Category: Nursing

Marcia W is a 40-year-old female with multiple myeloma, who upon diagnosis shows great interest in having all the information necessary to make a decision about further treatment.  Dr. C tells her that the response rates for chemotherapy with this disease are very good and that recent research has shown that 50 percent of all patients can hope for long-term survival rates, which are tantamount to cure. The other 50 percent of patients die within a year or two.  What Dr. C neglects to tell her is that preliminary studies are showing that, over a 20-year period subsequent to chemotherapy, 10 percent of those who survive the myeloma will contract a form of leukemia that is highly resistant to treatment. When her treatment is discussed in a staff meeting, Dr. C says he does not want to tell Marcia W about the 10 percent because he is afraid that it might unduly alarm her and cause her not to take treatment, thereby spoiling her chances for long-term survival. Moreover, he states (1) that the research is not conclusive enough to suit him and (2) that 10 percent is such a low figure that he is not morally required to communicate the risk.  After all, he suggests, one cannot inform a patient of  every risk.
(a) To what extent is Dr. C being paternalistic if he withholds the risk of leukemia?
(b) If Dr. C withholds the risk of leukemia from Marcia, is he trying to deceive her? Is it always deception in cases where one withholds information that is considered unreliable?
(c) Would withholding the risk of leukemia from Marcia be justified under either of the exceptions to disclosure outlined in Canterbury v. Spence? Why or why not?
(d) What should Dr. C do in this case?  Would withholding the risk of leukemia be justified from either a utilitarian or deontological perspective? Be sure to explain either the hedonic calculus or the categorical imperative in your answer. 

Phase 2 – Creating Awareness will aid you in meeting course objective(s):  Critically analyze finances, laws, regulations and policies at the institutional, local, state, and national levels and Function as a nursing professional in political and legislative efforts to influence health care policy.
Phase 2 – Creating Awareness Assignment: 
You will continue to function as nursing professional’s in political and legislative efforts to influence health care policy by creating awareness about health care policy and social factors which impact the implementation of client-centered care by:
In a concise, informative written document/report appropriate for the target audience to create awareness, address items 2 – 4 below
OR
In a concise, informative audio PowerPoint presentation appropriate for the target audience to create awareness, address items 2 – 4 below
Based on your selected vulnerable population or community health problem in your local or national community identified in Phase 1, identify a specific health disparity impacting the population or the community by 
supporting the finding with relevant statistics that demonstrate the health disparity exists with data from the community (observed or from credible resources)
describing the impact on health this disparity has when implementing client-centered care. Support with relevant social, environmental, economic, and cultural data. 
with scholarly support identify one health policy issue which can challenge nursing practice when addressing health disparity    
Identify a target audience in a position to make policy decisions (write a bill) AND identify a specific pathway to allocate resources for the population by 
proposing one specific recommendation for a policy (bill) to address the identified health disparity
AND
proposing one specific pathway to allocate resources to address the identified health disparity 
Demonstrate scholarly depth and support, referencing your textbook and at least two scholarly resources using APA 7th ed. format:
APA 7th ed. formatted title page, in-text citations, and reference page should be used in the written document/report and audio PowerPoint.  
Submit your Phase 2 – Awareness assignment by posted due date/time
Rubric
Phase 2 – Creating Awareness Assignment
Phase 2 – Creating Awareness Assignment
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeTarget audience
5 to >3.0 pts
Successfully accomplished
Target audience in a position to write a bill is clearly identified in the source/tool.
3 to >0 pts
Needs improvement
Target audience in a position to write a bill is not clearly identified in the source/tool.
5 pts
This criterion is linked to a Learning OutcomeTool/source is appropriate for the target audience (1)
10 to >7.0 pts
Successfully accomplished
In a submission posted by due date/time RN selected the appropriate tool/source for the target audience.
7 to >0 pts
Needs improvement
Submission may be posted late or RN did not select the appropriate tool/source for the target audience.
10 pts
This criterion is linked to a Learning OutcomeVulnerable population or health problem identified in Phase 1 – health disparity (2)
35 to >25.0 pts
Successfully accomplished
A vulnerable population or community health problem in your local community or at a national level is clearly identified in the tool. The information is supported through community data sources or a scholarly source.
