MN506 Assignment 1 Apply Theoretical Frameworks and Concepts to Ethical Dilemmas in the Advanced Practice Role.
This competency assessment assesses the following Outcome(s):
MN506M1-1: Apply theoretical frameworks and concepts to ethical dilemmas in the advanced practice role.
Assessment Guidelines:
Based on your specialization, use the options below to 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 nursing and the chosen field of the APN.
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.
Minimum Submission Requirements
- This assessment should be a 3- to 4-page Microsoft Word document, in addition to the title and reference pages.
- Support your paper with a minimum of three scholarly references.
- Respond to the questions in a thorough manner, providing specific examples of concepts, topics, definitions, and other elements asked for in the questions. Your submission should be highly organized, logical, and focused.
- Your submission should provide a clearly established and sustained viewpoint and purpose.
- Your writing should be well-ordered, logical, and unified, as well as original and insightful.
- Your submission must be written in Standard English and demonstrate exceptional content, organization, style, grammar, and mechanics.
- A separate page at the end of your submission should contain a list of references in APA format. Use your textbook, the Library, and the internet for research.
- Be sure to include references for all sources and to cite them using in-text citations where appropriate. Your sources and content should follow current APA citation style. Review the writing resources for APA formatting and citation found in Academic Tools. Additional writing resources can be found within the Academic Success Center.
Competency Assessment Rubric
All competency criteria must be met to earn a B grade and pass this Course Outcome.
A predefined number of mastery criteria must be met to earn an A grade, indicating mastery of the Course Outcome. See the CLA and Grade Criteria Chart below.
| MET | NOT YET MET | |
| Ethical-Legal Dilemma | ||
| Competency | ||
| Creates an ethical legal decision-making dilemma involving an advanced practice nurse. | ||
| Mastery | ||
| Ethical Legal decision-making dilemma has sufficient details, addresses the relevant field of the APN, and demonstrates critical thinking. | ||
| Codes of Conduct | ||
| Competency | ||
| Applies relevant codes of conduct that apply to the practice of nursing and your chosen field. | ||
| Mastery | ||
| All codes of conduct are identified, all codes of conduct identified are relevant to the chosen APN field. | ||
| Ethical Principles and Laws | ||
| Competency | ||
| Describes one ethical principle and one law that could be violated and whether the violation would constitute a civil or criminal act based on facts. | ||
| Mastery | ||
| Describes one ethical principle and one law that could be violated. Identifies correctly if the violation would constitute a civil or criminal act based on facts. | ||
| Decision Integrity | ||
| Competency | ||
| Constructs a decision that demonstrates integrity and that would prevent violation of the ethical principle, and prevent the law from being violated. | ||
| Lists three recommendations that will resolve advanced practice nurses’ moral distress in the proposed dilemma. | ||
| Mastery | ||
| Describes three or more recommendations that will resolve advanced practice nurses’ moral distress in the dilemma presented. All recommendations are pertinent to the APN specialty area. | ||
| Total Competency Criteria: | ||
| Total Mastery Criteria: |
CLA and Grade Criteria Chart
| CRITERIA | CLA Score | Grade | Points |
| Meets all competency criteria and 3-4 of mastery criteria | 5 | A | 1000 |
| Meets all competency criteria and 1-2 of mastery criteria | 4 | B | 850 |
| Meets 4 of competency criteria | 3 | Not Yet Competent* | 0 |
| Meets 3 of competency criteria | 2 | Not Yet Competent* | 0 |
| Meets 1-2 of competency criteria | 1 | Not Yet Competent* | 0 |
| Meets 0 competency criteria | 0 | Not Yet Competent* | 0 |
| No submission | NA | Not Yet Competent* | 0 |
*Not Yet Competent grades convert to an F at term end
*If work submitted for this competency assessment does not meet the minimum submission requirements, it will be returned for revision without being scored. If the work submitted does not meet the minimum submission requirements by the end of the term you will receive a failing score.
