NHS-FPX 4000 Assessment 3 Analyzing a Current Health Care Problem or Issue

NHS-FPX 4000 Assessment 3 Analyzing a Current Health Care Problem or Issue

NHS-FPX 4000 Assessment 3 Analyzing a Current Health Care Problem or Issue

The promotion of safety and quality in the medication processes is crucial in nursing and healthcare. Nurses and other healthcare providers adopt evidence-based interventions that minimize the risk of error occurrence in medication handling processes such as administration and prescription. Organizational systems and processes such as the existence of guidelines to guide medication processes are crucial to minimize the risk of errors and patient harm. Therefore, the purpose of this essay NHS-FPX 4000 Assessment 3 Analyzing a Current Health Care Problem or Issue is to examine the issue of medication errors and propose a solution that should be adopted to address it.

The Selected Health Care Problem

The selected health care problem is medication errors. Medication errors are any preventable events that can cause or result in inappropriate use of medications or patient harm while the healthcare professional, consumer, or patient controls the medication. Medication errors occur in any stage of medication use system. For example, they can occur during medication prescription, transcription, dispensing, or administration(Tariq et al., 2023). Nurses are largely involved in medication handling processes. For instance, they administer most of the medications prescribed in healthcare, implying their increased risk of committing medication errors(Lee & Quinn, 2019). Medication errors affect safety, quality, and efficiency of patient care, hence, the need for the adoption of responsive interventions.

Possible Causes for the Problem

Medication errors arise from several potential causes. One of the causes of medication errors is high workload. High workload increases the risk of medication errors because of the staff feeling tired and burnout. High workload also affects the judgment of the nurses, hence, the risk of errors. The other potential cause is the prescription of drugs with closely related names for patients. This predisposes nurses to making errors when selecting a medication for use in treating their patients. The use of abbreviations rather than the full names of the medications also increase the risk of errors. Abbreviations may be misinterpreted during the medication handling processes, increasing the risk of errors. Interruptions are also a potential cause of medication errors(Dirik et al., 2019; Shitu et al., 2020). Interruptions during processes such as drug prescription, dispensing, and administration may result in errors such as drug dose calculation and preparation.

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Setting or Context of the Problem

Medication errors arise in medication processes in healthcare settings. Healthcare providers that include nurses, physicians, and pharmacists are largely involved in medication errors. Contextual factors in healthcare settings such as interruptions, heavy workloads, complex care needs by patients, and the lack of guidelines and policies that promote medication safety increase the risk of the problem(Tariq et al., 2023). Patients and their significant others suffer from unintended harm from the medications, hence, the impact of the problem on nursing and healthcare.

Importance of the Problem

Medication errors are an important problem to my practice as a nurse. First, medication errors contribute to unintended harm in nursing practice. They predispose patients to harm caused by drug interactions, side, and adverse effects. Medication errors also increase healthcare costs for patients and their significant others. The harm caused by the errors may require prolonged hospitalization and complex care, which result in unintended increase in the care costs. Medication errors also affect the quality of life of patients. Unintended harm may result in the decline in the patient’s functional abilities in their social and occupational roles. The errors also affect the safety culture in an organization. The high rate of medication errors affect the trust that patients have towards services offered in an institution, hence, decreased performance and competitiveness(Lee & Quinn, 2019; Shitu et al., 2020; Tariq et al., 2023). Medication errors also have legal implications on the nurses’ practice and healthcare institutions. Patients may initiate lawsuits for the damages caused by the errors, hence, the need for preventing error occurrence in healthcare.

Groups of People Affected by the Problem

Medication errors affect patients, nurses, physicians, pharmacists, and the significant others of

nhs-fpx 4000 assessment 3 analyzing a current health care problem or issue
NHS-FPX 4000 Assessment 3 Analyzing a Current Health Care Problem or Issue

the patients. Patients and their significant others suffer from unintended harm, prolonged hospitalization, poor quality of life, increased care costs, and even deaths. Nurses, physicians, and pharmacists suffer from increased workload from the medication errors, legal and ethical issues, and low job satisfaction(Lee & Quinn, 2019).