25 to >0 pts
Needs improvement
A vulnerable population or community health problem in your local community or at a national level is not clearly identified in the tool. The information may not be well supported through community data sources or a scholarly source.
35 pts
This criterion is linked to a Learning OutcomeVulnerable population or health problem identified in Phase 1 – impact (2)
45 to >35.0 pts
Successfully accomplished
The impact on health this disparity has when implementing client-centered care is clearly described. The information is supported through relevant social, environmental, economic, and cultural community data sources.
35 to >0 pts
Needs improvement
One ethical principal to protect related to the health and safety of your vulnerable population or community health problem is not clearly identified.
45 pts
This criterion is linked to a Learning OutcomeVulnerable population or health problem identified in Phase 1 – challenge (2)
45 to >35.0 pts
Successfully accomplished
With scholarly support one health policy issue which can challenge nursing practice when addressing health disparity is clearly identified.
35 to >0 pts
Needs improvement
Scholarly support was not used to support one health policy issue which can challenge nursing practice when addressing health disparity.
45 pts
This criterion is linked to a Learning OutcomeTarget audience (3)
10 pts
Successfully accomplished
A target audience in a position to make policy decisions (write a bill) is clearly identified.
7 pts
Needs improvement
An audience is discussed that may not be in a position to make policy decisions (write a bill) OR the target audience in a position to make policy decisions (write a bill) is not clearly identified.
10 pts
This criterion is linked to a Learning OutcomeTarget audience – one recommendation for a policy (bill) (3)
15 pts
Successfully accomplished
One specific recommendation for a policy (bill) to address the identified health disparity is clearly identified.
10 pts
Needs improvement
A recommendation for a policy (bill) to address the identified health disparity is not clearly identified.
15 pts
This criterion is linked to a Learning OutcomeTarget audience – one pathway to allocate resources (3)
15 pts
Successfully accomplished
One specific pathway to allocate resources to address the identified health disparity is clearly identified
10 pts
Needs improvement
A specific pathway to allocate resources to address the identified health disparity is not clearly identified
15 pts
This criterion is linked to a Learning OutcomeAPA 7th ed. – title page, in-text citations, reference page (4)
10 pts
Successfully accomplished
APA 7th ed. citations are used in-text and posted as references without error.
7 pts
Needs improvement
APA 7th ed. citations are used in-text and posted as references have more than one error.
10 pts
This criterion is linked to a Learning OutcomeScholarly support
10 to >7.0 pts
Successfully accomplished
Scholarly depth and support is evident. There is a reference to the course textbook and at least one scholarly source.
7 to >0 pts
Needs improvement
Scholarly depth and support is not evident. There is no reference to the course textbook and/or there is no reference one scholarly source.
10 pts
Total Points:20

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. 
All answers to case studies must-have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study
Less than 10% of turnitin similarity

EPIDEMIOLOGY/GLOBAL INFECTIOUS DISEASE 
Watch the Introduction to Epidemiology – Bing videoLinks to an external site..  Review the CDC global health page https://www.cdc.gov/globalhealth/index.htmlLinks to an external site.   
Write the Epidemiology/Global Infectious Disease Paper, using the prompts below
Definition of epidemiology, key terms/ purpose in public health practice, how it solves health problems/data sources, and collection methods.
The difference between Descriptive and Analytical epidemiology. Discuss Descriptive and Analytical epidemiology. How is Descriptive and Analytical epidemiology used in research and nursing practice today? Provide a current research article(s) that support your writings. 
You will be assigned an infectious disease or epidemiological issue that threatens health either globally or in the United States. (Global Immunization Division | CDCLinks to an external site., Global HIV and TB (cdc.gov)Links to an external site., CDC – ParasitesLinks to an external site., Global Diseases, and Threats | Global Health | CDCLinks to an external site., Global Food and Water (cdc.gov)Links to an external site.. 
