Category: Nursing

cite examples of moreal duress that occur in nursing practice related to futile 
care, and end of life issues in caring for patients and families. State strategies for 
intervention to decrease the level of moral duress.  ( APA 7th edition)

For this assignment, you will identify a topic from the provided list below OR choose an instructor-approved topic of your choosing related to maternity care. The written paper will be a minimum of 3 pages not including cover page, references, and infographic. You must utilize at least 2 peer reviewed articles that are current (within the last 5 years). APA format is required.
Introduction
Identify your chosen topic and provide a discussion for why this topic was chosen. Provide a discussion of the topic and identify how the topic is related to maternity care.
Education
Identify and fully discuss at least two points related to the topic that would be included in an educational plan for the patient/community and/or to other healthcare providers
Impact on pregnant or laboring patient
Identify and fully discuss at least 2 ways this topic will impact the pregnant patient and the care they receive. Support this discussion with at least one scholarly source.
Impact on fetus/newborn
Identify and fully discuss at least 2 ways this topic will impact the fetus/newborn and the care they receive. Support this discussion with at least one scholarly source. Infographic
Develop a one-page education sheet that condenses this information and education into an easy to read infographic. You should utilize visual aids and be as creative as you choose to be with design. This infographic must be uploaded as a PDF and be shared with the class via the week 8 discussion post. Additionally, review and comment on at least 2 other student’s infographics.
Possible TopicsDrug usage in pregnancy and breastfeeding
Refusal of care (for self or child in cases of emergency or impending death)
Cultural birth/breastfeeding practices (identify culture)
Maternal & infant morbidity/mortality
Reproductive justice
State vs. federal laws in regard to abortion/adoption/surrogacy/assistive reproductive technology)
LGBTQIA+ discrimination/disparity/erasure in reproductive health care settings, aspects of LGBTQ pregnancy, impact of hormone replacement therapy on fertility, LGBTQ-specific competency and sensitivity training
Specific health problem (heart condition, autoimmune disorder, thrombophilia, disability, pregnancies affected by genetic conditions incompatible with life, Preeclampsia, Intrahepatic cholestasis of pregnancy, RTIs)
Epidural use, various alternative pain relief measures in labor
Baby Friendly Hospital Initiative

Please submit a essay, based on the course learning objectives listed below, explaining the most important concepts you learned from this course and how you think you might apply these concepts in your future career?
Course Objectives
Explain the uses and limitations of professional codes of ethics and how nurse practice acts direct nursing.
Discuss historical, ethical, legal, and theoretical foundations of professional nursing
Discuss professionalism and socialization to professional nursing, including professional nursing organizations available to the registered nurse.
Analyze elements and boundaries of nursing roles: Nurse’s role in health promotion, teaching, research, collaboration, and advanced practice nursing roles.
Discuss common bioethical issues currently facing healthcare professionals.
Examine the issues of cost containment and access to health care as they affect nursing.
Discuss components of culture and spirituality pertinent to nursing care, developing how to plan and implement culturally and spiritually competent care.
Discuss projections of future events that will affect nursing.
Identify personal and professional goals as outcomes of the RN-BSN program.

