Nursing Leaders as Ethical-Legal Change Agents in Health Care
Nursing Leaders as Ethical-Legal Change Agents in Health Care
In the course, you will research ethical decision-making and legal issues that influence your role as a nursing leader. Please take this opportunity to introduce yourself, state your area of specialization, and explain how you see your role as a nursing leader making ethical-legal and moral decisions. Include what actions you plan to take to minimize or alleviate moral distress caused by ethical dilemmas and the values that support your actions.
MN506 HEALTH POLICY, ETHICAL, AND LEGAL PERSPECTIVES OF THE HEALTH CARE SYSTEM
Unit 2 Discussion
Advanced Practice Nursing Decisions that Cause Moral Distress
In the course, you will research ethical decision-making and legal issues that influence your role as a leader in your chosen field (Practitioner, Administrator, or Educator). Explain how you see your role as a nursing leader making ethical-legal and moral decisions. Identify strategies you plan to implement to solve moral distress caused by ethical dilemmas and the values that support your actions.
MN506 HEALTH POLICY, ETHICAL, AND LEGAL PERSPECTIVES OF THE HEALTH CARE SYSTEM
Unit 3 Discussion
Topic: Application of Standards of Care
For the case scenario, discuss the standard(s) of care that the parties will be held to in this case. How will the standards of care and the Nurse Practice Act for your state be applied in a court of law if the case is sued?
Case Scenario
SK, age 61, was admitted to the hospital. Because of understaffing of nurses in the hospital, her assigned RN did not assess her often enough and did not monitor her oxygen level.
SK went to the hospital with what she thought was a bad cold, and was admitted with a diagnosis of pneumonia. Following admission, she became increasingly feverish and short of breath, but her family’s calls for help went unanswered. In fact, her daughter was unable to find anyone when she went to the nurses’ station looking for help. The patient eventually stopped breathing, and someone finally responded to the family’s desperate and frantic calls for help. SK was successfully resuscitated, but sustained brain damage due to oxygen deprivation. She was left unable to walk, talk, or care for herself.
There were 41 other patients on this unit. Although the hospital’s own staffing standards called for 5 registered nurses and 2 licensed practical nurses to staff this unit, only 3 registered nurses were on duty. Records for the unit in question indicated that the hospital failed to meet its own staffing standards for 51 out of 59 days before this incident.
MN506 HEALTH POLICY, ETHICAL, AND LEGAL PERSPECTIVES OF THE HEALTH CARE SYSTEM
Unit 4 Discussion
Topic: The Legal Implications of Acceptance or Refusal of an Assignment
After reviewing the ANA position statement on “Rights of Registered Nurses when Considering a Patient Assignment,” discuss the legal and ethical implications of accepting assignments. When delegating assignments to unlicensed personnel, what considerations need to be considered? What insurance issues come into play? Analyze the legal principle of Respondeat Superior.
MN506 HEALTH POLICY, ETHICAL, AND LEGAL PERSPECTIVES OF THE HEALTH CARE SYSTEM
Unit 5 Discussion
Topic: Impaired Nurses
Assume that you have knowledge that the nurse working with you on your unit has been illegally using drugs. Discuss your professional obligations and institutional obligations to disclose this. Discuss the referral sources for impaired nurses in your state. Analyze the impact of this issue on your advanced practice role as a practitioner/administrator/educator.
MN506 HEALTH POLICY, ETHICAL, AND LEGAL PERSPECTIVES OF THE HEALTH CARE SYSTEM
Unit 6 Discussion
Topic: Legal issues of an Advanced Practice Nurse in the Workplace
Choose one topic from the following list and evaluate how the chosen topic impacts your role as an advanced practice nurse. What are the legal implications related to your role? Analyze how understanding of the chosen topic will impact your future role as an advanced practice nurse.
Choose one:
Employer and employee rights
American with Disabilities Act
Employment contracts and unionization
Corporate liability
Sexual harassment in the workplace
Employees with AIDS/HIV and exposure to bloodborne pathogens
Environmental health and safety
MN506 HEALTH POLICY, ETHICAL, AND LEGAL PERSPECTIVES OF THE HEALTH CARE SYSTEM
Unit 7 Discussion
Topic: Advocacy and Policy Reform
Compare and contrast three nursing advocates who have brought about change to public policy. What changes need to be made in the future to be successful as a profession of nursing advocates for healthcare policy reform?