Using Epidemiological Principles and current data (no less than 5 years)
Describe the origin  of your infectious disease
Recent number of cases globally and in the United States. Considering the number of cases, risk of becoming infected, and potential for debilitation or death, do you believe this disease is being adequately researched and receiving the attention it deserves so more cases might be prevented?  Use evidence-based research to support your answer. 
Describe this disease/epidemiological issue using the epidemiological triangle (host, environment, and agent).
Who is at greatest risk for becoming infected? Why?
Describe how Primary, Secondary, and Tertiary measures apply to this disease/epidemiolocal issue. If either of the levels of prevention does not apply, you need to explain how it is not applicable. 
If you had an amazing opportunity to make recommendations to the CDC or World Health Organization regarding this disease, what would you recommend? Describe nursing advocacy in this section.
Rubric for Grading:
Introduction
Explain what you are writing about, and make it clear to the reader. The last sentence of your introduction needs to include your thesis statement.
Body of Paper
Definition of epidemiology, key terms/ purpose in public health practice, how it solves health problems/data sources, and collection methods.
Body of Paper
• The difference between Descriptive and Analytical epidemiology. Discuss Descriptive and Analytical epidemiology. How is Descriptive and Analytical epidemiology used in research and nursing practice-today? Provide a current research article(s) that support your writings.
Body of Paper
Using Epidemiological Principles and current data (no less than 5 years)
• Describe the origin
• Recent number of cases globally and in the United States
• Describe this disease/epidemiological issue using the epidemiological triangle
• Who is at greatest risk for becoming infected? Why?
• Describe how Primary, Secondary and Tertiary measures apply to this disease/epidemiolocal issue. If either of the levels of prevention does not apply, you need to explain how it is not applicable.
• Considering the number of cases, risk of becoming infected and potential for debilitation or death, do you believe this disease is being adequately researched and receiving the attention it deserves so more cases might be prevented? Use evidence-based research to support your answer.
Conclusion
If you had an amazing opportunity to make recommendations to the CDC or World Health Organization regarding this disease, what would you recommend? Describe nursing advocacy in this section. Include your conclusion after you fully discuss your part in advocacy. This section may be 2 to 4 complete paragraphs to complete this section.

TOPIC: Reduce the risk of patient and resident harm resulting from falls. TJC Goal 9 for nurses
A PICOT question is utilized to help plan for research i.e, define search terms for a clinical problems and ultimately, hopefully to guide quality improvement and research. The PICOT process requires that key elements be defined. These are Population, Interventions, Comparisons, Outcomes, and Time. Time can be an optional component but only for certain circumstances. If time can be applied to the situation, it needs to be used. You will be formulating your own PICOT question based on a clinical issue. This can be a clinical issue that you already see in nursing practice. ie CAUTI, CLABSI, medication administration errors etc. There are a multitude of clinical issues that could be found. 
It can be helpful to do a literature search and to pull articles to further define your clinical issue and PICOT. You may also find multiple ways to write a PICOT. One note about PICOT is that it is important to realize that when we say Population – we are often using it generically and not in its true statistical sense. This is because a PICOT is NOT the actual quality improvement project nor is it actually the research process. The PICOT exists to help with the scientific process of starting a literature search on an issue. If you look up a clinical issue on PubMed and then a few years later, a colleague wants to look up the same issue, you both would want to be able to compare results. For example, if you look up an issue about readmissions and have 81 results but in three years someone looks up readmissions and has 1000 results, other a lot of research was done and published OR the same search terms weren’t utilized. This is where the PICOT can help guide searches.

Identify regulatory agencies that regulate health and the health care system within the US, create a table listing your 5 regulatory agencies and address the following:
Describe the agency, level of regulatory authority (local, state, federal), scope of regulatory authority, and role within the US healthcare system.
Address relevance of the organization or the organization’s authority to the APRN/DNP graduate.
Describe relevance to specialty area, area of practice, or setting of practice. For an example, mental health. Submission Requirements: In the table, write the 3 criteria above and respond to them.
The table is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
The table is to be complete and thorough. It should include all items indicated in the assignment.
Incorporate at least 3 current scholarly journal articles within 5 years

This discussion is based on a story of an 18-month old named Josie King that lost her life because of a medical error. Josie’s mother used the settlement money to create the Josie King Foundation to help reduce the mortality rate by encouraging hospitals to adopt patient-safety programs.
