NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One

Chamberlain University NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One-Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One  assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One                  

Whether one passes or fails an academic assignment such as the Chamberlain University NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One  depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One                  

The introduction for the Chamberlain University NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One                  

After the introduction, move into the main part of the NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One  assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One                  

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One                  

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One Included After Question

The case study has potential and legal implications for the medical assistant, nurse practitioner, medical director, and the practice. First, medical assistants do not have the legal mandate to engage in activities such as prescribing and refilling prescriptions. Stephanie should understand the consequences of her actions such as her license for practice being revoked because of the safety issues associated with her actions. The nurse practitioner, medical director, and practice administrator have the responsibility of ensuring that each of the personnel in the institution perform as per their scope of practice (Griffith & Tengnah, 2020). They must assess the skill levels and competencies of the medical assistants and other providers to provide the required care and communicate their limitations to them.

I will embrace some strategies to prevent potentially illegal behaviors in the future in the practice site. One of them is clarifying the roles and responsibilities of the different members involved in the patient care in the setting. The roles and responsibilities should be communicated to ensure accountability, transparency and responsibility. I will also administer staff assessment tests to determine their understanding of their expected responsibilities and consider strategies such as training them to prevent similar occurrences in the future (Varkey, 2021). Lastly, I will display the policies, standards, and regulations that guide employee behaviors in the organization to eliminate potential issues in the future.

One of the leadership qualities that I would apply to effect a positive change in the practice is leading as an example. Nurse practitioners should demonstrate best practices that others can emulate for safety, quality, and efficiency. The other leadership quality I would apply is strengthening open communication, seeking and providing feedback to the other members of the team to ensure continuous quality improvement (Heinen et al., 2019). Lastly, I will advocate the adoption of effective leadership styles such as transformational leadership to encourage the development of the desired competencies among the care team.

NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One References

Griffith, R., & Tengnah, C. (2020). Law and Professional Issues in Nursing. SAGE.

Heinen, M., van Oostveen, C., Peters, J., Vermeulen, H., & Huis, A. (2019). An integrative review of leadership competencies and attributes in advanced nursing practice. Journal of Advanced Nursing, 75(11), 2378–2392. https://doi.org/10.1111/jan.14092

Varkey, B. (2021). Principles of Clinical Ethics and Their Application to Practice. Medical Principles and Practice, 30(1), 17–28. https://doi.org/10.1159/000509119

A Sample Answer For the Assignment: NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One

Title: NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One

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.

A Sample Answer 2 For the Assignment: NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One

Title: NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One

My immediate action is to address the patient’s reason for the visit. According to Mitchell and Oliphant (2016), I have a responsibility to conduct a comprehensive patient interview or consultation before prescribing any medications. While there are ethical issues with what Stephanie did, even though her intentions were good, this must be addressed in private later. Mrs. Smith has already taken a prescribed dose of amoxicillin for her cough. If the amoxicillin has not cleared up the cough, I should not provide her with a refill order just yet. This may have been the wrong medicine to prescribe for a cough in the first place. For one, if Mrs. Smith felt comfortable with Stephanie calling in a prescription order without the doctor’s consent, this may not be the first time she has been prescribed an antibiotic without being checked-out first. Mrs. Smith may have developed a resistance to the antibiotic.  Norris et al. (2013) state antibiotic resistance is a serious, growing threat that causes the bacteria in patients’ bodies to become immune to the antibiotics medicinal properties. Many respiratory conditions are viral infections not bacteria-based illnesses, and Mrs. Smith may not have known that antibiotics only work against bacteria. There are many possible factors as to why Mrs. Smith has developed a chronic cough. I should conduct her physical exam and ask her questions about her cough (when it developed, the type of cough like wet or dry, does the patient smoke, any shortness of breath, has she taken any medication other than amoxicillin to treat the cough). I should then draw Mrs. Smith’s blood to send to lab for testing to determine if she has become resistant to amoxicillin. Also, during her physical, I can see if movement or exertion prompt her to cough. Once the physical has been performed and cough symptoms evaluated, I will take medications, past health history, and any present conditions I have recognized during the physical into consideration then decide on the best cough treatment plan. Once the patient has been taken care of, I will create thorough notes to document the visit, my findings and actions, and Stephanie’s actions then report what has occurred to the primary physician and office manager.

Reference

Mitchell, A., & Oliphant, C. M. (2016). Responsibility for ethical prescribing. The Journal for Nurse Practitioners, 12(3), A20. Retrieved from DOI: https://doi.org/10.1016/j.nurpra.2016.01.008Links to an external site.

Norris, P., Chamberlain, K., Dew, K., Gabe, J., Hodgetts, D., & Madden, H. (2013). Public beliefs about antibiotics, infection and resistance: A qualitative study. Antibiotics, 2(4), 465-476. doi:10.3390/antibiotics2040465

A Sample Answer 3 For the Assignment: NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One

Title: NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One

Since this is a detrimental mistake and issue, this would require a meeting with all the MAs and providers. However, I believe initially, there should be a private meeting with Stephanie to go over what exactly happened and a followup meeting to discuss the consequences of her action. Usually, when one makes a mistake on the unit I work for, it is brought up during monthly meetings or huddles because the management does not want staff to repeat the same mistake and cause more harm to the patient or even put their job and/or license at risk. For example, a nurse accidentally mixed two patient’s lab draw tubes and put it in one bag and sent it to laboratory. We never saw the actually meeting with the nurse, what the consequence was and management tried to not expose which nurse it was. However, thru gossip, the staff found out who. It was brought up in huddle several times to remind nurses to please remember to label lab draws correctly because this can cause patient harm if mislabeled or sent improperly to lab. I think having two staff meetings is appropriate because there should be one private meeting with Stephanie and another meeting with the staff as a whole to prevent this from happening again. 

A Sample Answer 4 For the Assignment: NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One

Title: NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One

I agree with you regarding many things you mentioned in your discussion.  I also stated in my initial discussion post and believe that the first prior is to address the patient and to make sure that the patient is safe.  There were many unethical and unlawful things that transpired in this case and many matters that need to be address but ensuring that the patient is safe by calling Mrs. Smith into the office to assess and evaluate them is the number one priority.  I like and agree with you how you feel that you should address Stephanie actions with her first and in a private manner.  I have to say I am not sure if Mrs. Smith would have even known that the prescription was ordered by Stephanie because once she receive her antibiotic from the pharmacy it would have the NPs name as the prescribing person, which would never allow Mrs. Smith to know that Stephanie actually ordered the Rx.  You also brought up a valid point that Stephanie may have been prescribing several other antibiotics which can cause antibiotic resistance which is also an ongoing current problem according to research. Overall, this case study presents several elements that I learned and will consider for my future practice. One, the issue of a healthcare personnel that may have been in the healthcare field for several years that may feel that they know everything and feel no need to consult with the healthcare provider such as the NP or the physician, over stepping their boundaries; and two, considering the approach to address such issues with the healthcare personnel in a professional manner. 

Reference

Norris, P., Chamberlain, K., Dew, K., Gabe, J., Hodgetts, D., & Madden, H. (2013). Public beliefs about antibiotics, infection and resistance: A qualitative study. Antibiotics, 2(4), 465-476. doi:10.3390/antibiotics2040465

Discussion Question:

What is your next logically sound course of action? Provide evidence to support your response.

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A Sample Answer For the Assignment: NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One

Title:NR 510 DQ 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One