NR 510 week 4 organizational change ethical legal influences in advanced practice nursing case study part one

Chamberlain University NR 510 week 4 organizational change 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 week 4 organizational change 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 week 4 organizational change 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 week 4 organizational change 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 week 4 organizational change ethical legal influences in advanced practice nursing case study part one                  

The introduction for the Chamberlain University NR 510 week 4 organizational change 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 week 4 organizational change ethical legal influences in advanced practice nursing case study part one                  

After the introduction, move into the main part of the NR 510 week 4 organizational change 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 week 4 organizational change 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 week 4 organizational change 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 week 4 organizational change ethical legal influences in advanced practice nursing case study part one Included After Question

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. Discussion Question: What are the potential ethical and legal implications for each of the following practice members?: Medical assistant Nurse Practitioner Medical Director Practice What strategies would you implement to prevent further episodes of potentially illegal behavior? What leadership qualities would you apply to effect a positive change in the practice? Be thinking about the culture of the practice.

A Sample Answer For the Assignment: NR 510 week 4 organizational change ethical legal influences in advanced practice nursing case study part one

Title: NR 510 week 4 organizational change 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 2 For the Assignment: NR 510 week 4 organizational change ethical legal influences in advanced practice nursing case study part one

Title: NR 510 week 4 organizational change 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 3 For the Assignment: NR 510 week 4 organizational change ethical legal influences in advanced practice nursing case study part one

Title: NR 510 week 4 organizational change ethical legal influences in advanced practice nursing case study part one

For this case study, I feel that having a prescription or any medication ordered and placed under my name is a major concern, especially seeing that it was not order with a provider’s judgment.  My view regarding this case study may seem strong however; this may be related to the fact that I am currently learning and developing a foundation and understanding of the roles, function, and scope of practice of an advance-practicing nurse, family nurse practitioner.  According to Gregory (2014), regardless of the years of services of a medical assistant, they are not allowed to prescribe medication to clients.  In fact, depending on the state laws and facility policy that the medical assistant is working, they may be allow to telephone prescriptions to the  pharmacy, assess and record vital signs, and report acute, abnormal lab such as glucose findings to nurses.  However, they are not allowed to prescribe any form of medication as this is not within their scope of practice and is considered unethical and unlawful (Hoke and Hexem, 2017). 

Furthermore, because both the medical assistant and the nurse practitioner know that prescribing medication under the name of a provider without appropriate orders is unlawful and unethical, I do believe that the next logical sound course of action would be to discuss disciplinary action with the medical assistant.  I do not think is an extreme measure due to the years of experience of the medical assistant has, she should definitely know what is lawful and ethical within his or her job description.  I actually see and hear of similar situations to this case study in my place of employment, as far as employees practicing or implementing interventions out of their scope of practice and job description.  I have personally experience nurse assistants attempt to carry out and delegate Registered Nurses interventions and orders that were outside of their job description. However, I have not witness to the extent of a medical assistant ordering and prescribing a medication under a nurse practitioner or doctor. 

In addition to the disciplinary action that I would hold to the medical assistant, I would also reinforce the practice expectations as to what is within their scope of practice/job description including the policy and procedure.  I feel this is essential because if nothing the assistant is not held accountable or if the issue is not address regarding her unlawful and unethical actions the next situation could be worse.  This is a serious matter because regardless of the rapport and years of experience she has still does not hold the sound judgment and competence of an advance-practicing nurse nor a physician to make such a decision.

Reference

Gregory, M. (2014). Researching the Scope of Practice for Medical Assistants. AAACN Viewpoint, 36(2), 13-14.

Hoke, K., & Hexem, S. (2017). Expanding Access to Care: Scope of Practice Laws. Journal Of Law, Medicine & Ethics, 4533-36. doi:10.1177/1073110517703316