NR506NP (Week 5-8) Discussions Chamberlain

NR506NP (Week 5-8) Discussions Chamberlain

NR506NP (Week 5-8) Discussions Chamberlain

NR506NP Week 5 Discussion: Ethical and Legal Implications

This is a graded discussion: 100 points possible

Week 5:Ethical and Legal Implications (orig post due Wednesday, responses due Sunday)

Purpose 

Discuss potential complications in a clinical scenario at an out-patient family practice. Students will explore potential effects on patient outcomes and implications for members of the heath care team as a result of conflict among the healthcare team.  Students will develop strategies that result in prevention of untoward outcomes that result in a positive practice culture.

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Activity Learning Outcomes 

Through this discussion, the student will demonstrate the ability to:

1. Recognize potential areas of conflict in NP clinical practice (CO1)
2. Determine methods of data collection to assess the conflict (CO3)
3. Examine corporate compliance and its effect on clinical practice (CO2)
4. Understand risk management in clinical practice (CO4)

Due Date: Wednesday by 11:59PM MST of Week 5

Initial responses to the discussion topic must be posted by Wednesday 11:59pm MT. Two additional posts to peers and/or faculty are due by Sunday at 11:59pm MT.  Students are expected to submit assignments by the time they are due.

A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday of week 5, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0).

Total Points Possible: 100 

Requirements:

You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient’s chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you.

Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety.

Case Study Responses: 

1. Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based upon the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members:
   • Medical assistant
   • Nurse Practitioner
   • Medical Director
   • Practice
2. What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes?
3. What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.
4. A scholarly resource must be used for EACH discussion question each week.

DISCUSSION CONTENT
Category	Points	%	Description
Potential ethical & legal implications for healthcare team members	30	30%	Provides relevant evidence of scholarly inquiry of the potential ethical and legal implications for each of the practice members. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
Strategies to prevent further dangerous patient outcomes	30	30%	Provides relevant evidence of scholarly inquiry of strategies to implement to prevent further episodes of potentially dangerous patient outcomes. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
Leadership qualities to effect positive change	15	15%	Provides relevant evidence of scholarly inquiry of leadership qualities to apply to effect a positive change in the practice. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
	75	75%	Total CONTENT Points= 75 pts
DISCUSSION FORMAT
Category	Points	%	Description
Interactive Dialogue	20	20%	4 Required Elements:  Responds a minimum of two other posts to peers and/or faculty in the threaded discussion;  Responses to peer/faculty are substantive (adds importance, depth, and meaningfulness to the discussion)  Responds to all direct questions from faculty (if no question asked directly, student responded to questions posed to the entire class)  Summarizes what was learned from the lesson, readings, and other student posts for the week. The summary could be included in one of the three minimum posts.
Grammar, Syntax, Spelling, & Punctuation	5	5%	Grammar, syntax, spelling, and punctuation are accurate.
	25	25%	Total FORMAT Points= 25 pts
			DISCUSSION TOTAL=100 points

NR506NP Week 6 Discussion: Scope of Practice and Patient’s Healthcare Accessibility

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Purpose 

The purpose of this assignment is to identify the scope of practice in one’s state including level of independence of practice, prescribing authority, any limitations of practice, process for obtaining licensure in your state, certification and education requirements for licensure.  Next, students will discuss how the level of independence of practice in their state, i.e., reduced, restricted or full practice, affects patient’s access to care in their local community.

Activity Learning Outcomes 

Through this discussion, the student will demonstrate the ability to:

1. Understand NP practice as defined by law (CO2)
2. Determine legislation as defined by legislation, statutes and regulations (CO2)
3. Identify barriers to ensuring patient’s rights (CO3)

Due Date: Wednesday by 11:59pm MST of Week 6 

Initial responses to the discussion topic must be posted by Wednesday 11:59pm MT. Two additional posts to peers and/or faculty are due by Sunday at 11:59pm MT.  Students are expected to submit assignments by the time they are due.

A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday of week 6, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0).

