What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient? How might different state regulations affect the prescribing of this drug to this patient?

These are some of the questions you might consider when selecting a treatment plan for a patient.  

As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives every day. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. Additionally, it is important to ensure that the treatment plans and administration/prescribing of drugs is in accordance with the regulations of the state in which you practice. Understanding how these regulations may affect the prescribing of certain drugs in different states may have a significant impact on your patient’s treatment plan. In this Assignment, you explore ethical and legal implications of scenarios and consider how to appropriately respond.

To Prepare

 Scenario 1:    You see another nurse practitioner writing a prescription for her husband, who is not a patient of the nurse practitioner.  The prescription is for a narcotic.  You can’t decide whether or not to report the incident. 

• Review the scenario assigned.
• Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state (Texas) or region, and reflect on these as you review the scenario assigned by your Instructor.
• Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
• Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.

Write a 2- to 3-page paper that addresses the following:

• Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
• Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state (Texas)
• Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation. 
• Explain the process of writing prescriptions, including strategies to minimize medication errors.

  

Impaired Nurses

Abimbola Oluwajana

Resurrection university

Prof. Denise Delves

Ethics

11/20/2020

Introduction

Health officers can make serious errors in their effort to provide medical results to patients (Cipher, et al 2019). Impairment in nursing involves the situation where nurses or physicians are unable to provide results which are competent in the process of delivering patient care. Impaired may be ignited by factors such as, taking drugs like alcohol (Mumba, e t al 2019. This tends to alter the normal functioning of mind. Once the standard functioning of the mind is corrupted, the chances of getting incompetent results are increased. This may therefore lead to administering wrong medications to patients. 

Importance of studying impaired Nursing

It helps us understand the technical know-how of nursing and risks associated with substance use. For instance, it equips us with the knowledge of recognizing impairment among nurses in the workplace (Baxley, et al 2019). This helps ensure that patients care is only delivered by physicians or nurses who are sober.

Nursing Scope of Practice and its significance 

The According to an Association by American Nurses(ANA), helps to identify all legal activities, procedures and routes that a specific person is allowed to execute. It may also be grounded by education experiences and demonstrated competence (Snow, et al, 2019). In the context of nursing, the scope of practise ensures that nurses provide most competent and high quality work.

Importance of Impaired Nursing 

Currently, researchshown by an Association from America, (ANA) shows that an impaired nurse cannot provide results competent results, as he or she does not meet the vital standards of profession. This may end- up making serious medical inaccuracies.

Conclusion

To conclude, health care system ought to put in place measures of competency testing across hospitals in the world. This is to ensure that, only the people who meet the standards of health care administer them.

References

Mumba, M. N., Baxley, S. M., Cipher, D. J., & Snow, D. E. (2019). Personal Factors as  Correlates and Predictors of Relapse in Nurses With Impaired Practice. Journal of  addictions nursing, 30(1), 24-31.

 

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

• Review the Resources and reflect on the definition and goal of EBP.
• Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
• Explore the website to determine where and to what extent EBP is evident.

By Day 3 of Week 1

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

By Day 6 of Week 1

Respond to at least two of your colleagues on two different days by visiting the websites they shared and offering additional examples of EBP or alternative views/interpretations to those shared in your colleagues’ posts.

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

1. Review the Resources and reflect on the definition and goal of EBP.
2. Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
3. Explore the website to determine where and to what extent EBP is evident.

By Day 3 of Week 1

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

By Day 6 of Week 1

Respond to at least two of your colleagues on two different days by visiting the websites they shared and offering additional examples of EBP or alternative views/interpretations to those shared in your colleagues’ posts.

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.

Will be adding two discussions that will need at least three references all in APA 7 format each.

The mail discussion will need at least 3 references and also in APA 7 format.

Micheals  discussion

Evidence based practice presents with summation of ideas, experiences, coupled with literature centered around dedicated man power and hours of work both in the clinical and or research setting which could span for a number of years based on the mission and or vision of the facility working on a certain intervention to bring about global change in the dynamics of either how healthcare is delivered, managed and or improved. Following from a careful perusing of the medical university of South Carolina, the institution presents with a healthcare setting centered on the need to achieve excellence through innovative implementation of quality assurance, patient centered care based on improved clinical practices based on improvements and incorporation of new data on evidence based practices. According to Crabtree et al., (2016, p172) “The MUSC Center for Evidence-Based Practice (EBP), housed jointly in the Library and the Quality Management department of the MUSC Hospital, aims to promote scientific inquiry, EBP, and quality outcomes at MUSC. Through education, the development of evidence-based clinical decision support tools and outcomes research, the Center for EBP has begun to transform the culture of MUSC into one that incorporates best evidence into clinical practice on both an individual and system level”.