Select a community organization or group that you feel would be interested in learning about ethical and policy issues that affect the coordination of care. Then, develop and record a 10-12-slide, 20-minute presentation, with audio, intended for that audience. Create a detailed narrative script or speakers notes for your presentation, 4-5 pages in length.
Introduction:
This assessment provides an opportunity for you to develop a presentation for a local community organization, which provides an overview of ethical standards and relevant policy issues that affect the coordination of care. Completing this assessment will strengthen your understanding of ethical issues and policies related to the coordination and continuum of care, and will empower you to be a stronger advocate and nursing professional.
Preparation:
It would be an excellent choice to complete the Vila Health: Ethical Decision Making activity prior to developing the presentation. The activity provides a helpful update on the ethical principles that will help with success in this assessment.
Scenario
Your nurse manager at the community care center is well connected and frequently speaks to a variety of community organizations and groups. She has noticed the good work you are doing in your new care coordination role and respects your speaking and presentation skills. Consequently, she thought that an opportunity to speak publicly about contemporary issues in care coordination would be beneficial for your career and has suggested reaching out to a community organization or support group to gauge their interest in hearing from you, as a care center representative, on a topic of interest to both you and your prospective audience. You have agreed that this is a good idea and have decided to research a community organization or support group that might be interested in learning about ethical and policy issues related to the coordination of care.
To prepare for this assessment, you may wish to:
Research your selected community organization or support group.
Review the Code of Ethics for Nurses With Interpretive Statements and associated health policy issues, specifically, the ACA.
Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete.
Allocate sufficient time to rehearse your presentation before recording the final version for submission.
Recording Equipment Setup and Testing
Check that your audio speaker and PowerPoint software are working properly. You can record audio directly to your slides, using PowerPoint or other presentation software.
Note: Technical support about the use of PowerPoint, including voice recording and speaker notes, can be found on Campus’s Microsoft Office Software page.
If using Kaltura, refer to Using Kaltura for directions on recording and uploading your presentation in the courseroom.
Instructions:
For this assessment:
Use the Assessment 02 Supplement: Ethical and Policy Factors in Care Coordination [PDF] select the community organization or support group that you plan to address.
Develop a PowerPoint with typed speaker notes (the script for your voice recording) and audio voice-over recording, intended for that audience. Video is not required.
Note: PowerPoint has a feature to type the speaker notes directly into the presentation. You are encouraged to use that feature or you may choose to submit a separate document. See Microsoft Office Software for technical support about the use of PowerPoint, including voice recording and speaker notes.
For this assessment, develop your presentation slides and speaker notes, then record your presentation. You are not required to deliver your presentation to an actual audience.
Presentation Format and Length
You may use PowerPoint (recommended) or other suitable presentation software to create your slides and add your voice over. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.
Be sure that your slide deck includes the following slides:
Title slide.
Presentation title.
Your name.
Date.
Course number and title.
References (at the end of your presentation).
Your slide deck should consist of 10–12 slides, not including a title and references slide with typed speaker notes and audio voice over. Your presentation should not exceed 20 minutes.
Create a detailed narrative script for your presentation, approximately 4–5 pages in length.
Supporting Evidence
Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your presentation. Include your source citations on a references page appended to your narrative script.
Grading Requirements
The requirements outlined below correspond to the grading criteria in the Ethical and Policy Factors in Care Coordination Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.
Explain how governmental policies related to the health and/or safety of the community affect the coordination of care.
Provide examples of a specific policy affecting the organization or group.
Refer to the assessment resources for help in locating relevant policies.
Be sure influential policies include the Health Insurance Portability and Accountability Act (HIPPA).
Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
What are the implications and consequences of specific policy provisions?
What evidence do you have to support your conclusions?
Assess the impact of the code of ethics for nurses on the coordination and continuum of care.
Consider the factors that contribute to health, health disparities, and access to services.
Consider the social determinants of health identified in Healthy People 2020 as a framework for your assessment.
Provide evidence to support your conclusions.
Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included for a proficient score; both speaker notes and the audio voice over are included for a distinguished score.
Present a concise overview.
Support your main points and conclusions with relevant and credible evidence.
Additional Requirements:
Before submitting your assessment, proofread your presentation slides and speaker notes to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your presentation.
Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course.
Context:
As coordinators of care, nurses must be aware of the code of ethics for nurses and health policy issues that affect the coordination of care within the context of the community. To help patients navigate the continuum of care, nurses must be proficient at interpreting and applying the code of ethics for nurses and health policy, specifically, the Affordable Care Act (ACA). Being knowledgeable about ethical and policy issues helps ensure that care coordinators are upholding ethical standards and navigating policy issues that affect patient care.
Course Competencies:
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 4: Defend decisions based on the code of ethics for nursing.
Assess the impact of the code of ethics for nurses on the coordination and continuum of care
Competency 5: Explain how health care policies affect patient-centered care.
Explain how governmental policies related to the health and/or safety of a community affect the coordination of care.
Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.
Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group, using PowerPoint or other appropriate software. Both speaker notes and audio voice-over are included.