Potential Solutions for the Problem

Several solutions can be adopted to address the issue of medication errors in nursing and healthcare. One of them is provider training. Training nurses and other healthcare providers about medication safety is effective in empowering them with best practices to minimize the risk of harm. The other intervention is the use of health information technologies. Technologies such as barcode system of medication administration minimize the risk of harm by automating the five rights of medication administration. The other strategy is developing guidelines for medication processes. The guidelines will standardize processes such as medication administration, prescription, and dispensing(Dirik et al., 2019; Escrivá Gracia et al., 2019). Other measures include hiring more staff to reduce workload, creating patient safety culture, and packaging improvements.

Requirements to Implement a Solution

Successful implementation of a solution depends on some requirements. First, the hospital should be willing to provide human resource, material, and financial support for an intervention. The staff should also be trained about the use of best practices to prevent medication errors. The existing culture should be transformed to support the use of best practices that promote medication safety. The leadership and management should also support the implementation of a solution(Ayorinde & Alabi, 2019). They should promote open communication, seek and incorporate feedback into the selected interventions.

Potential Consequences of Ignoring the Problem

Ignoring the issue of medication errors is associated with significant consequences. First, patients will continue to suffer from the adverse effects of medication errors. This includes unintended harm, prolonged hospitalization, and increased healthcare costs. The organization’s culture of promoting safety and quality will also be affected. The increased cases of medication errors will mean that the safety and quality of care will decline significantly. Healthcare providers will also suffer from low job satisfaction, morale, and high workload from patients affected by medication errors(Ayorinde & Alabi, 2019; Dirik et al., 2019). Their turnover rate will also be high, resulting in the reduced performance in an organization.

Pros and Cons for the Proposed Solution

The proposed solution entails training and educating nurses about best practices in medication processes. The solution is associated with advantages that include empowerment of the nurses. Nurses will develop knowledge and skills on the best practices needed for the prevention and minimizing medication errors. The other advantage is that it will encourage nurses to advocate for the culture of patient safety. Education and training exposes them to best practices that can be used to promote sustained improvements in medication safety(Ayorinde & Alabi, 2019). However, the solution is associated with disadvantages such as high costs of training and need for regular training and education for sustained improvement in outcomes.

Ethical Principles

The necessary requirements for the implementation of the proposed solution include organizational, leadership, and management support, enabling organizational culture, and effective change management. Ethical principles that include beneficence, autonomy, nonmaleficence, and justice should be considered if the proposal is implemented. First, the adopted interventions in the education and training program should not predispose nurses and patients to any form of harm, hence, non-maleficence. They should also be in the best interest of the organizational stakeholders such as nurses, patients, and their significant others. This will promote beneficence. Nurses’ participation in the program should be voluntary to ensure autonomy. Lastly, nurses should have the opportunity to express their views and concerns on ways of addressing the problem, hence, justice(Ayorinde & Alabi, 2019). For example, their input should be prioritized in the development of effective strategies to enhance medication safety.

NHS-FPX 4000 Assessment 3 Analyzing a Current Health Care Problem or Issue Conclusion

The selected problem is medication errors. Medication errors affect safety and quality of patient care. Several interventions can be adopted to address the problem. However, this paper proposed education and training of nurses on medication safety to address medication errors. Ethical considerations such as autonomy, justice, non-maleficence, and beneficence should inform the strategies adopted in the proposed solution.