Instructions:
Read the Josie’s Story Teaches Hospitals How to Become Safer ( https://www.healthleadersmedia.com/clinical-care/josies-story-teaches-hospitals-how-become-safer )
Read the following safety techniques for patients:
For Caregivers ( https://josieking.org/resource-center/#for-caregivers )
Patient Safety ( https://josieking.org/from-the-experts/#patient-safety )
Watch the Josie King Story video ( https://www.youtube.com/watch?app=desktop&v=JeVcXhvPvbU&feature=youtu.be )
Write your feelings about Josie and the culture of hiding mistakes and the approximately 98,000 persons that die each year in America because of medical errors.
Answer the questions as thoroughly and concisely as possible.
Be sure to reference any works that you utilize in answering the questions (Be sure that references are in APA format).

Using your textbook and other resources for reference, write a 3-5 page paper covering the following topics on performing a physical examination. The paper should be double spaced with a reference page. No title page is required. Please discuss the following:
1. Complete a short introduction for your paper.
2. List the important supplies and equipment you would need to complete a holistic physical examination. Identify why it is important to identify and locate the supplies and equipment prior to the examination taking place.
3. How should the nurse best prepare the environment and the client for the examination? Why is this important?
4. What precautions should the nurse take to keep themselves and their clients safe?
5. List and define the different physical examination techniques you would use to perform a physical assessment and when it is appropriate to use them.
6. Describe the multiple purposes of the electronic health record (EHR) and techniques to document an assessment in the EHR appropriately.
7. Describe the SBAR technique of communication and why it is important.
8. Conclude by providing a short paragraph of the most important thing you learned by completing this assignment.
Use this template to get started.Download Use this template to get started.
The purpose of this assignment is to ensure you understand how to prepare for a holistic physical examination, gather and properly use supplies and equipment, and understand the various assessment techniques. You will also determine how to properly document your assessment findings in the electronic health record (EHR), and the accepted communication techniques used in the health care environment with the various members of the health care team. This assignment will prove competence in the following modular learning outcome(s)

This assignment enables the student to meet the following course outcomes:
CO 1: Apply leadership concepts, skills, and decision making in the provision of quality nursing care. (PO 2)
CO 5: Summarize legal, ethical, and professional competencies utilized by nursing leadership. (PO 6)
Due DateStudents must complete the Week 2 Leadership Style Analysis assignment and submit it to the Dropbox by Sunday at 11:59 p.m. MT.  Late Assignment PolicyStudents are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction, as noted in the rubric below. Total Points PossibleThis assignment is worth 190 points.
Preparing the AssignmentFollow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions. Directions Complete this assignment following the steps below. Download the Leadership Style Analysis assignment templateLinks to an external site.. Use of the template is required. A 10% deduction will be applied if the template is not used. See the rubric. Type your responses on the template. Do not submit handwritten notes. Save the template and include your name in the file name. Use the SMART goal you formatted this week and the result of the Leadership Style Inventory at the end of the lesson to complete the Leadership Style Analysis assignment template. When complete, save and close the completed template. Click the Submit button at the top of this page to upload your completed assignment. Correctly cite and reference ideas and information that come from scholarly literature. Sources should be no more than five years old unless they are historical references. Follow grammar, spelling, word usage, and punctuation rules consistent with formal, professional writing.   Abide by Chamberlain University’s academic integrity policy.   Include the following sections (detailed criteria listed below and in the grading rubric). Answer the questions under each section with explanation and detail. Section 1: Leadership, Management, and Followership In your current experience, do you more frequently assume the leader, manager, or follower role? Explain your answer. What do you consider to be your two strongest leadership characteristics? Explain your answer. What do you consider to be your two most significant leadership opportunities for growth? Explain your answer. How can your role (as a leader, manager, or follower) change based on the needs or responses of your team? Explain your answer. Section 2: Leadership Style What was your result from the Leadership Style Inventory assessment in the lesson? Use citations to discuss. Do you feel this result accurately reflects your leadership style? Why or why not? How do you (or how will you) use this leadership style in the clinical practice environment? Give an example. Section 3: SMART (Specific, Measurable, Attainable, Relevant, Time-Based) Goal
What was your leadership-related SMART goal from the lesson? How does this goal help you grow as a professional nursing leader and contribute to your long-term career vision? What barriers could present themselves in the achievement of this goal? How will you overcome them? What milestones can you set to assess your progress in achieving this goal? What does the current literature say about milestones and goal-setting? Submit the completed Leadership Style Analysis assignment template to the Week 2 Dropbox by Sunday at 11:59 p.m. MT. Rubric
NR447_W2_Leadership Style Analysis Rubric
NR447_W2_Leadership Style Analysis Rubric
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeSection 1: Leadership, Management, and FollowershipAnswer the questions with explanation and detail.
