Discuss ethical challenges encountered by nurses as they assume leadership positions and as they engage in research.

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Discuss ethical challenges encountered by nurses as they assume leadership positions and as they engage in research.
Ethics
As referenced in Week 2, Discussion 2, nurses are perceived as having very high ethical standards (Gallup, 2013). Doctorally prepared nurses should be able to consider ethical issues from multiple viewpoints. In this week’s media presentation, the experts discuss ethical challenges encountered by nurses as they assume leadership positions and as they engage in research.
To prepare:
Reflect on ethical challenges that you have encountered in your nursing practice.
Think about the information the experts shared in this week’s media presentation, focusing on the ethical challenges they have encountered as nurse leaders or scientists, as well as information presented in other Learning Resources.
With this information in mind, consider what new ethical challenges you may face once you obtain your doctoral degree.
By Wednesday 6/28/17, post 550 words essay in APA format with 3 references from the list below, that include the level one headings as numbered below:
Post a cohesive response that addresses the following:
1) Describe two or more significant ethical issues relevant to the DNP- or PhD-prepared nurse.
2) Explain how these issues might compare to the types of issues you have already encountered in your practice.
Required Readings
Campbell-Crofts, S., Field, J., & Fetherstonhaugh, D. (2013). Ethical considerations for nurses undertaking research with a potentially vulnerable population with chronic kidney disease. Renal Society of Australasia Journal, 9(2), 74–79.
Note: You will access this article from the Walden Library databases.
Milton, C. L. (2010). Nursing ethics and power in position. Nursing Science Quarterly, 23(1), 18–21.
Note: You will access this article from the Walden Library databases.
The author discusses what is meant by health care leaders judiciously and transparently addressing ethical challenges.
Suhonen, R., Stolt, M., & Leino-Kilpi, H. (2013). Older people in long-term care settings as research informants: Ethical challenges. Nursing Ethics, 20(5), 551–567.
Note: You will access this article from the Walden Library databases.
Peirce, A. G., & Smith, J. A. (2008). The ethics curriculum for doctor of nursing practice programs. Journal of Professional Nursing, 24(5), 270–274.
Note: You will access this article from the Walden Library databases.
Required Media
Laureate Education (Producer). (2011a). Ethical issues relevant to the DNP [Video file]. Retrieved from https://class.waldenu.edu
Note: The approximate length of this media piece is 5 minutes.
In this media program, Dr. Joan Stanley discusses the importance of considering multiple perspectives when approaching ethical issues as part of a health care team. Dr. Linda Beechinor and Dr. Susan Stefan share ethical challenges they face as nurse leaders.
Optional Resource
Fairchild, R. M. (2010). Practical ethical theory for nurses responding to complexity in care. Nursing Ethics, 17(3), 353–362.
Note: You will access this article from the Walden Library databases.
Grimm, J. (2010). Effective leadership: Making the difference. JEN: Journal of Emergency Nursing, 36(1), 74–77.
Note: You will access this article from the Walden Library databases.

Post an explanation of your understanding of interprofessional practice.

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Post an explanation of your understanding of interprofessional practice.
Discussion: Interprofessional Collaborative Practice and Advanced Practice Nurses
Interprofessional practice requires that health care practitioners recognize that patient outcomes are better when there is a collaborative team approach in addressing patient health issues. Also, there are barriers to interprofessional practice that must be addressed among health care practitioners. The Interprofessional Education Collaborative (IPEC) is an initiative including multiple professions designed to advance interprofessional education so that students entering health care professions are able to view collaboration as the norm and seek collaborative relationships with other providers (IPEC, 2011).
This week your Discussion will focus on interprofessional practice. This Discussion is an opportunity for you to examine your perspective and experiences with interprofessional collaborative practice and to apply your knowledge to managing patient care.
To prepare:
Identify a professional nursing organization and review their position on interprofessional practice
Review the following case study:
Case Study:
Ms. Tuckerno has been diagnosed with multiple sclerosis (MS). The patient receives care at an internal medicine clinic. Her internist is not in the office today and she is being treated by the nurse practitioner. The patient is on two medications for her MS, three different blood pressure medications, one medication for thyroid disease, one diabetic pill daily, insulin injections twice a day, she uses medical cannabis, and uses eye drops for glaucoma. Upon assessing the patient, the nurse practitioner (NP) decides her treatment plan should be adjusted. The NP discontinues some of the patient’s meds and discontinues medical cannabis. She orders the patient to follow up in two weeks.
The patient returns and is seen by her internist. The internist speaks with the patient and reviews her medical chart. The internist states to the patient, “I am dissatisfied with the care you received from the nurse practitioner.” The internist places the patient back on originally prescribed medications and medical cannabis.
Post at least 250 words (no introduction or conclusion)
an explanation of your understanding of interprofessional practice.
2. Also, explain the position on interprofessional practice for (The American Association of College of Nursing)
3 Then, explain what you think is the best collaborative approach to manage Ms. Tuckerno’s care.
Resources
Bankston, K., Glazer, G., (November 4, 2013) “Legislative: Interprofessional Collaboration: What’s Taking So Long?” OJIN: The Online Journal of Issues in Nursing Vol. 19 No. 1.
DOI: 10.3912/OJIN.Vol18No01LegCol01
Hain, D., Fleck, L., (May 31, 2014) “Barriers to Nurse Practitioner Practice that Impact Healthcare Redesign” OJIN: The Online Journal of Issues in Nursing Vol. 19, No. 2, Manuscript 2.
DOI: 10.3912/OJIN.Vol19No02Man02
Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington, D.C.: Interprofessional Education Collaborative
Buppert, C. (2015). Appendix 11-D: Sample Professional Services Agreement. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.) (417-422). Burlington, MA: Jones & Bartlett.
Buppert, C. (2015). Legal Scope of Nurse Practitioner Practice. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.) (37-78). Burlington, MA: Jones & Bartlett.

