Nursing  healthcare ethics

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This week students will complete an APA paper to address the following case studyAmish Case Study:After an Ohio Medina County judge ruled that Andy and Anna Hershberger, the parents of a 10-year-old girl, had the right to choose what was medically best for her, an appeals court reversed the decision and sided with a hospital that is fighting to resume her chemotherapy after her parents terminated the treatment. The Hershbergers are a deeply religious Amish family, who chose to take a different route from modern medicine after Sarah became ill from chemotherapy in June. The girl reportedly begged her parents to stop her chemotherapy and testified in court against resuming the treatment. “Our belief is, to a certain extent, we can use modern medicine, but at some times we have to stop it and do something else,” her father told the AP. They plan on going to a wellness center and turning to natural medication such as herbs and vitamins in the hopes that they could help her without putting her in pain. Akron Children’s Hospital, where Sarah had begun her chemotherapy, strongly advocated for the girl to continue her chemo, stating that it was a matter of life or death.Sarah has lymphoblastic lymphoma, a form of non-Hodgkin lymphoma that rarely affects adults but is most often found in people under 35. It is reported to have a five-year survival rate of 85 percent if the patient undergoes chemotherapy. Lymphoma is a blood cancer that occurs when white blood cells divide faster than regular cells, causing tumors of lymphoid cells to grow throughout the body, typically in lymph nodes. “Although there’s all these dire medical predictions they (Sarah’s parents) would refute that by saying this is matter beyond the province of mortal man,” the Hershbergers’ attorney John Oberholtzer told WKYC. “You have to have a kind of faith that a lot of us don’t have…they absolutely have that faith.” He added that Sarah’s parents might take the case to the Ohio Supreme Court, and that it could potentially set a legal precedence with regards to who should hold the rights over a child’s medical decisions when it’s a life or death situation. “There has never been an allegation of parental unfitness, nor has the hospital or anyone else requested legal or physical custody of this child,” Akron Children’s Hospital said in a statement. “This involves a disagreement between providers and parents over what course of treatment is best for their child.” The hospitals’ chief medical officer Robert McGregor said last week that they had a moral and legal duty to ensure that Sarah receives the treatment that is in her best interest.Bushak, L. (2013, Aug. 9). Court rules that Sarah Hershberger, Amish girl battling cancer, should be appointed legal guardian after parents stop her chemotherapy.  Medical Daily. Retrieved from http://www.medicaldaily.com/court-rules-sarah-hershberger-amish-girl-battling-cancer-should-be-appointed-legal-guardian-afterAddress the following questions regarding the case studyWhat are the facts of the case? This should include: what do we need to know, who is involved in the situation, where does the ethical situation take place, and when does it occur?What is the precise ethical issue in regards to autonomy, nonmaleficence, beneficence, fidelity, and justice?Identify the major principles, rules, and values of the case.  Values are sets of beliefs about good and bad, right and wrong, and about many other aspects of living and interacting in the society with others. A principle is a personal rule that governs personal behavior. A rule is generally imposed by a figure of authority, and used to guide and govern people.Are there alternative to the actions completed in this case by both the parents and healthcare facility?Do you feel, in this case, the hospital is honoring the religious and cultural beliefs of the patient and her family? Can a hospital take a Jehovah Witness to court to receive a medically needed blood transfusion?  Is this case different due to the age of the patient? Explain and support your answer.If you were a member of the ethics committee at this facility, what actions would you recommend in this case? Would you be in support of the facility or family? Explain and support your decision.For the case study, an APA formatted paper should be used, and needs to include a title page, level headings, references and citations. This assignment should include at least 2 references and should be at least five pages in length. Students should address the proposed questions providing ample detail, examples, and additional support.Assignment Expectations:Length:answers must thoroughly address each question in a clear, concise manner; complete answers will likely take 5-6 pagesStructure:Reference page requiredaddress each question in a numbered listReferences:Two references requiredReadLegal and Ethical Issues for Health Professionals: Chapters 7-8 (Pages: 59)Aspen LibraryCourt intervenes in cancer treatment of Ohio Amish child. (2013, Oct.). Church & State, 66, 21.Court sides with Ohio hospital on Amish girl care. (2013, Aug 29). Bismarck Tribune.Seewer, J. (2013, Nov 28). Amish family flees from chemo doctors say girl will die; Parents say she’s better. Journal – Gazette.Banfield, A., Conley, M., Valencia, N., & Sashin, D. (2013). Black friday brings out millions; amish girl in hiding; sisters held captive; bride loses groom in honeymoon accident. Atlanta: CQ Roll Call. Retrieved from https://search.proquest.com/

