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See Ethics case study below.  Answer questions 1-3 in an initial post by Wednesday, May 29, 2024 at 2359 CST. Respond to at least one other student by sharing insight on their post, (not just a good job comment) by Sunday, June 2, 2024 at 2359 CST. See Grading rubric for requirements. Rubric is loaded in General tab. 
Andy is assigned to care for a 14-year-old girl, Amanda, admitted with a large tumor located in the left groin area.  During an assessment, Amanda shares her personal feelings with Andy.  She tells him that she “feels different” from her friends.  She is ashamed of her physical development because all of her girlfriends have “breasts” and boyfriends.  She is very flat-chested and embarrassed.  Andy listens attentively to Amanda and helps her focus on some of her positive attributes and talents.
A computerized tomography (CT) scan is ordered and reveals that the tumor extends to what appears to be the ovary.  A gynecological surgeon is called in to evaluate the situation.  An ultrasonic-guided biopsy is performed.  It is discovered that the tumor is actually an enlarged lymph node, and the “ovary” is actually a testis.  Amanda has both male and female gonads.
When the information is given to Amanda’s parents, they do not want her to know.  They feel that she was raised as “their daughter”.  They ask the surgeon to remove the male gonads and leave only the female gonads.  That way, “Amanda will never need to know.”  The surgeon refuses to do this.  Andy believes the parents should discuss the situation with Amanda as they are denying her choices.  The parents are adamant about Amanda not knowing anything.  Andy returns to Amanda’s room and Amanda begins asking all types of questions regarding the tests and the treatments.  Andy hesitates before answering, and Amanda picks up on this, demanding he tell her the truth.
1.       How should Andy respond?
2.       What ethical principles are in conflict?
3.       What are the long-term effects of Andy’s decision?

Preparation
To successfully complete this assignment, use the Collaborate on Quality Template [DOC] to address the following:
Select one of the three incidents from the Vila Health: Patient Safety simulation. These are common incidents you are likely to encounter in the health care field. These included a patient identification error, a medication error, and a HIPAA/privacy violation. You may select one of the incidents you worked with in the previous assignments or select another one. Choose one that holds the most interest for you.
Consider the following analysis questions once you have selected the incident on which you will focus:
What information do you possess about the issue? (Note: You may not be able to answer all of these questions; just include the information you know.) Consider:
Who was involved?
During what process (clinical, communication, or operational) did the issue occur?
When did the issue occur? During a particular shift? On a particular day? During peak hours? Under certain clinical circumstances?
Where did the issue occur?
What additional data about the incident would you like to collect and analyze?
Which best practices were likely avoided that could have contributed to the issue? (Note: This information will prove useful to you as you complete your analysis and leadership action plan.)
Consult the readings provided in Week 6.
Review the Collaborate on Quality Template [DOC], which you will use to complete this assignment. This document is formatted and has space for completing all components of the assignment.
Instructions
Write an analysis and leadership action plan for the issue you selected that will enable you to address the issue on an organization-wide basis. Please make sure to include all of the following headings and answer all of the questions underneath each heading.
Introduction: Issue Summary
How would you summarize the key elements of the incident that occurred?
What is your goal in addressing the issue?
Which 2–3 key items will be your focus? For example, you may elect to focus on nursing staffing levels if being short-staffed in nursing is contributing to compromises to patient safety.
Culture: Explain what culture is and why it is a critical priority for safety and quality, providing at least two evidence-based strategies for cultivating a culture of safety.
What is culture?
Why is culture a critical organizational priority for safety and quality?
What do you know about the existing organizational culture, based on the knowledge you have about the selected issue?
What are some of the evidence-based strategies you are considering that could be employed to cultivate a culture of safety?
IHI Triple Aim: Apply the IHI Triple Aim to develop a health care leadership strategy that focuses on optimizing health care system performance.
What is the IHI Triple AIM?
How does the IHI Triple Aim apply to this specific incident?
What IHI Triple Aim elements will you incorporate into your organizational improvement strategy?
Leadership and Collaboration: Propose evidence-based leadership and collaboration strategies to enlist the aid of key organizational leaders in establishing a safety and quality culture.
Which key departments need to be directly involved with the corrective action process?
What is your rationale for selecting these departments? For example, you may want to involve nursing because many of errors involve nurses and obtaining their buy-in is critical to achieving the organizational priority.
Which specific senior leader, front-line staff member, and clinical expert will you include in your action plan and hold accountable for implementation?
What are the implications of not engaging with all departments toward making safety and quality top of mind?
How might you involve other departments in addressing the specific issue and the cultural issue?
Which specific leaders within the organization could assist you in addressing this issue and in making patient safety and quality top of mind throughout the organization? Examples for you to consider include the chief nursing officer, the chief medical officer, the patient safety officer, et cetera.
What role do you expect these leaders to play in addressing the specific issue and the issue of culture?
What best practices would you employ to enlist their aid in the improvement effort?
Leadership Action Plan: Create an evidence-based action plan that includes leadership strategies to establish a safety and quality culture.
What are three evidence-based (supported by current literature) leadership strategies you recommend that would help to solve the incident that occurred?
What are three evidence-based best practices you recommend to address the issue on an organizational level?
Opportunities to Enlist Governing Board: Determine opportunities to enlist the governing board’s aid in fostering a fair and just culture.
What role does the organization’s governing board have in terms of quality and safety in the organization?
How could you enlist the governing board’s aid in your improvement initiative?
What additional information could you provide them to increase their involvement in the organization’s safety and quality improvement efforts?
Conclusion
How will you summarize your analysis of the incident and your leadership action plan?
In addition, your assignment needs to conform to current APA style and format guidelines. Do ensure that it is clear, persuasive, concise, organized, and without errors in grammar, punctuation, and spelling. Do provide citations and title and reference pages in current APA format. Other leaders in your organization are going to want to know what sources you relied on to prepare your analysis and action plan.
Note: Remember that health care is an evidence-based field. You will need to cite a minimum of two credible references to support your analysis and action planning process.
Please review the Collaborating on Quality: Issue Analysis and Leadership Action Plan Scoring Guide to ensure you understand the grading requirements for this assignment.