NR 506 Week 5 Discussion: Ethical and Legal Implications

NR 506 Week 5 Discussion: Ethical and Legal Implications

NR 506 Week 5 Discussion: Ethical and Legal Implications

Ethical and Legal Implications

Discussion

Purpose

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

Activity Learning Outcomes

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

Recognize potential areas of conflict in NP clinical practice (CO1)

Determine methods of data collection to assess the conflict (CO3)

Examine corporate compliance and its effect on clinical practice (CO2)

Understand risk management in clinical practice (CO4)

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

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Initial responses to the discussion topic must be posted by Wednesday 11:59 pm MT. Two additional posts to peers and/or faculty are due by Sunday at 11:59 pm 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 11:59 pm MT on Sunday (i.e. student will receive an automatic 0).

Total Points Possible: 100

Preparing the Discussion

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:

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 on 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

What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes?

What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.

A scholarly resource must be used for EACH discussion question each week.

Category Points % Description
DISCUSSION CONTENT

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
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

100 100%

DISCUSSION TOTAL= 100 pts

NR506NP WK 5 Org Change Discussion_MAR20

NR506NP WK 5 Org Change Discussion_MAR20
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeAnalysis of Case Study

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
30 pts

Excellent

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 scholarly sources to contribute to the threaded discussion.

27 pts

V, Good

Provides some relevant evidence of scholarly inquiry of the potential ethical and legal implications for each of the practice members. Uses some valid, relevant, reliable outside scholarly sources to contribute to the threaded discussion.

25 pts

Satisfactory

Discussions use sparse scholarly inquiry and does not state scholarly inquiry of the potential ethical and legal implications for each of the practice members. Little valid, relevant, or reliable outside scholarly sources are used to contribute to the threaded discussion. Demonstrates little understanding of the topic.

15 pts

Needs Improvement

Discussions do not use scholarly inquiry and does not state scholarly inquiry of the potential ethical and legal implications for each of the practice members. The posting uses information that is not valid, relevant, reliable, or scholarly.

0 pts

Unsatisfactory

Discussion did not include criteria.

30 pts
This criterion is linked to a Learning OutcomeAnalysis of Potential Issues

Following the analysis of the potential issues for members of the healthcare team, develop strategies to prevent further episodes of potentially illegal behavior.
30 pts

Excellent

Provides relevant evidence of scholarly inquiry of strategies to implement to prevent further episodes of potentially illegal behavior. Uses valid, relevant, and reliable outside scholarly sources to contribute to the threaded discussion.

27 pts

V, Good

Provides some relevant evidence of scholarly inquiry of strategies to implement to prevent further episodes of potentially illegal behavior. Uses some valid, relevant, reliable outside scholarly sources to contribute to the threaded discussion.

25 pts

Satisfactory

Discussions use sparse scholarly inquiry and does not state scholarly inquiry of strategies to implement to prevent further episodes of potentially illegal behavior. Little valid, relevant, or reliable outside scholarly sources are used to contribute to the threaded discussion. Demonstrates little understanding of the topic.

15 pts

Needs Improvement

Discussions does not use scholarly inquiry does not state scholarly inquiry of strategies to implement to prevent further episodes of potentially illegal behavior. The posting uses information that is not valid, relevant, reliable, scholarly.

0 pts

Unsatisfactory

Discussion did not include criteria.

30 pts
This criterion is linked to a Learning OutcomeEffective Leadership Qualities

From the required readings for the week, discuss leadership qualities that would be effective to not only result in positive patient outcomes in the scenario but also would prevent further episodes of office conflict. Focus on the culture of the practice.

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15 pts

Excellent

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 scholarly sources to contribute to the threaded discussion.

14 pts

V, Good

Provides some relevant evidence of scholarly inquiry of leadership qualities to apply to effect a positive change in the practice. Uses some valid, relevant, reliable outside scholarly sources to contribute to the threaded discussion.

12 pts

Satisfactory

Discussions use sparse scholarly inquiry and does not state how scholarly inquiry of leadership qualities to apply to effect a positive change in the practice. Little valid, relevant, or reliable outside scholarly sources are used to contribute to the threaded discussion. Demonstrates little understanding of the topic.

8 pts

Needs Improvement

Discussions do not use scholarly inquiry and does not state scholarly inquiry of leadership qualities to apply to effect a positive change in the practice. The posting uses information that is not valid, relevant, reliable, or scholarly.

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0 pts

Unsatisfactory

Discussion did not include criteria.

15 pts
This criterion is linked to a Learning OutcomeInteractive Dialogue

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.
20 pts

Excellent

Demonstrated all elements for the Criterion

18 pts

V, Good

Missing 1 element for the Criterion

17 pts

Satisfactory

Missing 2 elements for the Criterion

10 pts

Needs Improvement

Missing 3 elements for the Criterion

0 pts

Unsatisfactory

Missing 4 elements for the Criterion

20 pts
This criterion is linked to a Learning OutcomeGrammar, Syntax, Spelling, & Punctuation

APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.
5 pts

Excellent

0-1 errors in grammar, spelling, syntax, or APA noted.

4 pts

V, Good

2-4 errors in grammar, spelling, syntax, and APA noted.

3 pts

Satisfactory

5-7 errors in grammar, spelling, and syntax noted.

2 pts

Needs Improvement

8-9 errors grammar, spelling, syntax, and APA noted.

0 pts

Unsatisfactory

Post contains 10 or greater errors grammar, spelling, punctuation, and/or APA or repeatedly makes the same errors after faculty feedback.
5 pts

This criterion is linked to a Learning OutcomeParticipation

0 pts

Discussion late penalty deductions

A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday by 11:59PM MST, 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)

0 pts

Total Participation Responses

A 10% penalty will be imposed for not entering the minimum number/type of interactive dialogue posts OR not posting on the minimum required number of days and/or faculty posts. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0)

0 pts

Total Points: 100