Minimum Submission Requirements
| Minimum Submission Requirements | MET | NOT YET MET |
| Proper notification of any resubmission, repurposing, or reworking of prior work per the Purdue Global Student Coursework Resubmission, Repurposing, and Reworking Policy Resource. | ||
| This assessment should be a Microsoft Word (3-4 pages) document, in addition to the title and reference pages. | ||
| Support your paper with a minimum of three (3) scholarly references. | ||
| Respond to the questions in a thorough manner, providing specific examples of concepts, topics, definitions, and other elements asked for in the questions. Your submission should be highly organized, logical, and focused. | ||
| Your submission should provide a clearly established and sustained viewpoint and purpose. | ||
| Your writing should be well-ordered, logical, and unified, as well as original and insightful. | ||
| Your submission must be written in Standard English and demonstrate exceptional content, organization, style, grammar, and mechanics. | ||
| A separate page at the end of your submission should contain a list of references in APA format. Use your textbook, the Library, and the internet for research. | ||
| Be sure to include references for all sources and to cite them using in-text citations where appropriate. Your sources and content should follow current APA citation style. Review the writing resources for APA formatting and citation found in Academic Tools. Additional writing resources can be found within the Academic Success Center. |
Applying Theoretical Frameworks and Concepts to Ethical Dilemmas Example Solution
Ethical dilemmas are common in healthcare settings. Advanced practice nurses use their advanced nursing knowledge, skill, and judgement to solve ethical dilemmas and provide quality and safe care in primary care settings. Nursing codes of conduct and ethical principles guide nursing practice. Breaking some of these codes and principles may amount to criminal charges; thus, nurses pay hefty fines, lose licenses or serve some time in jail. This essay analyzes an ethical dilemma, nursing code of conduct, ethical decision-making, and recommendations to avoid moral distress.
Ethical Care Dilemma
Ms. Terry, a 16-year-old Hispanic American, comes to the outpatient department accompanied by her furious and fuming mother. She presents complains of lower abdominal pains, and the mother interjects care and claims that she suspects that her daughter is pregnant. The nurse requests Terry’s mother to go to the waiting room, to which she agrees after making demands that she should know all details about her condition. Inside the nurse’s room, Terry confirms that she has been involved in unsafe sex lately but uses a long-term family planning method, hormonal implants, which her mother does not know. She also asks the nurse not to share the information with the mother. She also adds that she feels pain in micturition has vagina discharge with a foul odor. On comprehensive assessment, the doctor diagnoses her with chlamydia and confides with the nurse to provide the best care to the patient. The nurse is torn between sharing this information with the parent because she is a minor or withholding it.
Nursing codes of conduct
There are several codes of conduct that guide nursing practice. Some of the relevant codes of conduct are a) Nurses maintain public confidence in the nursing profession, b) Nurses act with integrity to maintain patients’ trust, and c) Nurses maintain patients’ trust by providing safe and competent care (Cowin et al., 2019). Nurses use their knowledge, skills, and judgment in assessing patient needs. They are also responsible for upholding relevant laws and regulations regarding patient care. Maintaining patient privacy and confidentiality is paramount. Failure to fulfill these requirements have criminal/law implications. Nurses act promptly to protect and prevent patient harm. These actions include failure to share patients’ information inappropriately. Nurses should understand that they are responsible for their actions. They are also responsible for their health and should take corrective measures when they perceive that the health problems will affect their ability to provide safe and quality patient care (Gágyor et al., 2019). Lastly, nurses should communicate clearly and detail the care interventions and discuss them with their patients.
Ethical Principle
Confidentiality is an ethical principle that could be violated in this situation. The patient confided in the nurse and doctor. Being a minor, her mother demanded to know everything about her care. Confidentiality breaches can be acceptable in some instances, especially when withholding that information can cause severe harm to patients and others (Pathak & Chou, 2019). However, confidentiality is considered a criminal offense when it causes adverse effects on a patient’s health or safety. Minors have a right to confidentiality (though limited by their dependence on and the involvement of their parents in their care) (Pathak & Chou, 2019).
