NR 510 dq 2 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part Two
Chamberlain University NR 510 dq 2 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part Two– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 510 dq 2 Week 4: Organizational Change and Ethical-Legal Influences in 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 NR 510 dq 2 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part Two
Whether one passes or fails an academic assignment such as the Chamberlain University NR 510 dq 2 Week 4: Organizational Change and Ethical-Legal Influences in 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 NR 510 dq 2 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part Two
The introduction for the Chamberlain University NR 510 dq 2 Week 4: Organizational Change and Ethical-Legal Influences in 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 NR 510 dq 2 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part Two
After the introduction, move into the main part of the NR 510 dq 2 Week 4: Organizational Change and Ethical-Legal Influences in 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 NR 510 dq 2 Week 4: Organizational Change and Ethical-Legal Influences in 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 NR 510 dq 2 Week 4: Organizational Change and Ethical-Legal Influences in 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 NR 510 dq 2 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part Two
Upon further investigation, you learn that Stephanie spoke with the patient and called the medication into the patient’s pharmacy without consulting with a provider. Stephanie claimed that the patient was insistent about needing a prescription. Because Mrs. Smith was coming into the office the following week for an appointment, she didn’t think you would mind if the patient received the prescription early.
Discussion Question:
What are the ethical-legal concerns associated with this situation? What is your liability in this situation, if any? What is the practice’s liability in this situation? What quality improvement strategies might you implement as an APN in this practice to safeguard your role and assure patient safety? Provide evidence to support your response.
On a basic/standard level of ethical legal concerns, no medical professional should be doing anything in representation of another provider;this should be well known to all medical professionals. It’s as basic as not giving someone your badge to take a blood sugar, common practice learned day 1. As a medical assistant Stephanie should have known this was wrong, she knows she shouldn’t document under another provider and is fully aware she can not decide which medication a patient needs, only a refill of a prescription which is authorized by the provider whose name will be on the prescription.
As the provider who “prescribed” the medication it is my responsibility and liability if this was the wrong medication, the patient has an allergic or any adverse reaction because Stephanie was unaware of the patients allergies or other condition/medication that may interfere with the new medication. Talking more severely, had this been the wrong medication and adverse/serious reactions had resulted for the patient there may not have been a way to determine who had called in the prescription, leaving the NP open for a legal repercussions or medical malpractice(Buppert, 2015). This is one of many reasons functioning within ones scope of practice is pertinent daily life as an NP. Liability for the practice is high because if something had happened it would not only come back to the NP but the practice as you are a practice employee.
As far as quality improvement for now you could call in your own prescriptions and refills but long term this is not time efficient. The practice should hold a class or informational session required for anyone ordering prescriptions as well as a policy put into place for medical assistants to follow strictly in this role if they are going to have the responsibility of sending in medication refills. Another solution is that they could enter it but it has to be signed off by the NP, which is also time consuming for an NP daily schedule. In conclusion there are many alternatives other that what Stephanie chose and there needs to be serious education put into place.
Buppert, C. (2015). Nurse practitioner’s business practice & legal guide (5th ed.). Retrieved from https://bookshelf.vitalsource.com
It is important for Stephanie to not feel attacked, she is probably a long standing employee who is well respected and you don’t want to be the bad guy causing a problem but it is essential the problem is addressed. Hopefully if she did begin to shut down you could explain to her what a great job she does with everything she is responsible for, as long as that was actually the case. One could also share a time with her that you yourself made a mistake, and how it was corrected. We are all human and make mistakes unfortunately as a medical professional there is a lot of responsibility that comes along with those mistakes, involving lives of others.
If she had the opposite reaction, and began to yell defending herself it would be important to be prepared for this situation as well. Many institutions are implementing conflict resolution programs for their employees as this issue begins to grow. Particularly in the medical setting there are many people who can become uncooperative and sometimes even combative including patients, family members, or staff. A prime example, in the fall the hospital I work at implemented a mandatory training class for conflict resolution.