MN506 HEALTH POLICY, ETHICAL, AND LEGAL PERSPECTIVES OF THE HEALTH CARE SYSTEM
Unit 8 Discussion
Topic: Strategies for Legislative Change
Choose a health care treatment option that is controversial and may be costly. Describe three positive benefits and three negative effects from the treatment. Identify five strategies would you use to advocate for a legislative change in your state to influence insurance coverage for this treatment.
MN506 HEALTH POLICY, ETHICAL, AND LEGAL PERSPECTIVES OF THE HEALTH CARE SYSTEM
Unit 9 Discussion
Topic: The Role of the Advanced Practice Nurse in a Changing Health Care Environment
Analyze the role of the advanced practice nurse in the changing health care environment. How will this role augment physicians’ practices? What implications will the Affordable Care Act have on this new delivery system?
MN506 HEALTH POLICY, ETHICAL, AND LEGAL PERSPECTIVES OF THE HEALTH CARE SYSTEM
Unit 10 Discussion
Topic: Global Nursing Shortage
Evaluate the effects of the global nursing shortage on health policy. How has the shortage affected the United Nations Millennium Development Goals? Analyze how nursing ideas, values, and beliefs impact policy agenda. Identify when policy can dictate treatment options.
MN506 HEALTH POLICY, ETHICAL, AND LEGAL PERSPECTIVES OF THE HEALTH CARE SYSTEM
Unit 1 Seminar
Seminars provide you with an opportunity to converse with your instructor and peers, and to resolve questions about the course. Your instructor will provide specific guidelines to save you valuable time and effort, and to support your course success. You must either attend the live Seminar or complete the alternative assignment in order to earn points.
Seminar topics and/or pre-work, if applicable, can be found in Course Resources.
Option 1- Attend Seminar:
Throughout your program, you will be asked to attend various Seminars. Seminars take place at designated times in specific units. Your instructor will give details about the Seminar during the first week of the course. Please review your Course Announcements and emails.
If you are unable to attend the Seminar, you are required to watch the archived recording and complete the alternative assignment by the end of the unit.
Option 2- Alternative Assignment: Reflective Assignment
While listening to this week’s archived Seminar, complete a reflective document. You may write the assignment in a bulleted list format OR paragraph format. APA style is not required.
Please include:
The main topics discussed.
Sub-topics and/or subsequent classroom discussion.
Points you found of interest.
Any additional reflections or suggestions.
Keep in mind that your instructor is available should you have any questions on the Seminar content. Submit your alternative assignment to the Seminar Dropbox.
MN506 HEALTH POLICY, ETHICAL, AND LEGAL PERSPECTIVES OF THE HEALTH CARE SYSTEM
Unit 2 Assignment
Case Scenario:
Identify the ethical dilemma, legal violation, and moral issue in the scenario from an APN perspective as an educator, administrator, or a practitioner
Assignment Guidelines:
Using the options below based on your specialization, create an ethical and legal decision-making dilemma involving an advanced practice nurse in the field of administration, education, or a nurse practitioner:
Administration Dilemma – Healthcare Needs versus Resource Allocation
Education Dilemma – Nursing Student’s Religious Beliefs versus Provision of Care
Practice Dilemma – Honesty versus Withholding Information
Apply relevant codes of conduct that apply to the practice of nursing and your chosen field.
Describe one ethical principle and one law that could be violated and whether the violation would constitute a civil or criminal act based on facts.
Construct a decision that demonstrates integrity and that would prevent violation of the ethical principle and prevent the law from being violated.
List three recommendations that will resolve advanced practice nurses’ moral distress in the dilemma you have presented. Support your paper with a minimum of three scholarly references.
This Assignment should be 3–4 pages in length, exclusive of cover page and references.
MN506 HEALTH POLICY, ETHICAL, AND LEGAL PERSPECTIVES OF THE HEALTH CARE SYSTEM
Unit 4Assignment
Using the information from the case study below, discuss the following issues from the perspective of an APN role:
Administrator
Practitioner
Educator
Standards of care – what were the standards of care that were violated? Who was responsible for the violations?
In your role as an educator, administrator, or practitioner, what risk management steps needs to be taken before or after the incident to alleviate the issue?
Page length should be 3-4 pages exclusive of cover page and references.
Support your paper with a minimum of three scholarly references.
Case Study: Malpractice Action Brought by Yolanda Pinellas
Yolanda Pinellas is a 21-year-old female student studying to be a music conductor. She was admitted for chemotherapy. The medication Mitomycin was administered by intravenous infusion through an infusion pump.