 Total Points Possible: 100 

Requirements: 

(State virginia)

1. Discuss your state NP community in terms of scope of practice. Include the your state’s scope of practice for NPs including:
   • Level of independence of practice **In California, NPs are required to practice under Standardized Procedure Guidelines. If CA is your intended practice state, please provide details on how Standardized Procedures Guidelines are developed in California and an example of a California SPG.
   • Prescribing authority
   • Any limitations of practice
   • Process for obtaining licensure in your state
   • Certification and education requirements for licensure.
2. If you live in a restricted or reduced practice state, how has patient care been impacted in your local community from these barriers?  For instance, is the ED used for primary care?  Are the EDs overcrowded with long wait times?  Are there urgent care clinics readily available? Is there adequate access to primary care?  If you live in a full practice, how has independent practice of the APN resulted in improved patient access to healthcare?
3. How does access to NPs impacts any healthcare disparities?
4. A scholarly resource must be used for EACH discussion question each week.

DISCUSSION CONTENT
Category	Points	%	Description
Scope of practice and NP requirements	30	30%	Provides relevant evidence of scholarly inquiry of their state’s NP scope of practice. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
Practice barriers and access to healthcare	30	30%	Provides relevant evidence of scholarly inquiry of whether their state is a reduced, restricted or full practice state and the impact on the local community with respect to healthcare access. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
Healthcare disparities	15	15%	Provides relevant evidence of scholarly inquiry of how access to NPs impacts healthcare disparities. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
	75	75%	Total CONTENT Points= 75 pts
DISCUSSION FORMAT
Category	Points	%	Description
Interactive Dialogue	20	20%	4 Required Elements:  Responds a minimum of two other posts to peers and/or faculty in the threaded discussion;  Responses to peer/faculty are substantive (adds importance, depth, and meaningfulness to the discussion)  Responds to all direct questions from faculty (if no question asked directly, student responded to questions posed to the entire class)  Summarizes what was learned from the lesson, readings, and other student posts for the week. The summary could be included in one of the three minimum posts.
Grammar, Syntax, Spelling, & Punctuation	5	5%	Grammar, syntax, spelling, and punctuation are accurate.
	25	25%	Total FORMAT Points=25 pts
			DISCUSSION TOTAL=100 points

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NR506NP Week 7 Discussion: APNs as Healthcare Policy Leaders

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Purpose 

The purpose of this assignment is to discuss healthcare policy of the APN profession and how Transformational Leadership can help to influence policy changes. This week’s assignment focuses on the APN as a Health Policy Leader, one of the nine NONPF NP competencies.  Students will analyze how health policy may affect NP practice and how Transformational Leadership can help to influence policy changes.

Activity Learning Outcomes 

Through this discussion, the student will demonstrate the ability to:

1. Critically analyze how healthcare systems and APRN practice are organized and influenced by ethical, legal, economic and political factors (CO2)
2. Demonstrate professional and personal growth concerning the advocacy role of the advanced practice nursing in fostering policy within diverse healthcare settings (CO3)
3. Advocate for institutional, local, national and international policies that fosters person-centered healthcare and nursing practice (CO4)

Due Date: Wednesday of week 7 by 11:59PM MST 

Initial responses to the discussion topic must be posted by Wednesday 11:59pm MT. Two additional posts to peers and/or faculty are due by Sunday at 11:59pm MT.  Students are expected to submit assignments by the time they are due.

A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday of week 7, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0).

Total Points Possible: 100 

Requirements: 

Criteria for Content

• Explanation of how healthcare policy can impact the advanced practice nurse profession
• Explanation of why advocacy is considered an essential component of the advance practice nurse’s role
• Discuss the four pillars of Transformational leadership and the effect it may have on influencing policy change
• A scholarly resource must be used for EACH discussion question each week.

