Instructions

Analyze: Discourse Communities

Evaluation Title: Discourse Communities 

Before starting a research project it is imperative to recognize your discourse community. This will lead you to suitable places to conduct your research and will assist you in communicating with your audience in a language that they recognize and relate to.

To complete this assessment, consider the discourse communities or groups of people with whom you share common interests. Consider the individuals that discuss topics important to the group.

• List all learning and social discourse communities that you are a member of.

Respond to the questions below in an essay that provides an analysis of your discourse communities.

• What topics of discussion, issues, problems, or concerns keep these communities together? What constitutes new knowledge for your group? Is it created experimentally, through discussion, or through a combination of these two and other methods?
• How would you characterize the kinds of language which each of these communities uses? Is it formal, informal, complex, simple, and so on? How are the community’s reasons for existence you listed in the first question reflected in their language?
• When you entered into the community, did you have to change your discourse, both oral and written, in any way, to be accepted and to participate in the discussions of the community?
• Does your community or group produce any written documents? These may include books, professional journals, newsletters, and other documents. What is the purpose of those documents, their intended audience, and the language that they use? How different are these documents from one community to the next?
• How often does a community you belong to come into contact with other intellectual and discourse groups? What kinds of conversations take place? How are conflicts and disagreements negotiated and resolved? How does each group adjust its discourse to hear the other side and be heard by it?

Validate your statements and opinions with supporting evidence (citations and references) in APA form.

Prepare a 10-15 slide PowerPoint presentation, with speaker notes, that examines the significance of an organization’s culture and values. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the Topic Materials for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning, and an additional slide for References at the end.

1. Outline the purpose of an organization’s mission, vision, and values.
2. Explain why an organization’s mission, vision, and values are significant to nurse engagement and patient outcomes.
3. Explain what factors lead to conflict in a professional practice. Describe how organizational values and culture can influence the way conflict is addressed.
4. Discuss effective strategies for resolving workplace conflict and encouraging interprofessional collaboration.
5. Discuss how organizational needs and the culture of health care influence organizational outcomes. Describe how these relate to health promotion and disease prevention from a community health perspective.

While APA style format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

CASE STUDY

You are caring for an 82-year-old woman who has been hospitalized for several weeks for burns that she sustained on her lower legs during a cooking accident. Before the time of her admission, she lived alone in a small apartment. The patient reported on admission that she has no surviving family. Her support system appears to be other elders who live in her neighborhood. Because of transportation difficulties, most of them are unable to visit frequently. One of her neighbors has reported that she is caring for the patient’s dog, a Yorkshire terrier. As you care for this woman, she begs you to let her friend bring her dog to the hospital. She says that none of the other nurses have listened to her about such a visit. As she asks you about this, she begins to cry and tells you that they have never been separated. You recall that the staff discussed their concern about this woman’s well-being during report that morning. They said that she has been eating very little and seems to be depressed.

1. Based on Nightingale’s work, identify specific interventions that you would provide in caring for this patient.

2. Describe what action, if any, you would take regarding the patient’s request to see her dog. Discuss the theoretical basis of your decision and action based on your understanding of Nightingale’s work.

3. Describe and discuss what nursing diagnoses you would make and what interventions you would initiate to address the patient’s nutritional status and emotional well-being.

4. As the patient’s primary nurse, identify and discuss the planning you would undertake regarding her discharge from the hospital. Identify members of the discharge team and their roles in this process. Describe how you would advocate for the patient based on Nightingale’s observations and descriptions of the role of the nurse.

Based on the feedback offered by the provider, identify the best approach for teaching. Prepare a presentation based on the Teaching Work Plan and present the information to your community.

Options for Delivery 

The teaching Should be based on COVID 19 (what is it, how is spread, How to prevent it and what to do to be safe)

Select PowerPoint for delivery and prepare the applicable presentation:

1. PowerPoint presentation – 15 slides

Selection of Community Setting

These are considered appropriate community settings. Choose one of the following: 

1. Public health clinic
2. Community health center
3. Long-term care facility
4. Transitional care facility
5. Home health center
6. University/School health center

General Requirements

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

Reply 1

Bioethics is governed by four major principles, namely: autonomy, beneficence, nonmaleficence, and justice. The principle of autonomy requires healthcare professionals to respect the patient’s autonomy since the patient is considered to act intentionally and with understanding which mitigate against free and voluntary acts (McCormick, 2018). Nonmaleficence requires healthcare professionals to refrain from intentionally causing the patient harm or exposing them to injury through their acts and omissions. The principle advocates medical competence since proper standards of care are developed to avoid or minimize risks of harm.

The principle of beneficence imposes a duty on healthcare professionals to be of benefit patients and take positive steps towards prevention and elimination of harm. The duties imposes on healthcare professionals are deemed rational and widely accepted as proper goals of medicine. The principle is pivotal in the healthcare sector since the patient is able to develop a relationship with their care provider. Lastly, the principle of justice requires the fair distribution of services in short supply so that everyone qualifies for equal treatment.

The principle of autonomy is generally perceived the most important of all because the patient is always consulted first and their opinion should be respected. However, no hierarch should exists among the principles since the ultimate medical goal is providing the greatest benefit to the patient and each of the principles should be respected and balanced depending on the one that carries the most weight in a particular situation (Vaughn, 2019). Biblically, the principle that should be given utmost prominence is the principle of justice since humans are all equal before God and healthcare professionals should use their skills to improve everyone’s lives.

References

McCormick, T. R. (2018). Principles of Bioethics. Retrieved from UW Medicine: https://www.depts.washington.edu/bhdept/ethics-medocine/bioethics-topics/articles/principles-bioethics

Vaughn, L. (2019). Bioethics: Principles, Issues, and Cases.Oxford University Press.

Reply 2

Principles of Biomedic Ethics

There are four principles of biomedic ethics namely respect of autonomy, beneficence, non-maleficence and justice (Lawrence, 2007). The first principle of respect for autonomy ascertains that patients have the right to make the decision of the kind of treatment they want and we should respect and honor their decision. The second principle of non-maleficence argues that medical practitioners should act according to the rules and regulations and not to instill harm to a patient. The third principle of beneficence indicates that practitioners should ensure that they offer the best care to their patients and promote their health. The last principle is justice, which entails fairness, where practitioners should ensure that they treat all the patients with fairness during the caregiving process, especially in terms of costs and benefits.

It is crucial for medical practitioners to ensure that they abide by all these four principles. During the caregiving process, it’s upon the practitioner to assess the situation and identify the best principle to apply. Respect to autonomy should be the principle to be considered first during the care-giving process. This is because a patient has the right to decide the kind of treatment they want to be administered to them and medical practitioners should respect their decision and follow through with the treatment process as the patient sees fit. Other principles of beneficence, non-maleficence and justice should follow in that order based on the situation. When it comes to biblical narrative, I believe that the first principle should be the principle of justice. Biblical narrative insists on the fairness of all individuals, which is also the ideology of the principle of justice. Other principles should follow as such, non-maleficence because the Bible indicates that we should not instill harm, followed by beneficence, and justice.

Reference

Lawrence D. J. (2007). The four principles of biomedical ethics: a foundation for current bioethical debate. Journal of Chiropractic Humanities, (14), 34–40. Retrieved from https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=105887311&site=ehost-live&scope=site