 
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Nursing  women veterans mental healthcare during pregnancy

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Discuss the role of having a detailed timeline in place when implementing a new plan into an organization. How often should the implementation plan be revisited? Will ongoing changes occur during an implementation? How could you plan for unforeseen changes? I need a reference

 
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Nursing  Course Project

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Course Project.This entails combining the attached 1, 2, and 3 parts of the Course Project (previously assigned in Weeks 2, 4, and 8 respectively) into one cohesive and cogent paper

 
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Nursing  Policy and Politics~ANA(American Nurses Association) and basic human rights.

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One of the highlights of the ANA’s Health System Reform Agenda is that the ANA”believes that health care is a basic human right”and the ANA supports a system that affords universal access for all citizens. (Refer to the ANA Health System Reform Agenda)1. Do you agree with this statement? Why or why not?2. Do you believe that universal access is realistic for the US? Why or why not?3. Do you believe that as a nurse you should support your professional organization’s Health System Reform agenda?~1 Page only, APA format with credible citations as applicable.

 
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Nursing  prioritization strategies

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Identify time management and prioritization strategies for academic and professional success.

 
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Nursing  english

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Describe what the main characters are like and how we come to know them (by telling? by showing? by dialogue? By entering their minds? by the significance of their names?) Are they dynamic characters or static characters? To what extent does what we know about Henry depend on what we know about Lyman, and what difference does that make?Why does Henry jump into the river? Does he intend to drown, or is it accidental? In what ways does he change in the story, and what things cause him to change?

 
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Nursing  Assignment: Practicum – Journal Entry

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Reflect on a pediatric patient who presented with gastrointestinal disorders during your Practicum experience. Describe your experience in assessing and managing the patient and his or her family. Include details of your “aha” moment in identifying the patient’s disorder. Then, explain how the experience connected your classroom studies to the real-world clinical setting. If you did not have an opportunity to evaluate a patient with this background during the last 9 weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.

 
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Nursing  New Models for Evidence-Based Practice

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New Models for Evidence-Based PracticeA professional goal for DNP-prepared nurses is to produce new evidence-based models of care and develop evidence-based guidelines. As you continue to develop and engage in your EBP Project, keep this aim in mind. What could help to facilitate the acceptance of new practices?As noted in earlier weeks, every specialty area should base practice on research and evidence. For example, in informatics, an informatician who plans to implement a new health information system would be wise to follow a model that research shows has been effective. Similarly, those involved in leadership or management can review change models and theories, exploring current evidence on best practices that produce positive results. For this Discussion, you evaluate evidence-based practice models, change theories, and frameworks that assist with the adoption of new evidence-based practice approaches.To prepare:Reflect on your hospital setting and the use of      evidence-based practice models. How are these models used? If they are not      used, how might the integration of an evidence-based practice model change      practice?Review the Rosswurm and Larrabee article      presented in the Learning Resources focusing on the model they present for      integrating new evidence-based practices(See  attached file).Research and locate an evidence-based practice      model from nursing or another discipline that could be used in your      specialty area to lead a systematic change to evidence-based practice      approaches. You may also use a model or framework discussed in your course      text, Translation of Evidence into Nursing and Health Care      Practice.Consider how using a model for evidence-based      practice can facilitate adoption of new approaches to practice.By tomorrow Tuesday 9/25/18 10 pm, write an essay of a minimum of 550 words in APA format, and at least 3 scholarly references from the list of required readings below. Include all level one headings as numbered below:Post a cohesive response that addresses the following:1) Discuss the use of evidence-based models in your hospital setting.2) Describe a model for evidence-based practice or change theories and frameworks that you could utilize to facilitate the adoption of new approaches to practice. Substantiate your selection with evidence from the literature.Required ReadingsGallagher-Ford, L., Fineout-Overhold, E., Melnyk, B.M. & Stillwell, S.B. (2011). Evidence-based practice step-by-step: Implementing an evidence-based practice change. American Journal of Nursing, 111(3), 54-60.Rosswurm, M. A., & Larrabee, J. H. (1999). A model for change to evidence-based practice. Journal of Nursing Scholarship, 31(4), 317-322.(See attached file).Pryse, Y., McDaniel, A., & Schafer, J. (2014). Psychometric analysis of two new scales: The evidence-based practice nursing leadership and work environment scales. Worldviews on Evidence-Based Nursing, 11(4), 240-247.Sadeghi-Bazargani, H., Tabrizi, J.S., & Azami-Aghdash, S. (2014). Barriers to evidence-based medicine: A systematic review. Journal of Evaluation in Clinical Practice, 20, 793-802.Schaffer, M.A., Sandau, K.E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209.

