NR510 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
Chamberlain University NR510 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR510 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One 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 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
Whether one passes or fails an academic assignment such as the Chamberlain University NR510 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One 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 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
The introduction for the Chamberlain University NR510 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One 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 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
After the introduction, move into the main part of the NR510 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One 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 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
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 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
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 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
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 is your next logically sound course of action? Provide evidence to support your response.
Stephanie has been with the practice 10 years and feels confident she is knowledgeable enough to prescribe medications for certain illnesses due to her familiarity with patient care and commonly prescribed medications for certain illnesses, etc. However, she was not authorized to take Mrs. Smith’s prescription renewal request without Mrs. Smith being seen by the physician, myself, or another staff NP. The order for the prescription should have come from the physician, another NP on staff, or myself not an “insistent” patient who is not qualified to determine which illnesses are treatable with antibiotics or if she even needed an antibiotic. Even though my name is on the label as the prescriber, I am exempt from any liability due to my name being forged by Stephanie. According to the law, Stephanie’s actions must be reported to the authorities, which is the first step in clearing my name.
Federal law states that prescription medications may only be written by licensed health care practitioners who have also received training in medication management and patient assessment (Singh et al., 2013). Each state has precise legal codes that require or permit health care providers to disclose a patient’s health information for the purposes of reporting a crime (Singh et al., 2013). The physician in charge has a legal and ethical responsibility to train employees about the laws that prohibit unauthorized persons from writing prescriptions. Stephanie has been at the practice so long that she has gotten comfortable with making decisions without consulting the physician or the NPs. Her actions are dangerous to the patient’s health, her career and those of her colleagues, and the future licensing of the practice. Any attempt to fill or write a forged prescription is a violation of federal statutes; the violating person is perpetrating a crime (Singh et al., 2013). I hate to be so dogmatic about it, but my license and professional reputation are at stake.
Numerous states have established laws that prosecute those who forge prescriptions (Singh et al., 2013). An example of such a law is the one posted below that was passed by the California legislature, which states prescription forgery is a violation of Business and Professions Code 4324 (Singh, 2013):
DIRECT WORDING from Singh et al., 2013
(a) Every person who signs the name of another, or of a fictitious person, or falsely makes, alters, forges, utters, publishes, passes, or attempts to pass, as genuine, any prescription for any drugs is guilty of forgery and upon conviction thereof shall be punished by imprisonment pursuant to subdivision (h) of Section 1170 of the Penal Code or by imprisonment in the county jail for not more than one year.
(b) Every person who has in his or her possession any drugs secured by a forged prescription shall be punished by imprisonment pursuant to subdivision (h) of Section 1170 of the Penal Code, or by imprisonment in the county jail for not more than one year.
Reference:
Singh, N., Fishman, S., Rich, B., & Orlowski, A. (2013). Prescription opioid forgery: Reporting to law enforcement and protection of medical information. Pain Medicine, 14(6), 792-798. Retrieved from https://doi.org/10.1111/pme.12062
Sample Answer 2 for NR510 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
We all have made mistakes on the job. Nurses and doctors are not perfect, and MAs cannot always be expected to make the right decisions every time they interact with patients. Supervisors should document performance issues objectively and address any issues with job performance early (Young, 2014). Stephanie has given ten loyal years to the practice. This seems to be her first disciplinary issue on record. I think it is important to reward staff for their service and dedication to a job well done, not just reprimand and fire them when they make a mistake. Stephanie needs the training to remain employed, and since the owner of the practice did not fire her, the owner should pay for her school fees. Stephanie should not have to worry about job security as this causes further stress and burnout (Portoghese, 2014). She should be more focused on getting the training she needs to understand her scope of practice better and to become a more effective MA. Stephanie is an asset to the firm in many ways. She is familiar with the patients, the way the office runs, and for the most part how to do her job, invaluable assets because training another person to do her job takes time, resources, and money. If health care practices continue to terminate health care employees for minor infractions, the health care industry will have an even harder time retaining and attracting loyal, skilled employees (Portoghese, 2014).