     Following from the presentation as rendered by Crabtree et al., (2016, p172) “The EBP Nurse Scholars course provides nurses with a comprehensive overview of EBP, prepares them to frame clinical questions, perform literature searches, analyze and evaluate evidence, and translate that knowledge into something clinically meaningful… Pre- and post-course surveys demonstrated that the course improved nurses’ confidence with EBP methods and skills related to research tools, statistical concepts, and study designs. Data collected included responses from students from two EBP Nurse Scholars courses: Spring 2013 and Spring 2014”. The literature speaks to the mission, vision and philosophy of evidence based practice while also bearing in mind the goal of this organization in making their nurses frontiers in the quest and search for results that correlate with caring for patients with evidence based information at the top of their list.

     Based on the careful scrutiny and analysis of the recommended resource list, I would be made to understand that the organizations priority and goals centered on the need to show case, while also embracing the innovations of evidence based practices, and its contribution to the healthcare sector. “A regional, collaborative EBP fellowship program, the EBP Institute, was founded in 2006 by nurse leaders from multiple hospitals and academia in San Diego County, California, to promote implementation of EBP by hospital nurses. The fellowship program utilized institution-matched mentors to assist in executing unit-based EBP projects, and included didactic as well as interactive learning experiences in six daylong educational sessions over a 9-month period.” (Kim et al., 2016, p340)

     Following from some of the literature on the resource reading list and some of the organizations mode of operation in terms of their mission, philosophy and vision as set forth by their quest for in depth knowledge on evidence based practices and some of their acquired results individually and collectively, I would say I am convinced evidence based practice is worth the time, attention and resources utilized in sustaining researches, grooming future innovators, while also honing in on how to better incorporate evidence based practices into most if not all aspects of healthcare. An example of evidence based practice at work would be the change that was incorporated to the new ways of following through with CPR which formally was accessing a patients airway, breathing and circulation (ABC), but now following from innovative results backed by evidence based practice, the new order of CPR is circulation, airway and breathing (CAB). According to Melnyk (2018, p29) “It is time for practitioners from all healthcare professions to embrace EBP and quickly move from practices steeped in tradition or based on outdated policies to those supported by sound evidence form well designed studies.”

                                                                                                            References

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving Patient Care Through Nursing Engagement in Evidence-Based Practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. https://doi-org.ezp.waldenulibrary.org/10.1111/wvn.12126

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A., & Davidson, J. E. (2016). Predictors of Evidence-Based Practice Implementation, Job Satisfaction, and Group Cohesion Among Regional Fellowship Program Participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. https://doi-org.ezp.waldenulibrary.org/10.1111/wvn.12171

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Deannas discussion

The healthcare organization website I reviewed is the American Psychiatric Nurse Association (APNA). This organization is the largest membership organization that focuses on different aspects of mental health. For example, they focus on wellness, prevention, and treatment for mental health disorders (APNA, n.d.). As I look for evidence-based practice (EBP) on this website, it is spread out through their vision, structure, collegiality, and continuing education. According to Melnyk and Fineout-Overholt (2018), “EBP enhances healthcare quality, improves patient outcomes, reduces costs, and empowers clinicians”.

The work is grounded in EBP. In the vision statement, they promote EBP advances. In their structure, APNA shares research via online, conference calls, and through chapter meetings. APNA believes this is a way to distribute standards quickly and can reach a wide audience. With collegiality, APNA disperses state of the art information through the website and other modalities that are available to their members only. Lastly, APNA uses continuing education that provides the most current information in mental health research and practices (APNA, n.d.).

The information I discovered change my perception of the organization. I did not know very much about the organization, but after looking into it, I have a better appreciation for what they offer psychiatric nurses and providers who work in this field. I like the idea of conferences that provide continuing education and current information. APNA provides in-person education and online education (APNA, n.d.). It is important to belong to some type of professional organization and one that is specific to your field because they help promote policy and practice. They also provide career growth, networking, and education (Nichols, 2020).

References

American Psychiatric Nurses Association. (n.d.).  About the American psychiatric nurses association: An introduction. Retrieved December 1, 2020, from https://www.apna.org/i4a/pages/index.cfm?pageid=3277

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Nichols, J. (2020, September 2020). 10 benefits of joining professional nursing organizations and associations. Retrieved December 1, 2020, from https://nurseslabs.com/10-benefits-joining-professional-nursing-organizations-associations/