 
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Nursing  Professional Advocacy through Nursing Organizations

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Nursing has over 200 professional organizations, special interest groups, and coalitions dedicated to the interest of nursing. For this discussion:Examine a nursing organization to determine the political function of the organization.As we reflect on the state of nursing in our local, state, and national communities, we are able to identify a nursing shortage with the likelihood of continued deficit.  Oftentimes, health policy is created and approved without input from nursing, which is one reason nursing organizations, nurse leaders, and nurse educators must work alongside each other to move forward with a deliberate strategic vision (Turale, 2019).  I reviewed the Ohio Association of Advanced Practice Nurses (OAAPN) for this assignment.  The political goal of the OAAPN is to support APRNs in their quest to provide the best possible care to the patients we serve.  As a member, I receive updates on any changes or trends at the state and national level, as well as updates to the legislative activity the organization is working on.Discuss three legislative initiatives supported by the organization.The initiative getting the most attention in our state is House Bill 221, The Enact Better Access, Better Care Act.  This is not the first go-round with this bill that looks to expand access to healthcare services by getting rid of Ohio’s Standard Care Arrangement (SCAThe Coronavirus Aid, Relief, and Economic Security (CARES) Act is another legislative initiative that the OAAPN supports.  This act increases access to care by reducing barriers, allowing APRNs to certify and recertify home health care services for Medicare patients, and expanded covered home care services such as skilled care, respiratory therapy, occupational therapy, and speech therapy.Another initiative we are discussing in our Advanced Practice Provider (APP) council is House Bill 191 which clarifies the scope of practice of Certified Registered Nurse Anesthetists (CRNA) to write orders and moves their practice forward.3. Define your position on each of the initiatives and whether you agreed with the organization’s position and advocacy platform.HB 221- In Ohio, we practice independently, but still must have a collaboration agreement on file with the Ohio Board of Nursing (OBN) to practice. I am in complete support of the removal of the SCA.  APRNs provide competent, compassionate, cost-efficient care, and removing the requirement to have an SCA with a physician will update the law and positively impact health policy.  In rural areas of Ohio, often the only available provider is an APRN, and it is often difficult, and costly to find a physician willing to enter an SCA with them.  That provides a significant challenge for patients when seeking care. (Peterson, 2017).CARES Act- I am in complete support of this initiative and recognize how impactful it has been in my quest as an APRN seeking home services for my patients. Prior to the CARES act, I would have to rely on my collaborating physician to sign off any home care orders that I placed. This often created a barrier to the timely implementation of needed services. This is one of many factors that negatively impact an APRN’s ability to successfully care for patients on their own panels.HB 191- Nationwide, there has been a growing initiative to allow all APPs to practice at the fullest extent of their license, and Ohio is no different (Poghosyan, 2017). I support this initiative and my APP colleagues in advancing the scope of their practice. The passage of this bill will allow efficient and cost-effective anesthesia care to all individuals, allowing CRNAs to practice in alignment with their education, experience, and APP peersCompose a Tweet that reflects your position on the legislative initiative, remembering the 140-character limit. Be concise. Share your Tweet in the discussion.Join #OhioAPRNs in promoting affordable, accessible quality #healthcare for all Ohioans. Learn more at #OAAPN Please let the house know #NPsRockREFERENCESPeterson M. (2017). Barriers to practice and the impact on health care: A nurse practitioner focus. Journal of the Advanced Practitioner in Oncology, 8(1), 74–81.Poghosyan, L., Liu, J., & Norful, A. (2017). Nurse practitioners as primary care providers with their own patient panels and organizational structures: A cross-sectional study. International Journal of Nursing Studies, 74, 1–7.https://doi.org/10.1016/j.ijnurstu.2017.05.004 (Links to an external site.)Turale, S. (2019). The contribution of nurses to health policy and advocacy requires leaders to provide training and mentorship. International Nursing Review, 66(3), 302–304.https://doi.org/10.1111/inr.12550I NEED A COMMENT FOR THIS DISCUSSION BOARD WITH AT LEAST 2 PARAGRAPHS AND 3 SOURCES NO LATER THAN 5 YEARS.