NHS-FPX 4000 Assessment 3 Analyzing a Current Health Care Problem or Issue References

Ayorinde, M. O., & Alabi, P. I. (2019). Perception and contributing factors to medication administration errors among nurses in Nigeria. International Journal of Africa Nursing Sciences, 11, 100153. https://doi.org/10.1016/j.ijans.2019.100153

Dirik, H. F., Samur, M., Seren Intepeler, S., & Hewison, A. (2019). Nurses’ identification and reporting of medication errors. Journal of Clinical Nursing, 28(5–6), 931–938. https://doi.org/10.1111/jocn.14716

Escrivá Gracia, J., Brage Serrano, R., & Fernández Garrido, J. (2019). Medication errors and drug knowledge gaps among critical-care nurses: A mixed multi-method study. BMC Health Services Research, 19(1), 640. https://doi.org/10.1186/s12913-019-4481-7

Lee, S. E., & Quinn, B. L. (2019). Incorporating medication administration safety in undergraduate nursing education: A literature review. Nurse Education Today, 72, 77–83. https://doi.org/10.1016/j.nedt.2018.11.004

Shitu, Z., Aung, M. M. T., Tuan Kamauzaman, T. H., & Ab Rahman, A. F. (2020). Prevalence and characteristics of medication errors at an emergency department of a teaching hospital in Malaysia. BMC Health Services Research, 20(1), 56. https://doi.org/10.1186/s12913-020-4921-4

Tariq, R. A., Vashisht, R., Sinha, A., & Scherbak, Y. (2023). Medication Dispensing Errors and Prevention. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK519065/

Write a 4-6-page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications.


In your health care career, you will be confronted with many problems that demand a solution. By using research skills, you can learn what others are doing and saying about similar problems. Then you can analyze the problem and the people and systems it affects. You can examine potential solutions and their ramifications. This assessment allows you to practice this approach with a real-world problem.

Analyzing a Current Health Care Problem or Issue

The identified healthcare issue is Healthcare disparities. Healthcare disparities are the dissimilarities in health and health care between groups resulting from wider inequities. They occur across a range of geographic, financial, and socio-cultural challenges, limiting individuals from accessing the healthcare services they need. The purpose of this paper is to analyze the issue of healthcare disparities and describe my proposed solution and potential ethical implications.

Elements of the Problem/Issue

According to Healthy People 2030, a health disparity is a specific type of health difference attributed to economic, social, and environmental disadvantage. The health disparity negatively impacts groups of people who have systematically encountered greater barriers to health (Artiga et al., 2020). A wide array of factors within and outside the healthcare system contributes to healthcare disparities. Studies establish that health behaviors and soci0-economic factors, usually referred to as social determinants of health (SDOH), are the key drivers of health outcomes. Besides, socio-economic factors influence people’s health behaviors. SDOH linked with health inequities and disparities includes poverty, lack of education, unequal access to health care, stigma, and racism (Fleary & Ettienne, 2019). Factors like racism adversely impact peoples’ physical and mental health directly and indirectly by bringing inequities across the SDOH.


Healthcare disparities are persistent and prevalent not only in the U.S. but also globally. The Heckler Report in 1985 led to a major recognition of healthcare disparities in the US after it documented the persistent health disparities in the country that resulted in over 60,000 deaths annually (Artiga et al., 2020). Even with the recognition and documentation of healthcare disparities for decades, numerous disparities have persisted, and, even broadened over time. My interest in this topic is from my experience of how healthcare disparities contribute to poor health outcomes. In my professional experience, I have observed how SDOH and health disparities greatly affect individuals’ health. Therefore, there is a need to address the disparities by negating their impacts or eliminating them.

Healthcare disparities in the U.S. are experienced more commonly by persons from racial/ethnic minority groups, sexual minority groups, persons with low education, uninsured, and those with low income. Häfliger et al. (2023) found that people with low education and knowledge experienced communication inequalities that led to healthcare disparities. In addition, Okunrintemi et al. (2019) established that lower income is consistently associated with poor healthcare experiences by patients. Lower income-earning persons have poorer healthcare experience in all elements of access and quality of care contributing to healthcare disparities. Tabaac et al. (2020) found that sexual minorities encounter healthcare disparities in unmet needs for and continuity of care. Healthcare disparities are encountered by minority racial populations with high uninsurance rates specifically American Indian/Alaska Native, Blacks, Hispanic, and Native Hawaiian/Pacific Islander (NHOPI) compared to Whites.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.

Use scholarly information to describe and explain a health care problem or issue and identify possible causes for it.

Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.