DISCUSSION CONTENT
Category	Points	%	Description
Explanation of how healthcare policy can impact the advanced practice nurse profession	25	25%	Research healthcare policy for APNs on a state and national level and the impact on the APN profession
Explanation of why advocacy is considered an essential component of the advance practice nurse’s role	25	25%	Describe advocacy in healthcare terminology.  Discuss how advocacy is an essential role of the APN and the impact on patient care.
Discuss the four pillars of Transformational leadership and the effect it may have on influencing policy change	25	25%	Define Transformational leadership.  Discuss how Transformational Leadership may have an effect on influencing policy change
			Total CONTENT Points= 75 pts
DISCUSSION FORMAT
Category	Points	%	Description
Interactive Dialogue	20	20%	4 Required Elements:  Responds a minimum of two other posts to peers and/or faculty in the threaded discussion;  Responses to peer/faculty are substantive (adds importance, depth, and meaningfulness to the discussion)  Responds to all direct questions from faculty (if no question asked directly, student responded to questions posed to the entire class)  Summarizes what was learned from the lesson, readings, and other student posts for the week. The summary could be included in one of the three minimum posts.
Grammar, Syntax, Spelling, & Punctuation	5	5%	Grammar, syntax, spelling, and punctuation are accurate.
			Total FORMAT Points= 25 pts
			DISCUSSION TOTAL=100 points

NR506NP Week 8v Discussion: Reflection on Achievement of Outcomes

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Purpose 

The final week will focus on Global Policy Reform and the impact on patient care.  Students read the Berwick article and respond to the required discussions.  In addition, students reflect on what they have learned in NR506NP and how it is applicable to their upcoming clinical courses.

Activity Learning Outcomes 

Through this discussion, the student will demonstrate the ability to:

1. Understand the role of advanced practice nursing in the International Context (CO2)
2. Research global aspects of healthcare and the effect on the US healthcare system (CO5)
3. Discuss the implications of global health on your clinical practice (CO5)

 Due Date: Wednesday by 11:59pm MT of week 8 

Initial responses to the discussion topic must be posted by Wednesday 11:59pm MT. Two additional posts to peers and/or faculty are due by Sunday at 11:59pm MT.  Students are expected to submit assignments by the time they are due.

A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday of week 8 by 11:59PM MST, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Saturday (i.e. student will receive an automatic 0). Week 8 discussion closes on Saturday at 11:59pm MT.

Total Points Possible: 100 

Requirements:

Berwick, D., Snair, M., & Nishtar, S. (2018). Crossing the global health care quality chasm: A key component of universal health coverage. Journal of American Medical Association, 320(13), 1317-1318.

Read the Berwick article and reflect on the concepts and practices you have learned in NR506 on healthcare systems, politics, and health policy. Reflections should include:

1. How to make informed decisions on nursing practice and patient outcomes on a global basis.  In addition, state how you will apply what you have learned in this course to your upcoming practicum experience.
2. Describe how one will apply content from NR506NP to the upcoming clinical courses.

DISCUSSION CONTENT
Category	Points	%	Description
Making informed decisions	40	40%	Provides relevant evidence of scholarly inquiry sharing insights as how to make informed decisions on nursing practice and patient outcomes on a global basis. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
Application to Clinical Practice	35	35%	Provides relevant evidence of scholarly inquiry stating how one may apply content learned in this course to future clinical practice.  Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
			Total CONTENT Points= 75 pts
DISCUSSION FORMAT
Category	Points	%	Description
Interactive Dialogue	20	20%	4 Required Elements:  Responds a minimum of two other posts to peers and/or faculty in the threaded discussion;  Responses to peer/faculty are substantive (adds importance, depth, and meaningfulness to the discussion)  Responds to all direct questions from faculty (if no question asked directly, student responded to questions posed to the entire class)  Summarizes what was learned from the lesson, readings, and other student posts for the week. The summary could be included in one of the three minimum posts.
Grammar, Syntax, Spelling, & Punctuation	5	5%	Grammar, syntax, spelling, and punctuation are accurate.
			Total FORMAT Points= 25 pts
			DISCUSSION TOTAL=100 points