1. In your current experience, do you more frequently assume the leader, manager, or follower role? Explain your answer.
2. What do you consider to be your two strongest leadership characteristics? Explain your answer.
3. What do you consider to be your two most significant leadership opportunities for growth? Explain your answer.
4. How can your role (as a leader, manager, or follower) change based on the needs or responses of your team? Explain your answer.
60 ptsExcellent
All requirements met.
55 ptsVery Good
3 requirements met.
50 ptsSatisfactory
2 requirements met.
30 ptsNeeds Improvement
1 requirement met.
0 ptsUnsatisfactory
No requirements met.
60 pts
This criterion is linked to a Learning OutcomeSection 2: Leadership StyleAnswer the questions with explanation and detail.
1. What was your result from the Leadership Style Inventory assessment in the lesson? Use citations to discuss.
2. Do you feel this result accurately reflects your leadership style? Why or why not?
3. How do you (or how will you) use this leadership style in the clinical practice environment? Give an example.
60 ptsExcellent
All requirements met.
55 ptsVery Good
3 requirements met.
50 ptsSatisfactory
2 requirements met.
30 ptsNeeds Improvement
1 requirement met.
0 ptsUnsatisfactory
No requirements met.
60 pts
This criterion is linked to a Learning OutcomeSection 3: SMART (Specific, Measurable, Attainable, Relevant, Time-Based) GoalAnswer the questions with explanation and detail.
1. What was your leadership-related SMART goal from the lesson?
2. How does this goal help you grow as a professional nursing leader and contribute to your long-term career vision?
3. What barriers could present themselves in the achievement of this goal? How will you overcome them?
4. What milestones can you set to assess your progress in achieving this goal? What does the current literature say about milestones and goal-setting?
60 ptsExcellent
All requirements met.
55 ptsVery Good
3 requirements met.
50 ptsSatisfactory
2 requirements met.
30 ptsNeeds Improvement
1 requirement met.
0 ptsUnsatisfactory
No requirements met.
60 pts
This criterion is linked to a Learning OutcomeCitation and Reference FormationUse the current APA Style standards to format citations and references and is free of errors.
5 ptsExcellent
0-1 errors.
4 ptsVery Good
2-3 errors.
3 ptsSatisfactory
4-5 errors.
2 ptsNeeds Improvement
6-7 errors.
0 ptsUnsatisfactory
More than 7 errors.
5 pts
This criterion is linked to a Learning OutcomeWriting RequirementsCommunicate with minimal English grammar, spelling, syntax, and punctuation errors.
5 ptsExcellent
0-1 errors.
4 ptsVery Good
2-3 errors.
3 ptsSatisfactory
4-5 errors.
2 ptsNeeds Improvement
6-7 errors.
0 ptsUnsatisfactory
More than 7 errors.
5 pts
This criterion is linked to a Learning OutcomeTemplate Use
0 ptsNo Points Deducted
Correct template used
0 ptsPoints Deducted
19 points deducted (10%) for incorrect or no template used.
0 pts
This criterion is linked to a Learning OutcomeLate Deduction
0 ptsNo Points Deducted
Assignment submitted on time.