 
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Nursing  Reflecting on Your Writing: Instructor Feedback

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Reflecting on Your Writing: Instructor FeedbackAs a scholar and part of the intellectual community, you will want to understand ways to integrate feedback to be able to join a larger conversation. A significant part of scholarly writing is revising based on your colleagues’ feedback, and now that you have a substantial amount of writing; it is time to reflect on the ways you have incorporated your Instructor’s feedback.This week’s Learning Resources will help you examine rhetorical strategies for placing yourself in the scholarly conversation, such as using the personal pronoun, “I.” For this Discussion, you will reflect on how your voice fits into the scholarly conversation—beginning with the conversation between your Instructor and yourself. This initial Discussion is part of a continual conversation during the remainder of this course as your Instructor and yourself revise, review, and reflect on your writing.To prepare for this Discussion:Review      the Learning Resources on audience and sentence structure.Reflect      on your ways you have incorporated your Instructor’s feedback and your      part in the scholarly conversation. You may even choose to consider how      you approached this specific Assignment in relation to scholarly voice and      transitions.By Tuesday 12/26/2017, in APA format with at least one reference,Post a 1- to 2-paragraph reflection on your use of your Instructor’s feedback throughout the past few weeks of this course and your participation in the scholarly conversation. (Note: You may choose to reflect specifically on how you will apply scholarly voice concepts in this week’s Assignment.)Required ReadingsLaureate Education. (2015). Evaluation: What is it? [Infographic]. Baltimore, MD: Author.Walden University Writing Center. (2015i). Walden templates: General templates: APA course paper template (6th ed.). Retrieved from http://academicguides.waldenu.edu/writingcenter/templates/generalLaureate Education. (2015). [Infographic]. Point of View Analysis, Baltimore, MD: Author.Prince, S. (2014, May 8). Breaking down the MEAL plan: Adding analysis [Blog post]. Retrieved from http://waldenwritingcenter.blogspot.com/2014/05/breaking-down-meal-plan-adding-analysis.htmlPrince, S. (2012, August 28). You’re engaged?! [Blog post]. Retrieved from http://waldenwritingcenter.blogspot.com/2012/08/youre-engaged.htmlRequired MediaWalden University Writing Center (Producer). (2015, January 30). WriteCast: Student Q&A on flow, sentence length, and using “I” in academic writing (Episode 18) [Audio podcast]. Retrieved from https://soundcloud.com/writecast/writecast018Note: The approximate length of this media piece is 10 minutes.Transcript: http://academicguides.waldenu.edu/writingcenter/transcripts/podcasts/ep018Walden University Writing Center (Producer). (2014, February 10). WriteCast: All about audience (Episode 6) [Audio podcast]. Retrieved from https://soundcloud.com/writecast/006-all-about-audienceNote: The approximate length of this media piece is 9 minutes.Transcript: http://academicguides.waldenu.edu/writingcenter/transcripts/podcasts/ep006Walden University Writing Center. (2015). APA formatting and style: Point of view [Video file]. Retrieved from http://academicguides.waldenu.edu/writingcenter/scholarlyvoice/pointofview#s-lg-box-6264281Note: The approximate length of this media piece is 3 minutes.Walden University Writing Center. (2015). Engaging writing: Tool 2-Sentence structure [Video file]. Retrieved from http://academicguides.waldenu.edu/writingcenter/scholarlyvoice/clarity#s-lg-box-6264315Note: You will need to advance through the playlist to locate the correct video. The approximate length of this media piece is 3 minutes.

 
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