Create three scenarios where you would apply each of the three the levels of prevention.

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Create three scenarios where you would apply each of the three the levels of prevention.
List of Topics and Sub-Modules for Discussion
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Unit 3 Discussion Topic 1
Updated
Discussion Introduction/Overview
Topic 1: Levels of Prevention
Discuss the following in your post:
Create three scenarios where you would apply each of the three the levels of prevention.
Unit 3 Discussion Topic 2
Updated
Topic 2: Communication and Establishing a Therapeutic Relationship
Therapeutic communication is essential. This required cultural competence and may be challenging when dealing with individuals who have different backgrounds, beliefs, and values than you.
Explain how you would respond when an individual’s values conflict with yours. How would you communicate with that individual and/or their significant others and families? What aspects of the communication process can you use to overcome any potential barrier.
Please review the Discussion Board Participation grading rubric under Course Resources in the Grading Rubrics section.
This is important information that will ensure that you earn maximum points.
Discusion Board requires a minimum of 200 words fo initial post, APA Style, Timesnew Roman, font 12
I wil attach discussion Ribrick

Post a summary of a specific change within an organization and describe the impact of this change on your role and responsibilities.

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Post a summary of a specific change within an organization and describe the impact of this change on your role and responsibilities.
Critiquing a Change Effort
As a nurse leader, you need to have the skills and knowledge to collaborate and communicate with those who plan for and manage change. This capacity is valuable in any health care setting and for many different types of change. Furthermore, it is essential to be able to evaluate a change effort and determine if it is promoting improved outcomes and making a positive difference within the department or unit, or for the organization as a whole.
To prepare:
Review Chapters 7 and 8 in the course text. Focus on the strategies for planning and implementing change in an organization, as well as the roles of nurses, managers, and other health care professionals throughout this process.
Reflect on a specific change that has recently occurred in your organization or one in which you have worked previously. What was the catalyst or purpose of the change?
How did the change affect your job and responsibilities?
Consider the results of the change and whether or not the intended outcomes have been achieved.
Was the change managed skillfully? Why or why not? How might the process have been improved?
Post a summary of a specific change within an organization and describe the impact of this change on your role and responsibilities. Explain the rationale for the change, and whether or not the intended outcomes have been met. Assess the management of the change, and propose suggestions for how the process could have been improved.
Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Review Chapter 7, “Strategic and Operational Planning”
Chapter 8, “Planned Change”
This chapter explores methods for facilitating change and the theoretical underpinnings of implementing effective change
McAlearney, A., Terris, D., Hardacre, J., Spurgeon, P. Brown, C., Baumgart, A., Nyström, M. (2014). Organizational coherence in health care organizations: Conceptual guidance to facilitate quality improvement and organizational change. Quality Management in Health Care, 23(4), 254–267 doi: 10.1097/QMH.0b013e31828bc37d
An international group of investigators explored the issues of organizational culture and Quality Improvement (QI) in different health care contexts and settings. The aim of the research was to examine if a core set of organizational cultural attributes are associated with successful QI systems.
Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management – UK, 20(1), 32–37. doi: 10.7748/nm2013.04.20.1.32.e1013
Retrieved from the Walden Library databases.
Shirey, M. R. (2013). Lewin’s Theory of Planned Change as a strategic resource. The Journal of Nursing Administration, 43(2), 69–72. doi:10.1097/NNA.0b013e31827f20a9
Retrieved from the Walden Library databases.