Organizational  Change and Ethical-Legal Influences in Advanced Practice Nursing Case  Study  (Orig Post due Wednesday, Responses due Sunday)

You are a family nurse practitioner employed in a busy primary care  office. The providers in the group include one physician and three nurse  practitioners. The back office staff includes eight medical assistants  who assist with patient care as well as filing, answering calls from  patients, processing laboratory results and taking prescription renewal  requests from patients and pharmacies. Stephanie, a medical assistant,  has worked in the practice for 10 years and is very proficient at her  job. She knows almost every patient in the practice, and has an  excellent rapport with all of the providers.

Mrs. Smith was seen today in the office for an annual physical. Her  last appointment was a year ago for the same reason. During this visit,  Mrs. Smith brought an empty bottle of amoxicillin with her and asked if  she could have a refill. You noted the patient’s name on the label, and  the date on the bottle was 1 week ago. You also noted your name printed  on the label as the prescriber. The patient admitted that she called  last week concerned about her cough and spoke to Stephanie. You do not  recall having discussed this patient with Stephanie nor do the other  providers in the practice.

Discussion Question:

What are the potential ethical and legal implications for each of the following practice members?:

• Medical assistant
• Nurse Practitioner
• Medical Director
• Practice

What strategies would you implement to prevent further episodes of potentially illegal behavior?

What leadership qualities would you apply to effect a positive change  in the practice?  Be thinking about the culture of the practice.

Discussion Guiding Principles

The ideas and beliefs underpinning the discussions guide students  through engaging dialogues as they achieve the desired learning  outcomes/competencies associated with their course in a manner that  empowers them to organize, integrate, apply and critically appraise  their knowledge to their selected field of practice. The use of  discussions provides students with opportunities to contribute  level-appropriate knowledge and experience to the topic in a safe,  caring, and fluid environment that models professional and social  interaction. The ebb and flow of a discussion is based upon the  composition of student and faculty interaction in the quest for relevant  scholarship. Participation in the discussion generates opportunities  for students to actively engage in the written ideas of others by  carefully reading, researching, reflecting, and responding to the  contributions of their peers and course faculty. Discussions foster the  development of members into a community of learners as they share ideas  and inquiries, consider perspectives that may be different from their  own, and integrate knowledge from other disciplines.

  Go to the following link:

The American Nurse: http://www.theamericannurse.org/2014/10/22/time-for-nurses-to-get-out-the-vote/ 

Reflect on the role that the electoral process and government plays in one’s daily work and family life. As nurses, health policy can influence both arenas  of our lives (daily work and family life). 

1- What policy issues might drive nurses to lobby Congress and/or get involved in campaign politics? 

2- What strategies might nurses use to have their voices heard? 

APA 

at least 3 scholarly sources are requested (No older than 5years).  One of the sources is the following :

The American Nurse: http://www.theamericannurse.org/2014/10/22/time-for-nurses-to-get-out-the-vote/ 

Examples of scholarly sources:

-Published journal articles, books and other works (encyclopedias & newspapers)

-Official websites ending in .gov, .org, .edu (CDC,NIH,ADA,WHO, HARVARD, FIU,FNU)

Do not use Sites such as Wikipedia, WebMD, Nursingworld, Allnurses they are NOT scholarly sources.

Root Cause Analysis 

1. 1-2 page narrative cover letter (This is where you introduce your topic and include referenced information from the 5 articles you chose to do annotated bibliographies on.  Refereneced information from all 5 articles must be inlcuded. 
2. Completed Root Cause Analysis Action Plan Framework Template
3. An APA Reference list.

• 1-2 Page Narrative Cover Letter: 

Typed narrative cover sheet (1-2 pages in length) providing the context for the event and suggestions for changes in policy/procedure, which would assist in prevention of future occurrences of the same type. Remember the discussion post you did in Week 2 describing the error you would evaluate? Consider revising that post in light of everything you have learned this term and using it as your cover letter.

• Completed Root Cause Analysis Action Plan Framework Template:

Do this part first! Download the “Root Cause Analysis Action Plan Framework Template” (attached to the top of this page), and answer each of the questions. Make sure you follow the instructions on the form. 
Answer all of the questions in the template.
If you identify a finding that is a Root Cause, you mark is as needing an Action Plan (yes or no).  If it is marked Yes, you address the Plan in the Action Plan section of the Template.
Also regarding the Action Plan item, list the Responsible Party (RN, CNA, MD, LPN, etc) and the Method: Method: Is the Action Plan item related to: Policy, Education, Audit, Observation or Implementation.

• Reference List:

Compile all parts of the annotated bibliography you created into one single reference list.

Cut and paste all 3 parts of the assignment into 1 WORD document

Learning styles represent the different approaches to learning based on preferences, weaknesses, and strengths. For learners to best achieve the desired educational outcome, learning styles must be considered when creating a plan. Complete “The VARK Questionnaire,” located on the VARK website, and then complete the following:

1. Click “OK” to receive your questionnaire scores.
2. Once you have determined your preferred learning style, review the corresponding link to view your learning preference.
3. Review the other learning styles: visual, aural, read/write, kinesthetic, and multimodal (listed on the VARK Questionnaire Results page).
4. Compare your current preferred learning strategies to the identified strategies for your preferred learning style.
5. Examine how awareness of learning styles has influenced your perceptions of teaching and learning.

In a paper (750‐1,000 words), summarize your analysis of this exercise and discuss the overall value of learning styles. Include the following:

1. Provide a summary of your learning style according the VARK questionnaire.
2. Describe your preferred learning strategies. Compare your current preferred learning strategies to the identified strategies for your preferred learning style.
3. Describe how individual learning styles affect the degree to which a learner can understand or perform educational activities. Discuss the importance of an educator identifying individual learning styles and preferences when working with learners.
4. Discuss why understanding the learning styles of individuals participating in health promotion is important to achieving the desired outcome. How do learning styles ultimately affect the possibility for a behavioral change? How would different learning styles be accommodated in health promotion?

Cite to at least three peer‐reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

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. Please refer to the directions in the Student Success Center.

Essay 500 words

1. Please identify a professional practice issue for which you may pursue as you complete your doctoral studies. Please include how you envision accomplishing this project and how it will change nursing practice. The purpose of this essay is for demonstration of critical thinking related to a practice or patient problem and strategies to resolve or address the problem.  

(I would like to focus on our war veterans that suffer from PTSD and other Mental disabilities, my goal with the DNP education is to create a Non-profit organization to help our war veterans suffering mental health problems in our communities. To provide more access and information on mental  health services, to create plans and new interventions for those that do not have access or conditions to afford health care including our homeless war veterans)

1. Identify a professional practice issue and its significance.

2. Identify the project proposal’s, address the following item:

3. Population/Problem:

4. Intervention:

5. Comparison (ie: standard care vs proposed intervention)

6. Expected Outcome:

7. Proposed site(s) to conduct the study:  (South Florida – Miami area)

8. Identify at least one of the AACN DNP Essentials that you may find challenging as you implement your project and how you might overcome that challenge.

All applicants should review the following additional guidelines and resources prior to writing the required essays and include them in the essay where appropriate. Your Admissions Advisor will speak to you in greater detail regarding this.

http://www.aacnnursing.org/Education-Resources/AACN-Essentials – AACN Essentials for Doctoral Education. This resource provides a solid foundation of the DNP’s focus and philosophy.

http://www.aacnnursing.org/DNP – The latest white paper on DNP.

http://www.nonpf.org/?page=14 – National Organization of Nurse Practitioner Faculties (NONPF NP) Role Competencies and specialty-specific competencies.