During the evening shift the infusion pump began to beep. The RN found that the IV was dislodged and discontinued the infusion, notified the physician and provided care to the infusion site. The patient testified that a nurse came in and pressed some buttons and the pump stopped beeping. She was groggy and not sure who the nurse was or what was done. The documentation in the medical record indicates that there was an infiltration to the IV.
Two weeks after the event, the patient developed necrosis of the hand and required multiple surgical procedures, skin grafting, and reconstruction. She had permanent loss of function and deformity in her third, fourth, and fifth fingers. The patient is alleging that because of this, she is no longer able to perform as a musical conductor.
The risk manager had noted when doing chart reviews over the last 3 months prior to this incident that there were issues of short staffing and that many nurses were working double shifts, evenings, and nights then coming back and working the evening shift. The risk manager also noted a pattern of using float nurses to several units.
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.
Assignment Requirements:
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary;
utilize spelling and grammar check to minimize errors; and
review APA formatting and citation information found in the Writing Center, online, or elsewhere in the course.
Your writing Assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.)
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 6th edition formatting and citation style.
How to Submit:
Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.
MN506 HEALTH POLICY, ETHICAL, AND LEGAL PERSPECTIVES OF THE HEALTH CARE SYSTEM
Unit 6Assignment
For this Assignment, select a local or state health care policy or legislation that was enacted in the last 5 years. Then:
Summarize the policy or legislation.
Analyze at least one strength and one weakness of the policy or legislation.
Discuss the impact of the policy or legislation for all stakeholders, both providers and consumers.
Page length: 3-4 pages exclusive of cover page and references.
Support your paper with a minimum of three scholarly references.
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.
MN506 HEALTH POLICY, ETHICAL, AND LEGAL PERSPECTIVES OF THE HEALTH CARE SYSTEM
Unit 7Seminar
Seminars provide you with an opportunity to converse with your instructor and peers, and to resolve questions about the course. Your instructor will provide specific guidelines to save you valuable time and effort, and to support your course success. You must either attend the live Seminar or complete the alternative assignment in order to earn points.
Seminar topics and/or pre-work, if applicable, can be found in Course Resources.
Option 1- Attend Seminar:
Throughout your program, you will be asked to attend various Seminars. Seminars take place at designated times in specific units. Your instructor will give details about the Seminar during the first week of the course. Please review your Course Announcements and emails.
If you are unable to attend the Seminar, you are required to watch the archived recording and complete the alternative assignment by the end of the unit.
Option 2- Alternative Assignment: Reflective Assignment
While listening to this week’s archived Seminar, complete a reflective document. You may write the assignment in a bulleted list format OR paragraph format. APA style is not required.
Please include:
The main topics discussed.
Sub-topics and/or subsequent classroom discussion.
Points you found of interest.
Any additional reflections or suggestions.
Keep in mind that your instructor is available should you have any questions on the Seminar content. Submit your alternative assignment to the Seminar Dropbox.
MN506 HEALTH POLICY, ETHICAL, AND LEGAL PERSPECTIVES OF THE HEALTH CARE SYSTEM
Unit 8Assignment
In this Assignment, you will discuss how your state is enacting the Affordable Care Act (ACA). In a 3-4 page paper, exclusive of cover and reference pages, you will:
Assess the strengths and weaknesses of your state’s approach to the ACA.
Discuss the impact of the state approach to ACA on all stakeholders, both providers and consumers.
Support your paper with a minimum of three scholarly references.
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.
MN506 HEALTH POLICY, ETHICAL, AND LEGAL PERSPECTIVES OF THE HEALTH CARE SYSTEM
Unit 10Assignment
Health Policy Briefs provide succinct overviews of health policy topics. The intended audience is policymakers, journalists, and others concerned about improving health care in the United States. The briefs explore arguments made on various sides of a policy proposal. They provide guidance on available research behind each perspective. Health policy briefs are created by experts in the field through funding from public and private grants.
Select one policy brief from the Robert Wood Johnson Foundation website https://www.rwjf.org/en/library/collections/health-affairs-briefs.html
In your role as an advanced practice nurse, how would you advocate for or against the policy implementation?
In your paper you may take the position either for or against the policy proposal, or both.
Page length: 3-4 pages exclusive of cover page and references.
Support your paper with a minimum of three scholarly references
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.
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