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NR510 ddq 2 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study Part Two

NR510 ddq 2 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study Part Two

Chamberlain University NR510 ddq 2 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study Part Two– Step-By-Step Guide

 

This guide will demonstrate how to complete the Chamberlain University   NR510 ddq 2 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study Part Two  assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

 

How to Research and Prepare for  NR510 ddq 2 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study Part Two                                

 

Whether one passes or fails an academic assignment such as the Chamberlain University   NR510 ddq 2 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study Part Two    depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

 

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

 

How to Write the Introduction for  NR510 ddq 2 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study Part Two                                

 

The introduction for the Chamberlain University   NR510 ddq 2 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study Part Two    is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

 

How to Write the Body for  NR510 ddq 2 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study Part Two                                

 

After the introduction, move into the main part of the  NR510 ddq 2 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study Part Two       assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

 

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

 

How to Write the Conclusion for  NR510 ddq 2 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study Part Two                                

 

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

 

How to Format the References List for  NR510 ddq 2 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study Part Two                                

 

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NR510 ddq 2 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study Part Two

As revenue generators, NPs must be aware of how their work contributes to the overall revenue of the clinical practice. You see 20 patients per day on average and take call every third weekend. According to Buppert (2011), an NP who sees 15 patients per day at $56 per patient visit, on average, brings in $840 per day. Allowing 1 week off for continuing education, 1 week off for illness, and 4 weeks off for vacation, this NP will bring in $193,200 a year, potentially. However, not all bills are paid. With a 90% collection rate—a reasonable collection rate for an efficient practice—this NP actually will bring in $173,880 per year. An NP who sees 24 patients per day will bring in $1344 per day, or $309,120 per year in accounts receivable. With a 90% collection rate, this NP will bring $278,208 to the practice (Buppert, 2011).

NR510 ddq 2 Week 3 Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study Part Two
NR510 ddq 2 Week 3 Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study Part Two

Establishing a salary can be a challenge for NPs. Deducting 40% of the NP’s gross generated income for overhead expenses (rent, benefits, continuing education, supplies, malpractice, lab expenses, and depreciation of equipment) leaves $104,280 for the 15-patient-per-day NP and $166,925 for the 24-patient-per-day NP. Further deducting 15% of that figure to pay a physician for consultation services leaves $88,638 in salary for the 15-patient-per-day NP and $141,887 in salary for the 24-patient-per-day NP. Deducting 10% for employer profit leaves $79,775 in salary for the 15-patient-per-day NP and $127,699 for the 24-patient-per-day NP (Buppert, 2011).

What salary would you propose for the contract renewal? How does your salary proposal fit in with the community standard for an NP in a similar practice? Use logical reasoning, and provide evidence based rationales for your decisions. Keep in mind that your negotiation terms and conditions must be within the legal scope of practice for an ANP.

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There are many issues wrong with this scenario.  First off, the nurse had no right calling in a script under my name as a family nurse practitioner.  I am assuming that since she has been there for a long period of time and knows all the providers and patients, she felt it was ok to order this, if that is how it happened.  Maybe it occurred that I have forgotten that I spoke with her.

The first thing that I would do is discuss the issue with Stephanie.  This should be handled in a professional manner.  I would definitely not have this discussion with just her and I either.  There needs to be at least one other provider in the room also.  There should be a discussion on the events that have happened, including the phone call from Mrs. Smith and what prompted Stephanie to prescribe the antibiotic without asking a provider.  There are many issues with bending the rules.  One issue is that they may believe that their professional judgement overrides any policies or procedures in place (n.a., 2018).

If it truly did happen that Stephanie wrote the prescription using my name, it could result in legal actions.  Stephanie could potentially get fired and lose her nursing license.  Ethically, this nurse has caused an issue.  Besides her getting herself in trouble, I may become concerned that I am now in legal trouble as well.  This may be something that I would bring up with the risk manager for the business.  Of the questions that I may want to ask is about the scope of practice, laws that have potentially been broken, and who is potentially at harm by this medication error occurring (Buppert, 2015).  These questions all can help determine the amount of trouble that she could be facing.

 

Buppert, C. (5th Ed.).  (2015).  Nurse Practitioner’s Business Practice and Legal Guide.  Burlington, MA: Jones & Bartlett Learning

n.a. (2018).  The risks of bending the rules.  HPSO.  Retrieved from www.hpso.comLinks to an external site.

Sample Answer 2 for NR510 ddq 2 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study Part Two

Although Stephanie has been a good medical assistance with the practice for 10 years, I would unfortunately have to confront her and her actions.  She should never, under any circumstances, prescribe medication to a patient without first speaking to myself, the nurse practitioner, or one of the physicians in the practice.  It is outside of her scope of practice to diagnose and prescribe medications to a patient.  What she did was not only ethically wrong, but she abused the trust of the all the licensed practitioners within the practice by taking things into her own hands like this. She also could have potentially caused the patient harm as she may not be aware of the other medications or supplements the patient may be taking, where there potentially dangerous mixing of medications may take place.  I would hope that she checked the chart or had the sense to ask the patient about any potential allergies to medications, however, the risk of allergies remains none the less.