Analyze a health care problem or issue by describing the context, explaining why it is important and identifying populations affected by it.

Discuss potential solutions for a health care problem or issue and describe what would be required to implement a solution.

Competency 3: Apply ethical principles and academic standards to the study of health care.

Analyze the ethical implications if a potential solution to a health care problem or issue was implemented.

Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.

Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

Write following APA style for in-text citations, quotes, and references.

Limited access to healthcare is an issue of focus in this paper. Healthcare providers and other stakeholders in health actively focus on implementing policies that aim at eliminating the barriers to access to healthcare. All individuals have the right to access the care that they need for their optimum health and functioning. However, factors such as the high cost of healthcare, lack of medical insurance coverage, shortage of specialists, and geographical disadvantages have continued to worsen the challenges that most experience in accessing the healthcare they need. Therefore, this research paper analyzes the issue of limited access to healthcare, its causes, potential alternatives, and a solution that should be adopted to address it.

Elements of the Problem or Issue

Despite being a developed country, some of the populations in America still experience limited access to healthcare. For example, the existing statistics show that patients suffering chronic illnesses such as mental illnesses experience considerable challenges in accessing the care that they need due to factors such as stigmatization, ignorance, and prejudice. Geography is another factor that plays a crucial role in limiting healthcare access. According to Matin et al., (2021), residing in rural settings act as a barrier to access to the needed healthcare for the population. The participants in the study by Martin et al., (2021) reported that they incur significant transportation cost in accessing the healthcare facilities based on their geographical locations. In the study by Malik-Soni et al., (2022), factors that include physician shortage, stigma, high cost and shortage of services, limited insurance, and communication difficulties with physicians limited access to care for patients with autism spectrum disorder. Unforeseen events such as the recent changes due to covid19 pandemic also limit healthcare access for the population. For example, Jeste et al., (2020) found in their research that covid19 restrictions led to a loss of at least some healthcare services for patients with intellectual and developmental disorder. The effect was seen from 74% of the patients losing access to at least one therapy or educational service. Policy changes made in the country also act as a source of barriers to access to healthcare in America. For instance, most of the policy initiatives adopted policies in healthcare continue to limit the access of immigrants in the USA to healthcare (Buchmueller & Levy, 2020). A small proportion of noncitizen immigrants in the state have Medicaid, which worsens healthcare access for most of them.

Healthcare cost in the United States of America is also among the highest of all the developed nations globally. Accordingly, the USA spends the highest amount of per capita on person’s healthcare as compared to other countries such as Canada and the United Kingdom. The high cost of healthcare is a disadvantage to the majority who are in low socioeconomic group. Compounded by factors such as the lack of medical insurance coverage and residing in rural areas, the population experience considerable challenges in accessing the high quality care that they need (Lee & Porell, 2020).

America is also a multiethnic country. Factors such as race and ethnic backgrounds influence access to healthcare services. Often, individuals from ethnic minority backgrounds experience disproportionate barriers in accessing the healthcare that they need. The recently experienced challenges during Covid19 revealed that the pandemic disproportionately affected some ethnic and racial minority groups. The impact was attributed to the high uninsurance rate among African Americans (12%) and Hispanics (19%) as compared to whites (8%) (Tai et al., 2021). According to Thakur et al., (2020), structural and social circumstances place racial and ethnic minority groups at risk of diseases and worse outcomes due to limited access to healthcare. For example, African Americans and Latino Americans, which form part of the ethnic minority groups experience barriers such as lack of insurance, unemployment, and low income, which limit access to quality healthcare they desire for their health and wellbeing (Petersen et al., 2019).


Nurses must be aware of the factors that contribute to limited access to healthcare for the American population. The awareness stimulates them and other healthcare providers to advocate the adoption of policies that increase the universal access to healthcare for all. Nurses also explore the incorporation of novel technologies such as telemedicine, telehealth, and mhealth into the adopted solutions to address limited access to healthcare for the population (Jeste et al., 2020). Studies have demonstrated that technologies such as telemedicine and telehealth increase the access to healthcare for the vulnerable populations and those residing in rural areas since they can interact with their practitioners virtually (Haynes et al., 2021). The consideration of these options will likely to increase healthcare access for all.

