RUA: Ethical Dilemma Assignment Guidelines

Scenario: A 15‐year‐old with end stage cancer refusing chemotherapy

1. Description of the dilemma 

• Performs preliminary research on the assigned ethical dilemma and describes the dilemma. Clearly identifies both positions grounded in scholarly literature. Included statistical significance to Pediatric nursing.

2. Ethical Principles and ANA Code of Ethics Provisions (2) 

• Determines the ethical principles that apply to each position, possible conflicts in principles, and components of the ANA Code of Ethics that apply using three (3) Provisions. Supports ideas with scholarly literature. 

3. Resources to resolve the dilemma 

• Describes resources to resolve the dilemma and describes how each resource could help to resolve the dilemma. Supports ideas with scholarly literature.

4. Possible outcomes and plan for resolving the issue 

• Discusses possible outcomes of both positions. Presents a plan for resolving the issue (for patient, family and the nurse). Supports ideas with scholarly literature.

Team Presentation -50 points/50%

•Description of the dilemma is clear and includes statistical significance to Pediatric nursing.

•Both positions of the dilemma are presented crediting supporting scholarly sources.

•Appropriate ethical principle(s) to support each position are used.

•Consideration of which, if any, ethical principles are in conflict with the opposing positions.

•Three (3) provisions of the ANA Code of Ethics that apply to the ethical dilemma are used.

•Present all pertinent resources available to resolve the dilemma.

•Explain how resources could help in resolving the dilemma.

•Discuss possible outcomes of each position

•Present a plan for resolving the issue. Team PowerPoint Presentation – 15 points/15%

.•Citations included for each section

PowerPoint includes sections for:

o Title

o Dilemma description Statistical significance

o Ethical principles

o Applicable ANA Code of Ethics Provisions

o Resources to resolve dilemma

o Potential outcomes of the dilemma

o Plan for resolving the dilemma

o Key Points

o References.

Speaker Notes – 20 points/20%

•At least one nursing resource

APA citations throughout.

•At least two (2) nursing, peer reviewed, primary sources from the last 5 years, excluding the textbook used to support work.

Assignment 2: Focused SOAP Note and Patient Case Presentation

Psychiatric notes are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Focused SOAP notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care. 

For this Assignment, you will document information about a patient that you examined during the last 4 weeks, using the Focused SOAP Note Template provided. You will then use this note to develop and record a case presentation for this patient. 

• Select an adult patient that you examined during the last 4 weeks who presented with a disorder other than the disorder present in your Week 3 Case Presentation.
• Create a Focused SOAP Note on this patient using the template provided in the Learning Resources. There is also a completed Focused SOAP Note Exemplar provided to serve as a guide to assignment expectations.

What are your thoughts about the debate regarding whether health care is a right or a privilege? How has the changing health care environment impacted your practice?

Requirements:

 Your initial post should be at least 500 words, formatted and cited in current APA 7ed. style with support from at least 2 academic sources. 

Resources mandatory to use:

 

Online Materials & Resources

• Lucas, A. & Ward, C. W. (2016). Using social media to increase engagement in nursing organizations. Nursing, 46(6), 47-49.
• Johnson, J. E. & Billingsley, M. (2014). Convergence: How nursing unions and Magnet are advancing nursing. Nursing Forum, 49(4), 225-232
• Berg, J. G. & Dickow, M. (2014). Nurse role exploration project: The Affordable Care Act and new nursing roles. Nurse Leader, 12(5), 40-44
• Vincent, D. & Reed, P. G. (2014). Affordable Care Act: Overview and implications for advancing nursing. Nursing Science Quarterly, 27(4), 254-259.

 

1) Minimum 7 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)  

              Part 1: Minimum 4 pages

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page

            

Submit 1 document per part

2)¨******APA norms

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

          Bulleted responses are not accepted

          Don’t write in the first person 

          Don’t copy and paste 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 (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

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

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

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: Nursing Leadership

Health care organization: Banner Health

Purpose:

Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.

1. Describe the health care organization or network.

2. Describe the organization’s overall readiness based on your findings.

3. Desing a strategic plan to address issues pertaining 

a.Network growth

b. Nurse staffing

c. Resource management

d. Patient satisfaction

4. Identify any current or potential issues within the organizational culture 

5. Discuss how these issues may affect aspects of the strategic plan.

6. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. 

a. Explain why this theory or model is best.

Part 2: Culminating experience

IRB is an important step in research. 

1. State the required components one should look for in a project to determine if IRB submission is needed. 

2. Discuss an example of a research study found in one of your literature review articles that needed IRB approval.

Choose one:

Almeida, F. D., Moraes, M. S., & Cunha, M. L. (2016). Taking care of the newborn dying and their families: Nurses’ experiences of neonatal intensive care. Revista Da Escola De Enfermagem Da USP, 50(Spe), 122-129. doi:10.1590/s0080-623420160000300018

Burns, J. P., Sellers, D. E., Meyer, E. C., Lewis-Newby, M., & Truog, R. D. (2014). Epidemiology of Death in the Pediatric Intensive Care Unit at Five U.S. Teaching Hospitals. Critical Care Medicine, 42(9), 2101-2108. doi:10.1097/ccm.0000000000000498

Monteiro, L., Santos, C., & Barros, S. (2019). Nurses’ coping with the unexpected death of children and adolescents. Escola Superior De Enfermagem De Enfermagem Do Porto, 2(2), 23-35.

Nielson, D. (2017). Discussing death with pediatric patients: Implications for nurses. Journal of Pediatric Nursing, 27(5). doi:10.1016/j.pedn.2011.11.006

Plante, J., & Cyr, C. (2018). Health care professionals’ grief after the death of a child. Paediatrics & Child Health, 16(4), 213-216. doi:10.1093/pch/16.4.213

 

3. Describe why IRB approval was needed in this instance.

Part 3: Education Teaching Practicum

1. Reflect on the following statement: Teach by concept, not content. 

2. What does that mean in nursing education?

3.  What does that mean in your classroom? (Your role:  Educator Nurse)

Part 4: Advanced Primary Care of Family Practicum 

 

Read the following article (Check file):

https://journals.lww.co m/jwocnonline/Fulltext/ 2012/03001/Reimburse ment_of_Advanced_Pra ctice_Registered.4.aspx

1. Prepare examples of various coding and billing issues that you have experienced in the clinical setting (Peds and Women’s Health).

2. Provide a brief description about the NPI numbers for nurse practitioners.