public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.
Chamberlain
Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study
Preparing the Discussion
You are a family nurse practitioner employed in a busy primary care office. The providers in the group include one physician and three nurse practitioners. The back-office staff includes eight medical assistants who assist with patient care as well as filing, answering calls from patients, processing laboratory results and taking prescription renewal requests from patients and pharmacies. Stephanie, a medical assistant, has worked in the practice for 10 years and is very proficient at her job. She knows almost every patient in the practice and has an excellent rapport with all of the providers.
Mrs. Smith was seen today in the office for an annual physical. Her last appointment was a year ago for the same reason. During this visit, Mrs. Smith brought an empty bottle of amoxicillin with her and asked if she could have a refill. You noted the patient's name on the label, and the date on the bottle was 1 week ago. You also noted your name printed on the label as the prescriber. The patient admitted that she called last week concerned about her cough and spoke to Stephanie. You do not recall having discussed this patient with Stephanie nor do the other providers in the practice.
Case Study Questions:
1. What are 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 illegal behavior?
3. What leadership qualities would you apply to effect a positive change in the practice? Be thinking about the culture of the practice.
4. A scholarly resource must be used for EACH discussion question each week.
1
Week 7: Change Project Final Paper
Your final paper will encompass all assignments you have completed thus far. At this
point, you will have submitted each section individually and a comprehensive rough
draft. You have received extensive feedback. An attempt to incorporate all previous
assignment feedback should be evident.
The paper should be between 20 and 30 pages in length, not including the cover page,
references, and any appendices. It must follow the current APA manual style and
format. Each section of the paper should be clearly identified using proper headings.
The final paper should be professionally written in a manner suitable for publication.
NURS_691B_DE – NURS 691-B Rubric: Culminating Experience Evidence-Based
Change Project Paper Rubic (Final))
NURS_691B_DE – NURS 691-B Rubric: Culminating Experience Evidence-Based Change Project Paper
Rubic (Final))
Criteria Ratings Pts
This criterion is linked to a
Learning Outcome
Introduction and
Background
15 to >12.3 pts
Meets Expectations
The change project topic is introduced. All
background information is included. Project
importance within the field or significance for
the designated facility is described.
15 pts
2
This criterion is linked to a
Learning Outcome
Problem Identification and
Description in PICOT
Format
15 to >12.3 pts
Meets Expectations
Presents a thorough and insightful analysis of the
chosen topic/problem. Describes the problem
thoroughly, including the target population
description and history/background information
at the assigned clinic or hospital. The significance
and applicability to nursing is included and well
presented. Includes an appropriate topic
identification related to an advanced practice
nursing issue or practice problem of concern.
Population is fully defined and present in the
research question. Includes specific
interventions, identifies comparisons, and
presents appropriate outcomes in a timely
manner for the question. Overall, the question is
well-built using the PICOT format.
15 pts
This criterion is linked to a
Learning Outcome Critical
Appraisal/Literature
Review
18 to >14.76 pts
Meets Expectations
The minimum requirement of peer-reviewed
articles, books, or limited non-research literature
(tool kits or standardized procedures) are
present. Literature is supported by scientific
evidence that is credible and timely. Subtopics
are used to support the main topic. In-text
citations are present and correctly formatted.
Presents a thorough and insightful analysis of
significant findings related to the change project
topic. Ideas are synthesized and professionally
sound and creative. Insightful and
comprehensive conclusions and solutions are
present.
18 pts
3
This criterion is linked to a
Learning Outcome Project
Aims, Values, and Desired
Outcomes
18 to >14.76 pts
Meets Expectations
The project, aims, values, and desired outcomes
are well-developed. They are clear and thorough.
Aims include examples of projected features and
functions. Values include implementation
benefits for specific stakeholders. Desired
outcomes state the purpose, have a quality
focus, and describe the benefits that will occur
as a result of implementation.