Context of Limited Access to Healthcare

Limited access to healthcare refers to the disproportionate utilization of healthcare services by the population because of factors that may be beyond their control. The vulnerable populations that include people with disabilities such as those intellectual and development disabilities, autism spectrum disorders, and women with disabilities (Huot et al., 2019; Jeste et al., 2020; Malik-Soni et al., 2022). Racial and ethnic minority groups also suffer from limited access to healthcare because of social and structural factors such as lack of health insurance, unemployment, and low income (Thakur et al., 2020). In addition, the socioeconomically disadvantages, individuals with chronic health conditions, women, children, and the elderly experience disproportionate limited access to specialty care, especially in the medically underserved rural and urban areas (Cyr et al., 2019).

Limited access to healthcare is attributed to multilevel factors. At the foundational level, geography plays a crucial role in limiting access to healthcare. Accordingly, patients residing in rural areas experience unique challenges such as the lack of physician care and high transportation costs in seeking the care they need in urban areas. According to Cyr et al., (2019), one-fifth of the USA’s population resides in rural areas and being served by one-tenth of the clinicians practicing in these areas. In addition, most of the rural dwellers are likely to be older, veterans, uninsured, or less likely to have higher education, which limits their access to healthcare (Cyr et al., 2019).

At the individual level, factors such as poverty, low income, unemployment, lack of medical insurance coverage, ignorance, and negative experiences with healthcare services influence access to and utilization of healthcare services. At the healthcare system level, variance in healthcare costs, negative patient experiences with healthcare services and providers, staff shortage, and fragmentation of healthcare services hinder the population’s access to the healthcare they need. At the policy level, constant changes in healthcare policies such as the enhancements of the Affordable Care Act lowers the types of healthcare services that the population can access (Buchmueller & Levy, 2020). Consequently, these factors contribute to the worsening challenges in access to healthcare for the vulnerable in the country.

Populations Affected by Limited Access to Healthcare

The unemployed, poor, and individuals from ethnic minority groups are most vulnerable to limited access to healthcare. Individuals from ethnic minority backgrounds often have increased predisposition to health problems such as diabetes, hypertension, and depression among other issues. They also experience significant challenges in accessing healthcare they need because of lack of medical insurance coverage, unemployment, and low wages (Petersen et al., 2019). The other group of people likely to experience limited access to healthcare include the elderly rural dwellers, with low income, educational levels, and veterans, who have challenges in accessing specialized care they need. Children, those with disability, women, and elderly in medically deprived urban and rural areas are also highly likely to experience limited access to healthcare (Cyr et al., 2019).

Considering the Options

One of the solutions that can be considered to address the issue of limited access to healthcare due to geographical residence is adopting new policies that support care delivery models that rely on team-based care and nonphysician providers (Germack et al., 2019). A study conducted by Germack et al., (2019) showed that most of the rural hospitals in the USA are unable to address the needs of their populations because of physician shortages. As a result, they are at the verge of closure should the problem persist. However, an effective solution proposed by the researchers is the adoption of non-physician providers and team-based care to address the issue. This includes the hiring of more nurse practitioners to fill the physician shortage, hence, assuring the rural residents access to high quality care they desire. Besides, delivery models such as rural clinics and medical homes that rely on team-based care could augment the physician workforce, hence, increased access to the medically underserved rural and urban dwellers (Germack et al., 2019). The challenge associated with this solution is that it may take time for its implementation since it requires a change in the existing healthcare policies.

Limited access to healthcare can be addressed by embracing technologies such as telehealth and telemedicine to expand healthcare coverage for the vulnerable. Telehealth and telemedicine allow healthcare providers and their patients to interact irrespective of their geographical locations. Healthcare providers can assess, monitor, and evaluate the effectiveness of the adopted interventions for optimum care outcomes. Issues associated with health technologies that may affect their adoption include data breaches leading to the loss of confidentiality and privacy (Haynes et al., 2021). The challenge of not addressing the issue of limited access to healthcare is that it would worsen disproportionate rates of poor health outcomes among the vulnerable populations.