0 ptsPoints Deducted
Not Submitted on Time – Points Deducted (5% deduction per day) 1 day late = 9.5 deduction; 2 days late = 19 deduction; 3 days late = 28.5 deduction; 4 days late = 38 deduction; 5 days late = 47.5 deduction; 6 days late = 57 deduction; 7 days late = 66.5 deduction; Score of 0 if more than 7 days late

For this assessment, you will
create a 2–4-page report on an interview you have conducted with a health care
professional. (YOU CAN MAKE ONE UP).
Report on the information that you collected in your interview, analyzing
the interview data and identifying a past or current issue that would benefit
from an interdisciplinary approach. This could be an issue that has not been
addressed by an interdisciplinary approach or one that could benefit from
improvements related to the interdisciplinary approach currently being used.
You will discuss the interview strategy that you used to collect information.
Your interview strategy should be supported by citations from the literature. 
You will identify an issue
from the interview that could be improved with an interdisciplinary approach,
and review best practices and evidence to address the issue.
When
submitting your plan, use the Interview and Issue Identification Template BELOW!
Running head: INTERVIEW
& INTERDISCIPLINARY ISSUE IDENTIFICATION  1
Interview and Interdisciplinary Issue Identification
YOUR NAME
NURS-FPX4010
Capella University
MONTH DAY, YEAR
INTERVIEW AND
INTERDISCIPLINARY ISSUE IDENTIFICATION 2
Interview Summary
Summarize your interview in this section. Be sure to relate concise information
about:
· the
health care organization that was discussed in the interview.
· the
interviewee’s role and duties.
· the
relevant issues at the organization.
· any
relevant comments on the actions taken by the organization or leadership
previously
and their effectiveness.
· the
organizational culture related to collaboration.
· any
relevant collaboration or interdisciplinary team experience you interviewee has
had.
The goal of this section is to convey what was discussed at the interview and
identify an issue to
pursue throughout the rest of this assessment (and future assessments in this
course), as well as
have enough information to relate theories, strategies, and approaches to the
situation at the
organization.
Issue Identification
Identify the issue from the interview for which you consider an evidence-based
interdisciplinary
approach appropriate. Provide one or more specific reasons why an
interdisciplinary approach
would be appropriate for the issue.
Change Theories That Could Lead to an Interdisciplinary Solution
For this section, look to the literature and describe one or more change
theories that would help
to develop an interdisciplinary solution to the identified issue. Also, you
should briefly note the
relevance and credibility of the sources that you cite.
Another way to think through this section is:
· What is
the change theory?
INTERVIEW AND
INTERDISCIPLINARY ISSUE IDENTIFICATION 3
· How
could it help create an interdisciplinary solution?
· How
relevant is the theory to the specific identified issue?
· How
credible is the source?
Leadership Strategies That Could Lead to an Interdisciplinary Solution
This section is similar to the previous one, except you will be looking to the
literature to help you
describe one or more leadership strategy that would help you develop an
interdisciplinary
solution to the identified issue. Also, you should briefly note the relevance
and credibility of the
sources that you cite.
Another way to think through this section is:
· What is
the leadership strategy?
· How
could it help create an interdisciplinary solution?
· How
relevant is the strategy to the specific identified issue?
· How
credible is the source?
Collaboration Approaches for Interdisciplinary Teams
Again, this section will be similar to the previous once, except that the focus
will be on
collaboration approaches. Depending on whether or not your interviewee’s
organization uses
interdisciplinary teams frequently, your focus in this section may be on how to
establish
interdisciplinary teams and a collaborative foundation or how to improve the
collaboration
within an already established teams. You should also briefly note the relevance
and credibility of
the sources that you cite.
Another way to think through this section is:
· What is
the leadership approach?
· How
could it help establish or improve collaboration?
INTERVIEW AND
INTERDISCIPLINARY ISSUE IDENTIFICATION 4
· How
relevant is the approach to the specific identified issue?
· How
credible is the source?
·        
Length of submission: Use the provided
template above. Most submissions will be 2–4 pages in length. Be sure to
include a reference page at the end of the plan.
·        
Number of references: Cite a minimum of 3 sources of
scholarly or professional evidence that support your central ideas. Resources
should be no more than 5 years old.
·        
APA formatting: Make sure that in-text citations and reference list
follow current 7th edition APA style