18 pts
This criterion is linked to a
Learning Outcome
Theoretical Framework
18 to >14.76 pts
Meets Expectations
Identifies independent theories or conceptual
models that relate to the change project topic
and describes how they will be applied to the
change project. Thoroughly discusses how each
element of the phenomenon applies to the
framework. Clearly applies each element of the
theory to the elements of the phenomenon
under study. Develops the rationale for the
sample selection criteria, and expertly discusses,
analyzes, and critiques pertinent research that
uses the framework.
18 pts
4
This criterion is linked to a
Learning Outcome
Intervention
18 to >14.76 pts
Meets Expectations
Provides keen insight into obstacles and
proposes sound, creative solutions or
interventions based on the literature review
findings. Expertly compares other views on the
problem and solutions with detail. Uses
examples to thoroughly address the FNP role in
the intervention and discusses implications for
clinical practice. Thoughtfully discusses the
implications of the change project and its
significance to the nursing profession and filling
gaps in knowledge. Accurately categorizes and
thoroughly explains specific methods of data
collection to be used. Explains in detail how data
will be analyzed and used. Provides a sound
justification for subject selection and sampling
procedure. Accurately and thoroughly describes
potential limitations to data collection and
control.
18 pts
This criterion is linked to a
Learning Outcome
Recommendations and
Conclusion
18 to >14.76 pts
Meets Expectations
Provides an insightful and thorough summary of
the project, main points, and details the
significance of the project to the advanced
practice nursing profession. Provides detailed
and creative recommendations for future
research and implications for clinical practice.
Discusses limitations of the study in detail.
Suggests specific directions for future research.
Insightfully considers changes in theoretical
construct and provides reasonable and creative
suggestions for public policy and/or changes in
educational practice. Expertly ties the theoretical
framework to the overall product.
18 pts
5
This criterion is linked to a
Learning Outcome
Mechanics and APA
30 to >24.6 pts
Meets Expectations
Writing is clear, concise, formal, and organized.
Information is well organized and clearly
communicated. The assignment is free of spelling
and grammatical errors. All the requirements
related to format, length, source citations, and
layout are followed. A complete reference page is
included and formatted using correct APA format. If
applicable, appendices and tables are complete and
appropriate.
30 pts
Total Points: 150
The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced health assessment. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared.
This discussion enables the student to meet the following course outcomes:
Initial posts are due to the discussion board by Wednesday at 11:59 p.m. MT. Instructor and peer responses are due by Sunday at 11:59 p.m. MT. Students must post on a minimum of two separate days. A 10% late penalty will be imposed for discussions posted after the deadline Wednesday at 11:59 p.m. MT, regardless of the number of days late. NOTHING will be accepted after 11:59 p.m. MT on Sunday (i.e., the student will receive an automatic 0).
The total points possible for this assignment is 75.
Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions.
This week, you will consider assessment questions and appropriate interventions related to social determinants of health. Healthy physical, social, and economic environments strengthen the potential to achieve health and well-being. The nurse practitioner (NP) must assess all facets of clients’ health during a comprehensive health history. Identify the assigned topics listed by the first letter of your first name. For example, if your first name is Gilda then your assigned topic is education access and quality. Select an objective related to your assigned social determinant from the Healthy People website.
First Letter of Your First NameTopicA – EEconomic stabilityF – JEducation access and qualityK – OHealth care access and qualityP – SNeighborhood and built environmentT – ZSocial and community context
Complete the following requirements:
Page 1 of 2 Leadership and Management Theory
“People may not remember what you said, but they remember the way
you made them feel.” Maya Angelou
Emotional Intelligence (EI)
Introduction to Emotional Intelligence
Emotions play a big role in our lives; they help to guide decisions for the world around
us and influence our interactions with others. Accordingly, emotions are also shaped
from the external world. Emotional intelligence brings control to our everyday emotions
and will affect every aspect of our lives. The ability to control one’s emotions and use
them in a healthy manner can be life-changing. Emotional intelligence combines
emotional and social skills to navigate through organizations and relationships, as well
as deal with emotional stress. It is a skill that can be learned and strengthened, bringing
great success to an individual’s personal and professional life. With an emotionally
intelligent team, maximum success can be achieved.