Limited access to healthcare, especially due to residing in medically underserved regions is a crucial public health problem. However, the consideration of team-based model of care and use of non-physician healthcare providers is a sound solution to the problem. For example, nurse practitioners have been trained to deliver care like that of the physicians. Policy changes that recognize the need for hiring more nurse practitioners would help address the physician shortage, hence, increasing the population’s access to specialized care in undeserved regions. In addition,  delivery models such as rural clinics and medical homes that rely on team-based care could augment the physician workforce, hence, increased access to the medically underserved rural and urban dwellers (Germack et al., 2019).


The consideration of policy reforms that incorporate team-based model of care and use of nonphysician providers is an effective solution to the problem of limited access to healthcare. Its implementation requires interventions such as lobbying for policy change, hiring more of nonphysician staff, and redesigning the existing model of care delivery to increase team-based approaches in the care process. The ethical principles that should be considered include justice. The adopted policy should ensure that all the populations have universal access to high quality, safe, and efficient care. The population should also not be discriminated in accessing the care they need based on their backgrounds. The principle of beneficence and non-maleficence should also be considered by ensuring that the target population is not predisposed to any unintended harm from the proposed policy reforms (Haynes et al., 2021). The use of non-physician providers should not lower the quality, safety, and efficiency of care that patients receive. It should also not subject them to any unintended harm in the disease management process.


Limited access to healthcare is an issue that should be addressed in America. Factors such as cost of healthcare, residing in rural settings, and lack of medical insurance coverage contribute to the issue. An effective solution to address it would be policy reforms to increase the use of non-physician providers and team-based approach to care. Nurses should consider ethical principles in implementing the solution.


Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

Describe the health care problem or issue you selected for use in Assessment 2 (from the Assessment Topic Areas | Transcript media piece) and provide details about it.

Explore your chosen topic. For this, you should use the first four steps of the Socratic Problem-Solving Approach to aid your critical thinking. This approach was introduced in Assessment 2.

Identify possible causes for the problem or issue.

Use scholarly information to describe and explain the health care problem or issue and identify possible causes for it.

Identify at least three scholarly or academic peer-reviewed journal articles about the topic.

You may find the How Do I Find Peer-Reviewed Articles? library guide helpful in locating appropriate references.

You may use articles you found while working on Assessment 2 or you may search the Capella library for other articles.

You may find the applicable Undergraduate Library Research Guide helpful in your search.

Review the Think Critically About Source Quality to help you complete the following:

Assess the credibility of the information sources.

Assess the relevance of the information sources.

Analyze the health care problem or issue.

Describe the setting or context for the problems or issues.

Describe why the problem or issue is important to you.

Identify groups of people affected by the problem or issue.

Provide examples that support your analysis of the problem or issue.

Discuss potential solutions for the health care problem or issue.

Describe what would be required to implement a solution.

Describe potential consequences of ignoring the problem or issue class=”ice-no-decoration” data-ice-class=”848587″>.

Provide the pros and cons for one of the solutions you are proposing.

Analyze the ethical implications if the potential solution (the one for which you provide pros and cons) were to be implemented.

Provide examples from the literature to support the points you are making.

Discuss the pros and cons of implementing the proposed solution from an ethical principle point of view.