During the last several decades, the way that healthcare is delivered has increasingly changed.  Allied healthcare providers known as physician extenders, are now active participants in the healthcare system. Examples of physician extenders are nurse practitioners, physician assistants, and medical assistants.  Hiring such staff may be more cost efficient for a physician, rather than hiring another physician into the practice (Delman, 2003).

Delman (2003) poses the question of what determines the “practice of medicine” as there may be certain activities that do not necessarily institute as medicine practice when completed by another person. There are certain tasks that may be considered practicing medicine, that may be performed by nonphysicians, and may legally do so without direct supervision.  Similarly, there are other tasks which may be performed by nonphysicians legally under the direct supervision of a licensed physician, however when these same tasks are not directly supervised by a licensed physician, would then fall under illegal practice of medicine (or surgery).

Even if she had good intentions, Stephanie’s actions were reckless and dangerous.   She performed an action outside her scope of practice, placing the patient at risk, as well as placed the NP and any other licensed prescriber within the practice at legal risk.  If the patient was harmed in any way, it would be the prescriber at blame, not her.  She needs to be reprimanded in some way, and not be allowed to handle medications/prescriptions any longer.

Delman, J. L. (2003). The Use and Misuse of Physician Extenders. Journal Of Legal Medicine24(3), 249. doi:10.1080/01947640390231939

Sample Answer 3 for NR510 ddq 2 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study Part Two

Since I am a family nurse practitioner nursing student I could only make a guesstimate on what should be the proper salary for a practicing nurse practitioner.  Actually the only research I have looked into when it comes to nurse practitioner salaries is the common median salary for a nurse practitioner in the state of Texas.  From the various websites and from talking to actual nurse practitioners the median in Texas seems to be over $100,000.  I would have to learn more and actually become a nurse practitioner to figure out the true salary that I believe I deserve and would work towards obtaining in the future.  Apparently according to other nurse practitioners at the organization that I work at, the amount of patients that you see will contribute to salary.  I would strive to see a good amount of patients ranging from 20 to 24 patients based on the salary breakdown on the question above.  I would propose for $110,000 to $120,000 salary based median.  I believe that fits with the common median of what a nurse practitioner who makes.  One also has to understand where the nurse practitioner is working because based on where the nurse practitioner is working it will affect and contribute to how much the NP will make in a year.   For example a nurse can work at a private practice office, a clinic, or even go a step further and work in the hospital setting as an advanced nurse practitioner.  It is important that a nurse practitioner keeps up with the current salaries because it is important that he or she gets paid the correct amount that he or she deserves. Nurse practitioners do  have more advocacy and independence then a bedside nurse however there comes more responsibility.   I do believe that as a nurse practitioner games more responsibility I believe that the salary needs to be revised and examined.  Patients are becoming more complex and critical and there is a shortage of actual practicing physicians .  This is  One of the reasons that nurse practitioners are gaining more responsibility and I believe as nurse practitioners gain more task and responsibilities that the salary should be increased. (Levine, 2015)

Referances:

Levine, J. (2015). Nurse practitioner practice characteristics, salary, and benefits survey, 2003. Clinical Excellence For Nurse Practitioners, 9(1), 49-58.

Sample Answer 4 for NR510 ddq 2 Week 3: Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study Part Two

NPs salaries is an important discussion because it directly ties in with our work ethic. The connection between pay and the NPs work attitude is a subject that is typically swept under the rug. When pay is brought up, physicians argue they charge less for NP services. Yet, physicians want to collect the most money they can from NP fees. While nurse practitioners continue to draw lower salaries because doctors charge lower fees for NP services, NPs are doing more and more work. Our duties and scope of practice has expanded due to legislation that has been passed. True, NPs want full practice and prescriptive authority, but we also want an increase in pay. As the medical field relies more on NPs to fill the primary care physician void reimbursement and salary issues must be addressed to avoid a backlash from NPs (Ulrich et al., 2014). Salary transparency is a positive factor; however, salary transparency combined with pay fairness and pay raises eliminates employee turnovers and employee dissatisfaction.

Research conducted by the Society for Human Resource Management shows a fair and transparent pay process boosts employee engagement more than providing additional pay (Miller, 2017). I am a proponent of both: fair and transparent pay and additional pay. Just having an open dialogue about pay is not enough for me. I appreciate the accolades about my contributions to the practice and patients’ health welfare, but ultimately, I want to be compensated for my work.

References:

Miller, S. (2017). Pay fairness perception beats higher pay for improving employee engagement. Retrieved from https://www.shrm.org/resourcesandtools/hr-topics/compensation/pages/pay-fairness-beats-higher-pay-for-engagement.aspx

Ulrich, C. M., Zhou, Q. (Pearl), Hanlon, A., Danis, M., & Grady, C. (2014). The impact of ethics and work-related factors on nurse practitioners’ and physician assistants’ views on quality of primary healthcare in the United States. Applied Nursing Research : ANR27(3), 152–156. http://doi.org/10.1016/j.apnr.2014.01.001

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APA Writing Checklist

Use this document as a checklist for each paper you will write throughout your GCU graduate

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Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.

☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.

Read Also:  NR510 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One