Defining Emotional Intelligence
Every day we face situations in which we emotionally react. Emotional intelligence (EI)
brings cognition to emotional responses. It involves recognizing, understanding, and
managing our own emotions, as well as recognizing, understanding, and influencing the
emotions of others. This includes being aware of the emotions that drive specific
behaviors. It does not mean denying personal feelings, but rather identifying and
reasoning with them. Developing emotional intelligence is especially important in the
workplace, as it teaches professional and empathetic communication.
The Importance of Emotional Intelligence
Emotional intelligence is incredibly valuable to many major aspects of our lives, our
mental and physical health, professional success, and personal relationships. There are
many positive traits that come from emotional intelligence. In business, emotional
intelligence will cultivate motivation, change, and leadership. It encourages us to step
away from an autopilot mode and become better at navigating through the many social
complexities in life. Respectively, emotional intelligence will help us to create a healthy
and balanced lifestyle. Signs of low emotional intelligence include:
• Having a victim mentality
• Being unaccepting of feedback
• Dwelling on mistakes
• Difficulty listening and connecting
• Often quick to make judgments
Page 2 of 2 Leadership and Management Theory
Who Needs It?
Humans are wired for connection; these connections consist of social interactions full of
emotions. Essentially, identifying and building emotional intelligence is important for
everyone. High emotional intelligence is a hiring trait desired by leading corporations,
and to some extent, more important than IQ. Emotional intelligence provides a strong
foundation for humans to reflect on their emotional responses, including when
managing feelings of stress or overwhelm, creating a collaborative environment, and
having difficult conversations with others. It is the key to achieving success in any
leadership role. When emotional intelligence is lacking from one individual in the
workplace, it affects everyone else within the organization. These repercussions can
include a lower company morale, and decrease in productivity and performance. A
positive work environment requires employees who are willing to coach and motivate
one another, in which emotional intelligence is the foundation.
What Are Emotions?
Since emotional intelligence is all about the management and control of emotions, it is
advantageous to understand what emotions are and why they matter. Although we all
share the same emotions, we do not all experience these emotions the same way.
Emotions are natural reactions that we experience, in response to a situation, mood, or
connection. They signal a change that has occurred within us, or in our environment.
The six basic human emotions, also known as primary emotions, are happiness,
sadness, surprise, fear, disgust, and anger. Emotions may be momentary or long-lived.
There are three key elements of emotions, including the subjective experience (how
someone experiences an emotion), the physiological response (how their body reacts to
this emotion), and the behavioral/expressive response (how they behave in response to
this emotion). Emotions will guide decisions, help us to avoid danger, and motivate
action. Our daily lives are influenced on whether we are feeling happy, sad, or bored.
Practical Illustration
Shawn was in charge of hiring the new marketing analyst. He was looking for an
employee who was knowledgeable in this field, along with great social skills and
emotional control. After reading a few resumes, he had two strong prospects that he
chose to interview. The first candidate, Hunter, had many years of experience. Although
he had a lot of knowledge to bring to the team, he did not demonstrate strong
leadership and interpersonal skills. Shawn’s second prospect, Leah, did not have many
years of experience. Leah understood the essentials for the position, and assured
Shawn that she was willing to learn and transition with the company. She was confident,
empathetic, and professional. The positive impact that Leah left on Shawn had helped
to guide his decision. He believed that Leah was perfect for the position, and would
share her enthusiastic attitude with the rest of the team.
Identify an article that is at least five years old. Summarize the statistical findings and discuss the significant it has on nursing.
Please post your initial post by Wednesday midnight with 400 words and one scholarly article. Please answer two peers by Saturday midnight.
After studying the course materials located on Module 5: Lecture Materials & Resources page, answer the following:
Submission Instructions:
is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
Discussion(M3)
Watch one of these films and then discuss anyone of these “dying and death” representations as presented in movies or plays such as:
Address the following questions if pertinent to the film you watched:
Envision yourself as one of the characters in the film, and, according to their personal or professional (eg. the nurse in: “WIT”) expectations about death:
Fluid and electrolyte case study
