essay for nursing
Question descriptionPURPOSE:
It is important to understand how middle-range theory can help you in your everyday environment as a nurse. In the previous assignment, you identified a practical problem that emerged from the evidence in the extant literature or professional practice. In this assignment, you will explore and apply middle-range theory to solve the specific problem that you identified in the previous assignment.
DIRECTIONS:
Consider the problem that you described in the previous assignment and the instructor feedback about that assignment.
Write a paper (1,000 to 1,500 words) that describes how middle-range theory can be applied to the identified problem. The paper should include the following:
- A brief summary of the problem.
- A description of a middle-range theory that could be applied to the problem. Is this middle-range theory appropriate to your identified problem?
- A brief discussion of the middle-range theory’s origins.
- A discussion of how the middle-range theory has been previously applied.
- A discussion of the application of the middle-range theory to the identified problem. How would your practice change by incorporating this theory?
Prepare this assignment according to guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
provider clinic
Question descriptionChoose a real or hypothetical long-term care organization specializing in geriatric care (e.g., nursing home, assisted living facility, continuing care community, or other), and complete the following:
- Develop a list of the top 3 challenging issues related to case management that you might face as an administrator, based on the text readings for this course.
- For each issue, you will assess the benefits and drawbacks of at least 2 options to remedy each challenge from 3 or more stakeholder perspectives (e.g., patient, provider, or third-party payer). Make sure to include considerations from legal, social, and ethical perspectives.
- Include details of each option’s impact on the costs, quality, and access to health services for the geriatric population served at the long-term care organization identified for this assignment.
- Each option’s impact should support a conclusion of prioritization (i.e., what would you do first, why; second, why; and so on).
| Contextual Features: The Principles of Justice and Fairness |
1. Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?
2. Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?
3. What are the limits imposed on patient confidentiality by the legitimate interests of third parties?
4. Are there financial factors that create conflicts of interest in clinical decisions?
5. Are there problems of allocation of scarce health resources that might affect clinical decisions?
6. Are there religious issues that might influence clinical decisions?
7. What are the legal issues that might affect clinical decisions?
8. Are there considerations of clinical research and education that might affect clinical decisions?
9. Are there issues of public health and safety that affect clinical decisions?
10. Are there conflicts of interest within institutions and organizations (e.g., hospitals) that may affect clinical decisions and patient welfare? |
| Source: Jonsen et al., 2010 |
Ethical Frameworks Essay
Question descriptionConsider the “Four Topics Approach” (or Four Box method) to ethical decision making , 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.
Four Topics Method for Analysis of Clinical Ethics Cases
| Medical Indications: The Principles of Beneficence and Nonmaleficence |
1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?
2. What are the goals of treatment?
3. In what circumstances are medical treatments not indicated?
4. What are the probabilities of success of various treatment options?
5. 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 |
1. Has the patient been informed of benefits and risks, understood this information, and given consent?
2. Is the patient mentally capable and legally competent, and is there evidence of incapacity?
3. If mentally capable, what preferences about treatment is the patient stating?
4. If incapacitated, has the patient expressed prior preferences?
5. Who is the appropriate surrogate to make decisions for the incapacitated patient?
6. 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 |
1. 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?
2. 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?
3. Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?
4. What ethical issues arise concerning improving or enhancing a patient’s quality of life?
5. Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?
6. What are plans and rationale to forgo life-sustaining treatment?
7. What is the legal and ethical status of suicide? |
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