is to hold her in the PACU for 1 hour and, if she is till alive, transfer her to the intensive care unit (ICU). 

     Shortly after receiving the patent, you are approached by the evening house supervisor, who says that the patient’s sister is pleading to be allowed into the PACU.  Normally, visitors are not allowed into the PACU when patients are being held there only temporarily, but occasionally exceptions are made.  Tonight, the PACU is empty except for this patient.  You decide to ben the rules and allow the young woman’s sister to come in.  The visiting sister is near collapse; it is obvious that she had been the driver of the Jeep.  As the visitor continues to speak to the comatose patient, her behavior and words make you begin to wonder if she is indeed the sister. 

     Within 15 minutes, the house supervisor return and states, “I have made a terrible mistake.  The patient’s family just arrived, and they say that the visitor we just allowed into the PACU is not a member of the family, but it’s the patient’s lover.  They are very angry and demand that this woman not be allowed to see the patient. 

     You approach the visitor and confront her in a kindly manner regarding the information that you have just received.  She looks at you with tears streaming down her face ans says, “Yes, it is true.  Mary and I have been together for 6 years.  Her family disowned her because of it, but we were everything to each other.  She has been my life, and I have been hers.  Please, please let me stay.  I will never see her again.  I know the family will not allow me to attend the funeral.  I need to say my goodbyes.  Please let me stay.  It is not fair that they have the legal right to be family when I have been the one to love and care for Mary.”

Instructions:

1. You must decide what to do.  Recognize that your own value system will play a part in your decision.  
   1. List several alternatives that are available to you.
   2. Identify which ethical frameworks or principles most affected your decision making.  
2. Decide whether this could cause you “moral distress” if you were the nurse taking care of this patient.  Elaborate on why this is the case…
3. Answer the questions as thoroughly and concisely as possible.
   1. Be sure to reference any works that you utilize in answering the questions (Be sure that references are in APA format).

 

1) Minimum 7 full pages

                Part 1: minimum 1 page

                Part 2: minimum 1 page

                Part 3: minimum 1 page

                Part 4: minimum 1 page  

                Part 5: minimum 1 page     

                Part 6: minimum 1 page      

                Part 7: minimum 1 page    

Submit 1 document per part

2)¨******APA norms, please use headers

            All paragraphs must be narrative and cited in the text- each paragraphs

            Bulleted responses are not accepted

            Dont write in the first person 

            Dont copy and pase the questions.

            Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

           Submit 1 document per part

3) It will be verified by Turnitin and SafeAssign

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

______________________________________________________________________

Part 1:

 

1. Discuss the correlation between nursing education and positive patient outcomes. 

2. Include current research that links patient safety outcomes to advanced degrees in nursing. 

3. Based on some real-life experiences, explain whether you agree or disagree with this research.

 Part 2:

1. Discuss the difference between a DNP and a PhD in nursing.

2.  Discuss which of these you would choose to pursue if you decide to continue your education to the doctoral level and explain why.

 Part 3:

 

1. Discuss how the concept of “health” has changed overtime.

2. Discuss how the concept has evolved to include wellness, illness, and overall well-being. 

3. How has health promotion changed over time? 

4. Why is it important that nurses implement health promotion interventions based on evidence-based practice?

  Part 4:

1. Compare and contrast the three different levels of health promotion (primary, secondary, tertiary). 

2. Discuss how the levels of prevention help determine educational needs for a patient.

  Part 5:

The Food and Drug Administration (FDA) is a U.S. government agency within the Department of Health and Human Services. Its primary role is to protect public health, by ensuring safety and effectiveness of drugs, vaccines, medical devices and food products. There are rigorous steps that may take years, and all these steps must be completed before a drug can be approved. The FDA has made some lifesaving investigational drug therapies available sooner than usual by offering an expedited drug approval process, known as “Fast Track”.

1. Discuss the process and regulations of Fast Track.

2. Identify which medical conditions warrant the use of “Fast Track” drugs.

Part 6:

1. Analyze the role of the advanced practice nurse in the changing health care environment. 

2. How will this role augment physicians’ practices?

3.  What implications will the Affordable Care Act have on this new delivery system?

 

Part 7:

 

1. Why is it important that health professionals share a common understanding of patient safety standards and practices? 

2.What are the policy implications from accepting that “mistakes are normal and all humans err”? 

3. How would you approach health care systems leaders or employers about changing employment policies related to punitive actions when errors occur?

 

https://libguides.ggc.edu/NURS/PICOT

Topic is short staffing

Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal (short staffing). A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process.  Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Describe the problem in the PICOT question as it relates to the following:

1. Evidence-based solution
2. Nursing intervention
3. Patient care
4. Health care agency
5. Nursing practice

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

 

Please go to the following web address:

https://adfs.rasmussen.edu/adfs/ls?wa=wsignin1.0&wtrealm=urn%3aextranet%3aportal&wctx=https%3a%2f%2fportal.rasmussen.edu%2f_layouts%2f15%2fAuthenticate.aspx%3fSource%3d%252F&wreply=https%3a%2f%2fportal.rasmussen.edu%2f_trust%2fdefault.aspx  Please sign in with the following information:

Username: mikayla.schumacher@smail.rasmussen.edu

Password: Adalynn!0823

Click on Courses on the top, and then click on Introduction to Human Resource Management, click on Module 3- Staffing and Recruiting, then Assignments. Click on  Module 03 Written Assignment – Active and Passive Candidates Complete that assignment.

 

Step 1: The Assessment Tool

Complete the Organizational Culture and Climate Assessment Tool (Links to an external site.). The tool is your data collection tool, or “notes-taking” pages you will need to complete before doing the analysis. You may already know some of the information, but some may require communication with key people in the organization, for example, human resources, financial officers, or nurse executives. Submitting the completed tool with your final paper submission is required. It is not included in your page count. You receive credit for completing and submitting it the items in the following outline.