Describe what would be required to implement the proposed solution.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

Also Read: MSN 6109 ASSESSMENT 4  plan for implementing changes in existing educational technologies

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During a code, I’ve seen families have to make difficult decisions for their loved ones. The choice was between keeping the patient intubated and not being their old self again, or removing them from life support. Imagine having a 29-year-old daughter who was pregnant and had four other children, and she had a seizure while in labor. This then justifies taking the patient into the operating room for an emergency c-section. During the procedure, the patient had multiple seizures, lost a lot of blood, and coded four times on the table. Four hours after receiving several units of RBC, plasma, and platelet, the patient became stable enough to be transferred to the ICU. She coded three more times while on the unit, and her mother was present. The doctor went to talk to the patient’s mother the last time he coded in order to make a difficult decision. Despite her asystole, the mother wanted us to continue working on the patient. We had been working on her for 6 hours when the doctor had to call the time of death. Certain decisions are difficult to make when the patient has not completed advance directives. “Nurses must advocate for patients’ autonomy and rights.” (20 common examples of ethical quandaries in nursing + how to handle them) End-of-life decisions are difficult not only for families, but also for those who must bring them to the attention of the families.
A dilemma is a common problem in nursing. Nurses are frequently placed in difficult and uncompromising situations. Giving a patient health advice or making a decision about care. (Difficulties in Nursing, 2022) Because of chronic pain, a patient refused to have an x-ray taken at his or her bedside. The patient has several decubitus, and because the film will need to be placed underneath the patient’s back, it will cause additional pain and pressure. As nurses, we must explain why and why the x-ray is necessary. Patients have the right to refuse treatment or procedures at any time. Despite refusing the x-ray, the patient understood that continuing treatment was critical regardless of the results of the diagnostic test. The patient understands the significance of the test, but is also aware that a diagnostic test is required for the providers to continue treating the disease or disorder.
To address the issues or dilemmas that patients may be experiencing, it is necessary to understand their concerns rather than pass judgment. This can be accomplished by assuring the patient that they are being heard. As nurses, we must assist in determining an alternative method of assisting the patient with their fear and pain so that they can eventually proceed with having an x-ray done. The patient lacks control over most hospital treatments; the question is what can be done to gain more control in the hospital. Negotiating and expressing what you and the patient care about will help the patient achieve a better outcome. 2015 (Robert A.)

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Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

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Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

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The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.


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Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

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NHS-FPX 4000 Assessment 3 Analyzing a Current Health Care Problem or Issue

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

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Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed

Analyzing a Current Health Care Problem or IssuNHS-FPX 4000 Assessment 3 Analyzing a Current Health Care Problem or Issue Scoring Guide

Criteria Non-performance Basic Proficient Distinguished
Use scholarly information to explain a health care problem or issue. Does not identify scholarly information that could explain a health care problem or issue. Identifies scholarly information that could explain a health care problem or issue. Uses scholarly information to explain a health care problem or issue. Uses relevant scholarly information to explain a health care problem or issue, including the reasons that the chosen information helps to explain a health care problem or issue.
Analyze the problem or issue. Does not identify a problem or issue. Identifies a problem or issue. Analyzes the problem or issue. Analyzes the problem or issue including definition, who is involved, and causes of the problem or issue.
Discuss potential solutions for the problem or issue. Does not describe a potential solution for the problem or issue. Describes a potential solution for the problem or issue. Discusses potential solutions for the problem or issue. Discusses potential solutions for the problem or issue, including potential consequences for ignoring the issue.
Explain the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice) if potential solution was implemented. Does not mention ethical principles if the potential solution was implemented. Mentions ethical principles if the potential solution was implemented. Explains the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice) if potential solution was implemented. Explains the ethical principles if potential solution was implemented and enriches the analysis with examples from the readings.
Produce text with minimal grammatical, usage, spelling, and mechanical errors. Produces text with significant grammatical, usage, spelling, and mechanical errors, making text difficult to follow. Produces text with some grammatical, usage, spelling, and mechanical errors, making text difficult to follow at times. Produces text with minimal grammatical, usage, spelling, and mechanical errors. Produces text free of grammatical, usage, spelling, and mechanical errors.
Integrate into text appropriate use of scholarly sources, evidence, and citation style. Does not integrate into text appropriate use of scholarly sources, evidence, and citation style. Integrates into text mostly appropriate use of scholarly sources, evidence, and citation style, but there are lapses in style use. Integrates into text appropriate use of scholarly sources, evidence, and citation style. Integrates into text appropriate use of scholarly sources, evidence, and citation style without errors and uses current reference sources.

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