Nursing Assignment

Week 2 Ethical Frameworks Essay

Consider the “Four Topics Approach” (or Four Box method) to ethical decision making on page 61, Table 2.1 in Butts (below).  Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.

In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way?  Does this seem like a valid process for you to apply in your practice? 

Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.

Review the rubric for further information on how your assignment will be graded.

TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics Cases


Medical Indications: The Principles of Beneficence and Nonmaleficence

· What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?

· What are the goals of treatment?

· In what circumstances are medical treatments not indicated?

· What are the probabilities of success of various treatment options?

· In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?


Patient Preferences: The Principle of Respect for Autonomy

· Has the patient been informed of benefits and risks, understood this information, and given consent?

· Is the patient mentally capable and legally competent, and is there evidence of incapacity?

· If mentally capable, what preferences about treatment is the patient stating?

· If incapacitated, has the patient expressed prior preferences?

· Who is the appropriate surrogate to make decisions for the incapacitated patient?

· Is the patient unwilling or unable to cooperate with medical treatment? If so, why?


Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy

· What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?

· On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?

· Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?

· What ethical issues arise concerning improving or enhancing a patient’s quality of life?

· Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?

· What are plans and rationale to forgo life-sustaining treatment?

· What is the legal and ethical status of suicide?


Contextual Features: The Principles of Justice and Fairness

· Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?

· Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?

· What are the limits imposed on patient confidentiality by the legitimate interests of third parties?

· Are there financial factors that create conflicts of interest in clinical decisions?

· Are there problems of allocation of scarce health resources that might affect clinical decisions?

· Are there religious issues that might influence clinical decisions?

· What are the legal issues that might affect clinical decisions?

· Are there considerations of clinical research and education that might affect clinical decisions?

· Are there issues of public health and safety that affect clinical decisions?

· Are there conflicts of interest within institutions and organizations (e.g., hospitals) that may affect clinical decisions and patient welfare?

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeContent

20 to >17.2 pts

Proficient

The writer clearly and effectively responds to the assignment.

17.2 to >15.0 pts

Approaches Proficiency

The response to the assignment is generally adequate, but may not be thorough.

15 to >0 pts

Does Not Meet Expectations

The writer does not respond to the assignment.

20 pts

This criterion is linked to a Learning OutcomeFocus and Detail

18 to >15.48 pts

Proficient

There is one clear, well-focused topic. Main ideas are clear and are well supported by detailed and accurate information.

15.48 to >13.5 pts

Approaches Proficiency

There is one clear, well-focused topic. Main ideas are clear but are not well supported by detailed information.

13.5 to >0 pts

Does Not Meet Expectations

The topic and main ideas are not clear.

18 pts

This criterion is linked to a Learning OutcomeOrganization

14 to >12.04 pts

Proficient

The introduction is inviting, states the main topic, and provides an overview of the paper. Information is relevant and presented in a logical order. The conclusion is strong.

12.04 to >10.5 pts

Approaches Proficiency

The introduction states the main topic and provides an overview of the paper. A conclusion is included.

10.5 to >0 pts

Does Not Meet Expectations

There is no clear introduction, structure, or conclusion.

14 pts

This criterion is linked to a Learning OutcomeMechanics and APA

8 to >6.88 pts

Proficient

The assignment consistently follows current APA format and is free from errors in formatting, citation, and references. No grammatical, spelling, or punctuation errors. All sources are cited and referenced correctly.

6.88 to >6.0 pts

Approaches Proficiency

The assignment consistently follows current APA format with only isolated and inconsistent mistakes and/or has a few grammatical, spelling, or punctuation errors. Most sources are cited and referenced correctly.

6 to >0 pts

Does Not Meet Expectations

The assignment does not follow current APA format and/or has many grammatical, spelling, or punctuation errors. Many sources are cited and referenced incorrectly, or citations and references are missing.

8 pts

Total Points: 60

Nursing It is a four part assignment

I have uploaded a copy of the question

BHA435 Module 4 Case SLP

9/25/23, 6:00 PM SLP – BHA435 Healthcare Quality Assessment and Improvement (2023AUG14FT-1)

https://tlc.trident.edu/d2l/le/content/201354/viewContent/5059895/View 1/1

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Module 4 – SLP

CONTINUOUS QUALITY IMPROVEMENT

Quality assurance and continuous quality improvement is often merged together as
one, however, there are distinct difference between the two terms.

In a 2-page report, complete the following:

Explain in detail and provide a healthcare example of quality assurance in
healthcare.

Explains in detail and provide a healthcare example of continuous quality
improvement in healthcare.

Identify if these concepts work together or independently and explain your
rationale.

SLP Assignment Expectations

Conduct additional research to gather sufficient information to justify/support your
training.

1. Limit your response to a maximum of 2 pages (title and reference pages are not
included in page number count).

2. Support your responses with peer-reviewed articles, with 2 to 3 references. Use
the following link for additional information on how to recognize peer-reviewed
journals:
How to Recognize Peer-Reviewed (Refereed) Journals
http://www.angelo.edu/services/library/handouts/peerrev.php.

3. You may use the following source to assist in formatting your assignment:
Purdue Owl – https://owl.english.purdue.edu/owl/resource/560/01/.