Discussion Post #2: Patient Safety
Pick
one of the following topics below to answer. Discuss how the concepts of patient safety applies to these topics.
Topic 1: Communication and Patient Safety
·        
Visit the Canadian
Patient Safety Institute website and watch the following two short videos.
·        
Inpatient Surgical
‘Opportunity to Improve’ vs ‘Successful Outcome’ Video critique **If this
linkdoes not work for you, cut and paste this address
https://www.patientsafetyinstitute.ca/en/education/TeamSTEPPS/TeamSTEPPS-Canada-Curriculum/Pages/Module-7-Summary-Putting-it-all-together.aspx
1.    Compare and contrast the communication
differences between the two videos. 
2.    Consider the possible outcomes/implications
for the “opportunity to improve” video. 
3.     Discuss a clinical situation where
incomplete or unclear information was shared. Be specific about strategies
to improve communication.
Topic 2: Annie’s Story: How a Systems Approach
Can Change Safety Culture
·        
Watch the following
video (5 ½ minutes) https://youtu.be/zeldVu-3DpM
·        
Reference the Canadian
Patient Safety Institute (CPSI) resources related to Analysis of Harm posted on
the course Blackboard site.
1.    Reflect on the actions of the nurse in the
situation. How might the situation have been prevented? Why do you
think there was a failure to rescue? 
2.    Compare the initial response to the situation
to the System’s Approach used to analyze it afterward. Explore the application of
the System’s Approach. What else might have been included in the analysis?
3.    Apply the assessment of the analysis of harm and discuss what should be said to
the patient and family using the disclosure guidelines. Include actual
statements that would be appropriate.
Topic 3: Failure to Rescue
The
following questions are based on the article below.
·        
Mushta, J., L. Rush,
K., & Andersen, E. (2018). Failure to rescue as a nurse‐sensitive indicator. Nursing Forum
(Hillsdale), 53(1), 84–92. https://doi.org/10.1111/nuf.12215 https://senecacollege.primo.exlibrisgroup.com/permalink/01SENC_INST/1g8f6u9/cdi_proquest_miscellaneous_1920393961
Pick
one of the following to address:
·        
Failure to Escalate: Apply the literature to a situation you have experienced or
witnessed in the clinical setting involving a failure to escalate. Why do
you think this happened? What was the actual and potential outcome?
Describe actions that would prevent this for future practice.
·        
Error of Omission: Apply the literature to a situation you have experienced or
witnessed in the clinical setting involving an error of omission. Why do you
think this happened? What was the actual and potential
outcome? Describe actions that would prevent this for future practice.
·        
Failure to Recognize: Apply the literature to a situation you have experienced or
witnessed in the clinical setting involving Failure to Recognize. Why do
you think this happened? What was the actual and potential outcome? Describe
actions that would prevent this for future practice.
·        
Ineffective Decision Making: Apply the literature to a situation you have
experienced or witnessed in the clinical setting involving the Failure to
Recognize. Why do you think this happened? What was the actual and
potential outcome? Describe actions that would prevent this for future
practice.
Please the write up must look like on of the sample articles
below.
Article 1
Nurses play a crucial role in
patient care as primary caregivers, often the first to observe changes in a
patient’s condition. Their ability to recognize and respond to early signs of
deterioration is vital in preventing adverse outcomes(Mushta et al.,
2018).However, failures to recognize such changes can occur, leading to serious
complications. In a clinical setting, I witnessed a failure to recognize a patient’s
deteriorating condition, leading to septic shock and prolonged ICU stay due to
inadequate monitoring, lack of training, and communication breakdown. Deficits
in clinical data analysis and cue recognition are compounded by novice skill
levels, inadequate nursing education, and lack of experiential knowledge,
further contributing to the problem of failure to recognize patient
deterioration (Mushta et al., 2018). Early recognition and prompt intervention
could have prevented the patient’s severe decline, as signs of patient
deterioration are often observable hours before a cardiac arrest but may be
subtle and overlooked by healthcare providers. According to Mushta et al.
(2018), preventing such failures requires enhanced training on early signs of
deterioration, improved monitoring protocols (including high-frequency nurse
surveillance at least 12 times daily), and effective communication strategies
to facilitate timely reporting and response to patient deterioration. Utilizing
technology for continuous monitoring and fostering a supportive environment
where nurses feel empowered to escalate concerns can significantly reduce the
risk of failure to recognize and improve patient outcomes (Astier et al.,
2020).
References
Mushta, J., Rush, K.
L., & Andersen, E. (2018). Failure to rescue as a nurse-sensitive
indicator. Nursing Forum,
53(1),
84–92. https://doi.org/10.1111/nuf.12215
Astier, A., Carlet,
J., Hoppe-Tichy, T., Jacklin, A., Jeanes, A., McManus, S., Pletz, M. W.,
Seifert, H., & Fitzpatrick, R. (2020). What is the role of technology in
improving patient safety? A French, German and UK healthcare professional
perspective. Journal of
Patient Safety and Risk Management, 25(6), 219–224. https://doi.org/10.1177/2516043520975661
Article 2
Failure to Recognize
Nurses spend more bedside time with patients than other treating
practitioners in healthcare. The ability to critically assess and develop early
recognition of symptoms that may lead to harmful complications and adverse
outcomes is vital for appropriate and timely intervention (Mushta et al, 2018).
Inexperience often leads to failure to recognize; however, it is important to
consider that vague symptoms or similar clinical presentations of less severe
differential diagnoses may also be to blame (Britt and Agarwal, 2023; Mushta et al, 2018). In a
clinical rotation in the ER, a female 41-year-old patient was triaged with
symptoms of severe headache following a workout at her gym. Additional symptoms
were photosensitivity, hypertension, and nausea. Medical directives were
related to the migraine presentation which consisted of analgesics and
antiemetics. This patient’s symptoms later escalated to continued hypertension
and vomiting. Upon physician assessment, a CT was ordered as a precaution,
which revealed multifocal and vertebral artery dissections (VAD). VADs are rare, however are the leading cause of stroke in patients
under 45, carrying contributing risk factors including hypertension, female
gender, and physical exercise (Britt and Agarwal, 2023). Acute clinical
presentation is noted to be severe headache, vomiting, and rarely neurological
symptoms in the initial stages (Britt and Agarwal, 2023). Had this patient not
received precautionary imaging by the physician, it is likely they would have
been sent home with migraine medication, not receiving appropriate treatment
and may have suffered a stroke or death (Britt and Agarwal, 2023). In this
case, failure to recognize with the potential of significant patient harm was
owed to imprecise symptoms leading to less severe differentials as opposed to
nursing assessment inefficacy.
References
Britt, T. B., & Agarwal, S. (2023, March 20). Vertebral artery dissection. National Center for Biotechnology
Information. https://www.ncbi.nlm.nih.gov/books/NBK441827/
Mushta, J., L. Rush, K., & Andersen, E. (2018). Failure to
rescue as a nurse‐sensitive indicator. Nursing Forum (Hillsdale), 53(1), 84–92. https://doi.org/10.1111/nuf.12215