Brubaker, D., Noble, C., Fincher, R., Park, S. K., & Press, S. (2014). Conflict resolution in the workplace: What will the future bring? Conflict Resolution Quarterly, 31(4), 357-386. doi:http://dx.doi.org.chamberlainuniversity.idm.oclc.org/10.1002/crq.21104Links to an external site.
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Sample Answer 2 for NR 510 dq 2 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part Two
I like to see how people are having different reactions and opinions to this topic. Some say that she may be fired or some would say that his would be a write up and not to happen again. I stated that all these outcomes can happen depending on the outcome. This to me would be like when a nurse mislabels a specimen and places the wrong label on it. This is extremely dangerous as the wrong blood on the wrong patient can cause great harm to the patient. However, nowadays, many safety guards are put in place to decrease the chance of this happening. Some hospitals react differently depending on the outcome. However, this issue can also be reported to the State Board, possible suspension/loss of license, loss of job, and even have the nurse sued. The nurse may also just get written up and may be able to keep her job. However, in many cases I have seen, especially if the lab was stopped before posting it on the program, the nurse is strongly warned and is written up. I have seen where they fired a nurse for mixing up glucose results. This would be almost impossible at the facility I work at as AccuCheck machines links to the patient and only lets you gain a glucose reading once the employee has scanned the correct patient. In a textbook explanation, she would get written up, reported to the state, and possibly lose her job. I have also seen a nurse, after several warning, get fired for placing orders in the computer without proper verification from MD. He was fired from a prestigious, well-known hospital, however, he was able to get another job. However, he could have easily been reported to the board and lost his license. It all depends on the outcome of the patient and how the facility chooses to handle this situation. In reality, regardless of what I believe or know should happen in this situation, she would probably just get seriously warned and written up and/or fired and find a job elsewhere.
Sample Answer 3 for NR 510 dq 2 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part Two
On a basic/standard level of ethical legal concerns, no medical professional should be doing anything in representation of another provider;this should be well known to all medical professionals. It’s as basic as not giving someone your badge to take a blood sugar, common practice learned day 1. As a medical assistant Stephanie should have known this was wrong, she knows she shouldn’t document under another provider and is fully aware she can not decide which medication a patient needs, only a refill of a prescription which is authorized by the provider whose name will be on the prescription.
As the provider who “prescribed” the medication it is my responsibility and liability if this was the wrong medication, the patient has an allergic or any adverse reaction because Stephanie was unaware of the patients allergies or other condition/medication that may interfere with the new medication. Talking more severely, had this been the wrong medication and adverse/serious reactions had resulted for the patient there may not have been a way to determine who had called in the prescription, leaving the NP open for a legal repercussions or medical malpractice(Buppert, 2015). This is one of many reasons functioning within ones scope of practice is pertinent daily life as an NP. Liability for the practice is high because if something had happened it would not only come back to the NP but the practice as you are a practice employee.
As far as quality improvement for now you could call in your own prescriptions and refills but long term this is not time efficient. The practice should hold a class or informational session required for anyone ordering prescriptions as well as a policy put into place for medical assistants to follow strictly in this role if they are going to have the responsibility of sending in medication refills. Another solution is that they could enter it but it has to be signed off by the NP, which is also time consuming for an NP daily schedule. In conclusion there are many alternatives other that what Stephanie chose and there needs to be serious education put into place.
Buppert, C. (2015). Nurse practitioner’s business practice & legal guide (5th ed.). Retrieved from https://bookshelf.vitalsource.com
Sample Answer 4 for NR 510 dq 2 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part Two
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/
APA Writing Checklist
Use this document as a checklist for each paper you will write throughout your GCU graduate
program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.
☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.
☐ The title page is present. APA format is applied correctly. There are no errors.
☐ The introduction is present. APA format is applied correctly. There are no errors.
☐ Topic is well defined.
☐ Strong thesis statement is included in the introduction of the paper.
☐ The thesis statement is consistently threaded throughout the paper and included in the conclusion.
☐ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.
☐ All sources are cited. APA style and format are correctly applied and are free from error.
☐ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.
Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.
Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.
Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.
Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.
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.