4. For additional information on reliability of sources, review the following source:
https://nccih.nih.gov/health/webresources.

5. This assignment will be graded based on the content in the rubric.

Listen

PE 3

 

  1. Compose a written comprehensive psychiatric and/or psychotherapy evaluation of a patient you have seen in the clinic.

powerpoint presentation

As a practicing professional, you are likely to present educational in-services or training to staff pertaining to quality improvement (QI) measures of safety improvement interventions. Such in-services and training sessions should be presented in a creative and innovative manner to hold the audience’s attention and promote knowledge acquisition and skill application that changes practice for the better. The teaching sessions may include a presentation, audience participation via simulation or other interactive strategy, audiovisual media, and participant learning evaluation.The use of in-services and/or training sessions has positive implications for nursing practice by increasing staff confidence when providing care to specific patient populations. It also allows for a safe and nonthreatening environment where staff nurses can practice their skills prior to a real patient event. Participation in learning sessions fosters a team approach, collaboration, patient safety, and greater patient satisfaction rates in the health care environment (Patel & Wright, 2018).As you prepare to complete the assessment, consider the impact of in-service training on patient outcomes as well as practice outcomes for staff nurses. Be sure to support your thoughts on the effectiveness of educating and training staff to increase the quality of care provided to patients by examining the literature and established best practices.You are encouraged to explore the AONE Nurse Executive Competencies Review activity before you develop the Improvement Plan In-Service Presentation. This activity will help you review your understanding of the AONE Nurse Executive Competencies—especially those related to competencies relevant to developing an effective training session and presentation. This is for your own practice and self-assessment, and demonstrates your engagement in the course.
For this assessment, build on the safety quality Patient Identification Errors in Healthcare and create an agenda and PowerPoint of an educational in-service session that would help a specific staff audience learn, provide feedback, and understand their roles and practice new skills related to the safety improvement plan you created.
The final deliverable for this assessment will be a PowerPoint presentation with detailed presenter’s notes representing the material you would deliver at an in-service session to raise awareness of your chosen safety improvement initiative focusing on a specific patient safety issue and to explain the need for such an initiative. Additionally, you must educate the audience as to their role and importance to the success of the initiative. This includes providing examples and practice opportunities to test out new ideas or practices related to the safety improvement initiative.Be sure that your presentation addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

  • Describe the purpose and goals of an in-service session focusing on a specific patient safety issue.
  • Explain the need for and process to improve safety outcomes related to a specific patient safety issue.
  • Explain to the audience their role and importance of making the improvement plan successful.
  • Create resources or activities to encourage skill development and process understanding related to a safety improvement initiative.
  • Communicate with nurses in a respectful and informative way that clearly presents expectations and solicits feedback on communication strategies for future improvement.

There are various ways to structure an in-service session; below is just one example:

  • Part 1: Agenda and Outcomes.
    • Explain to your audience what they are going to learn or do, and what they are expected to take away.
  • Part 2: Safety Improvement Plan.
    • Give an overview of the current problem focusing on a specific patient safety issue, the proposed plan, and what the improvement plan is trying to address.
    • Explain why it is important for the organization to address the current situation.
  • Part 3: Audience’s Role and Importance.
    • Discuss how the staff audience will be expected to help implement and drive the improvement plan.
    • Explain why they are critical to the success of the improvement plan focusing on a specific patient safety issue.
    • Describe how their work could benefit from embracing their role in the plan.
  • Part 4: New Process and Skills Practice.
    • Explain new processes or skills.
    • Develop an activity that allows the staff audience to practice and ask questions about these new processes and skills.
    • In the notes section of your PowerPoint, brainstorm potential responses to likely questions or concerns.
  • Part 5: Soliciting Feedback.
    • Describe how you would solicit feedback from the audience on the improvement plan and the in-service.
    • Explain how you might integrate this feedback for future improvements.

    Note: Presentation length: There is no required length; use just enough slides to address all the necessary elements. Remember to use short, concise bullet points on the slides and expand on your points in the presenter’s notes. If you use 2 or 3 slides to address each of the parts in the above example, your presentation would be at least 10 slides and no more than 15 slides (not including the title, conclusion, or references slides).

  • Speaker notes: Speaker notes (located under each slide) should reflect what you would actually say if you were delivering the presentation to an audience. This presentation does NOT require audio or a transcript. Another presenter would be able to use the presentation by following the speaker’s notes.
  • APA format: Use APA formatting for in-text citations. Include an APA-formatted reference slide at the end of your presentation.
  • Number of references: Cite a minimum of 3 sources of scholarly or professional evidence to support your assertions. Resources should be no more than 5 years old.

nursing hw help

attached 

6051 DQ1

Due Wednesday 8/30

Nursing Clinical Assignment: Quality Improvement Project Part 1

 

Goal:

  • To assess a clinical issue that is the focus of your Quality Improvement Project.
  • Create a description of the clinical issue to be addressed in the project.

Content Requirements:

  1. Identify the clinical issue that will be the focus of your Quality Improvement project.
  2. Provide rationale for the need to change the status quo.
  3. Identify best practices from the literature related to the issues.

Economic

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