Discussions play an integral role in monitoring your course participation throughout the term. You should check back to the weekly discussions multiple times throughout the week to engage in the discussion with your professor and peers. Participation is only counted during the week in which this discussion is assigned. Be sure to appropriately cite any sources you use to support your responses with standard APA citations. Answer the prompt question(s) thoroughly using a minimum of 150-200 words and respond to as many of your peers as possible – note that responses to 2 of your peers are required for full credit. Be sure to answer any additional questions asked by your professor in the discussion threads. Your initial post is due by Day 3 of the current week, and follow-up posts to your peers are due on Day 7!
15 pts content
Initial Post due Day 3
Responses due Day 7
Discussion Prompt:
How is nursing regulated in your state?
What are the strengths and weaknesses of the current regulatory process for licensed nurses in your state?
How would you address those weaknesses?
All original posts and responses should be professionally written.  Neither slang terms nor emojis are acceptable in professional writing. 
Note: This discussion requires you to complete your initial post before you can see your classmates’ posts. If you are having trouble getting started, please contact your instructor. 
ORIGINAL POST
All supportive facts are reported accurately. Response shows knowledge of content and demonstrates significant critical thinking related to the question.
Multiple (>2) references including professional journals and noncommercial (e.g., gov, edu, org) website. At least one research article included in references. No errors in APA citations or references
Writer makes no errors in spelling, word usage, sentence structure, grammar, or punctuation.

In this assignment, you will conduct A comprehensive analysis of the molecular mechanisms underlying a specific disease or condition of your choice. The purpose of this assignment is to enhance your understanding of advanced pathophysiology concepts and their application to clinical practice, as well as to explore the latest research findings and therapeutic implications related to selected diseases.
The objectives of this assignment include being able to critically analyze the molecular mechanisms underlying the development and progression of a chosen disease or condition, evaluate the role of genetic, environmental, and immunological factors in pathophysiology, and to demonstrate a comprehensive understanding of advanced pathophysiology concepts through the application of molecular mechanisms to clinical manifestations of the selected disease.
This assignment will focus on the following course student learning outcomes (CSLO):
Evaluate the concepts of cellular biology and altered cellular and tissue biology for their implications to disease management (EOPSLO# 1). 
Distinguish knowledge of normal physiology and pathologic alterations across the lifespan that are expressed as diseases of organs and systems (EOPSLO# 1, 9). 
Analyze current research findings with evidence-based guidelines for the management of selected diseases (EOPSLO# 4, 9). 
Instructions: Please choose one disease or condition being learned in the course. Once the disease or condition is chosen, you are to write a three-to-five-page paper in APA format 7th edition with the following sections and level 2 headings:

THIS IS THE 2ND OF 3 ASSIGNMENTS IF ACCEPTING PLEASE ACCEPT ALL 3 ASSIGNMENTS! 
The health care industry is always striving to improve patient outcomes and attain organizational goals. Nurses can play a critical role in achieving these goals; one way to encourage nurse participation in larger organizational efforts is to create a shared vision and team goals (Mulvale et al., 2016). Participation in interdisciplinary teams can also offer nurses opportunities to share their expertise and leadership skills, fostering a sense of ownership and collegiality.
You are encouraged to complete the Budgeting for Nurses activity before you develop the plan proposal. The activity consists of seven questions that will allow you the opportunity to check your knowledge of budgeting basics and as well as the value of financial resource management. The information gained from completing this formative will promote success with the Interdisciplinary Plan Proposal. Completing this activity also demonstrates your engagement in the course, requires just a few minutes of your time, and is not graded.
Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
Explain organizational resources, including a financial budget, needed for the plan to be a success and the impacts on those resources if nothing is done, related to the improvements sought by the plan.
Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific objective related to improving patient or organizational outcomes.
Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature.
Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
Explain a change theory and a leadership strategy, supported by relevant evidence, that are most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.
Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
Reference
Mulvale, G., Embrett, M., & Shaghayegh, D. R. (2016). ‘Gearing up’ to improve interprofessional collaboration in primary care: A systematic review and conceptual framework. BMC Family Practice, 17.
Having reviewed the information gleaned from your professional interview and identified the issue, you will determine and present an objective for an interdisciplinary intervention to address the issue.
Note: You will not be expected to implement the plan during this course. However, the plan should be evidence-based and realistic within the context of the issue and your interviewee’s organization.
For this assessment, use the context of the organization where you conducted your interview to develop a viable plan for an interdisciplinary team to address the issue you identified. Define a specific patient or organizational outcome or objective based on the information gathered in your interview.
The goal of this assessment is to clearly lay out the improvement objective for your planned interdisciplinary intervention of the issue you identified. Additionally, be sure to further build on the leadership, change, and collaboration research you completed in the previous assessment. Look for specific, real-world ways in which those strategies and best practices could be applied to encourage buy-in for the plan or facilitate the implementation of the plan for the best possible outcome.
Using the Interdisciplinary Plan Proposal Template [DOCX] Download Interdisciplinary Plan Proposal Template [DOCX]will help you stay organized and concise. As you complete each section of the template, make sure you apply APA format to in-text citations for the evidence and best practices that inform your plan, as well as the reference list at the end.
Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes.
Explain a change theory and a leadership strategy, supported by relevant evidence, that is most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.
Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature.
Explain organizational resources, including a financial budget, needed for the plan to succeed and the impacts on those resources if the improvements described in the plan are not made.
Communicate the interdisciplinary plan, with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style.
Length of submission: Use the provided template. Remember that part of this assessment is to make the plan easy to understand and use, so it is critical that you are clear and concise. Most submissions will be 2–4 pages in length. Be sure to include a reference page at the end of the plan.
Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.
APA formatting: Make sure that in-text citations and reference list follow current APA style.
Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated.
Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.

Identify how you feel the learning objectives were met or not met and support your response with examples from course materials and course assignments.
MN662-1: Examine the mental health interview process for individuals, groups and families across the lifespan to evaluate and manage acute, complex, and chronic psychiatric mental health disorders in the acute and/or primary care setting.
MN662-2: Formulate evidence-based, therapeutic, patient-centered treatment plans for psychotherapy of individuals, groups and families across the lifespan with consideration of cultural, gender, ethnicity, spiritual, and social competencies.

Please follow closely my instructions on red on the sample paper. The idea is that your 
basically, rewrite the sample I am providing and add the professional writting touch to it    since it is for admission to nursing school. I put Master degree level of education. It needs 
enhanced words, flow and structure.