References:
Portoghese, I., Galletta, M., Coppola, R. C., Finco, G., & Campagna, M. (2014). Burnout and workload among health care workers: The moderating role of job control. Safety and Health at Work, 5(3), 152–157. Retrieved from http://doi.org/10.1016/j.shaw.2014.05.004
Young, M. O. (2014). Constructive feedback and disciplinary action. American Nurse Today, 9(4). Retrieved from https://www.americannursetoday.com/constructive-feedback-and-disciplinary-action/
Sample Answer 3 for NR510 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
I agree with your post. I feel the concept of ‘team integrity’ has a far greater impact and significance in how people present, act, demonstrate and present themselves in a daily fashion. Team integrity really makes or breaks a practice. Obviously we are all patients at some point in our lives, whether it be during our yearly PCP examinations, eye doctor appts, well or sick visits for our children. As patients we understand what we like and dislike at various medical practices (Buppert, 2015). I often can feel the ‘vibe’ of the office culture. Team culture has a huge impact on patients satisfaction as well as employment satisfaction. From personal experience, I have worked at hospitals where it was managed in a very authoritarian demeanor, and other facilities where input and personnel were valued. These qualities are very much relayed and ingrained to how patient care is delivered. When teams are managed kindly with educating staff in mind, employees are apt to being receptive towards corrective criticism and understand the legal scope of how NP’s practice for the welfare of the patient, the practice and legal malpractice aspects as well. Taking time to education the staff will create an atmosphere where the staff values and respects an organization. Discussion and education trimuph’s overs authoritarian discipline. Time to educate will be felt among patients, staff and employees!
Reference:
Buppert, C. (2015). Nurse practitioner’s business practice & legal guide (5th ed.). Retrieved from https://bookshelf.vitalsource.com
Sample Answer 4 for NR510 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
Yes, I agree this can definitely be an awkward position to be in but I feel that going to Stephanie first to try to resolve my concerns will help to allow the situation to be less aggressive and I also feel this will cause less tension amongst us. I also felt that by going to her first, I would be able to get a better understanding of her thought process and she would be able to understand my concerns. Going to a supervisor or a manager first is not always the best option and can actually make things worse amongst co-workers. However, if she was to get defensive I would try to change the course of the conversation by first assuring her that I am not out to harm her but to make clear that my number one concern and priority would be to ensure the safety of my patients. I can definitely see that there is a strong possibility Stephanie would or could become defensive, but the conversation would not turn into an argument because it takes two people to argue and I would remove myself from the conversation for the time being to help de-escalate the situation. Removing myself for the moment would help allow the situation to calm down and allow her as well as myself to regather our thought to reproach the situation. Because this is a major concern and will need to be address, if going to Stephanie first does help resolve the issue I would then have no other choice to bring this matter to the supervising MD. I believe I can also help to try to change the course of the conversation to be more productive rather than argumentative by making sure my tone, body language and those essential non-verbal communication clues are not signaling aggressive or defensive signs.
Sample Answer 5 for NR510 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
This is a completely unacceptable practice, Stephanie is not a licensed provider who can prescribe. First I would approach Stephanie to see what really happened. From there I would have to tell the office physician as there should be an investigation into if this has occurred with other patients and medications throughout the practice. It’s clear that Stephanie was just trying to help the patient but there is no reason she couldn’t have easily talked to the NP first. One of the four principles of ethical decision making is beneficence, which refers to the patients best interest coming first (Chamberlain, Lesson 4, 2018). This instance of the medical assistant ordering a prescription is the opposite of the patients best interest.
Nurse practitioners have worked extremely hard to expand their scope of practice to include various regulations which limit diagnosing, prescribing, referring, admitting and other functions (Buppert, 2015). It is pertinent to continue expanding the nurse practitioner scope of practice in the states that are very limiting. This situation is not helpful in nursing practitioners making cases for expanding their scope of practice.
Buppert, C. (2015). Nurse practitioner’s business practice & legal guide (5th ed.). Retrieved from https://bookshelf.vitalsource.com
Chamberlain college of nursing, 2018. Lesson 4/Organizational Change and Ethical-Legal Influences on APN and Specialty Nurse Practitioner Practice
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