On the contrary, hospitals, in some instances, can be sued in courts of law for concealing information to prevent disclosure of the information under the Data Protection Act of 2018 section 173 (Price & Cohen, 2019). Healthcare institutions can also be sued for disclosing information that jeopardizes patient safety under the same act. However, care providers should ensure they provide data that does not jeopardize the client’s or institution’s safety.
Ethical Decision
Most states, including this state, say that when adolescents are old enough and give instructions regarding sharing their information, it is regarded as confidential. In this situation, the best decision is to determine the administrative laws and policies if they conform to the state provisions and make a judgment based on those policies (Rainer et al., 2018). This situation involves severe risk to the nurses’ job and their licenses. Thus, there is a need to ensure the institutional and state laws allow confining of the health information.
Recommendations to resolve APNs Moral Distress
The national association of clinical nurse specialists (NACNS) recognizes that nurse specialists face many ethical dilemmas in ethical dilemmas. These recommendations for moral distress are derived from the 4Rs moral distress strategy. The first recommendation is for the nurse to determine the severity, possible consequences of various actions, and attitudes of everyone (Shukla et al., 2019). This step helps the APN to make the right decision and avoid distress. The next recommendation is detaching personal feelings, views, and experiences from the situation. This step helps prevent stress bias in decision-making. The last recommendation is staying open to other people’s opinions and approaches and accepting their perceptions (Shukla et al., 2019). The FNP can include the interprofessional team in decision-making to ensure they make the best decision to minimize moral distress associated with ethical dilemmas.
Conclusion
Adolescents in the US are not protected by the laws in the confidentiality of their information. However, some state laws protect their information, as seen above. FNPs should understand laws and regulations that regulate nursing practice and certain ethical dilemmas. These laws help avoid law violations that could jeopardize their practice. They should also intentionally enhance their psychological health to ensure moral distress does not affect their practice.
References
Cowin, L. S., Riley, T. K., Heiler, J., & Gregory, L. R. (2019). The relevance of nurses and midwives code of conduct in Australia. International Nursing Review, 66(3), 320-328. https://doi.org/10.1111/inr.12534
Gágyor, I., Heßling, A., Heim, S., Frewer, A., Nauck, F., & Himmel, W. (2019). Ethical challenges in primary care: a focus group study with general practitioners, nurses and informal caregivers. Family Practice, 36(2), 225-230. https://dx.doi.org/10.1093/fampra/cmy060
Pathak, P. R., & Chou, A. (2019). Confidential care for adolescents in the US Health Care System. Journal Of Patient-Centered Research And Reviews, 6(1), 46. https://dx.doi.org/10.17294/2330-0698.1656
Price, W. N., & Cohen, I. G. (2019). Privacy in the age of medical big data. Nature Medicine, 25(1), 37-43. https://doi.org/10.1038/s41591-018-0272-7
Rainer, J., Schneider, J. K., & Lorenz, R. A. (2018). Ethical dilemmas in nursing: An integrative review. Journal of Clinical Nursing, 27(19-20), 3446-3461. https://doi.org/10.1111/jocn.14542
Shukla, R., Baker, R., Moody, K., & Allen, J. (2019). Improving Moral Distress and Provider Perceptions with an Integrated Palliative Care Conference in the Neonatal Intensive Care Unit (NICU)(TH370B). Journal of Pain and Symptom Management, 57(2), 394-395. https://doi.org/10.1016/j.jpainsymman.2018.12.092
MN506 M2 Assignment 2: Analyze Ethical-legal Principles and Dilemmas Related to Health Care.
This competency assessment assesses the following Outcome(s):
MN506M2-2: Analyze ethical-legal principles and dilemmas related to health care.
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 — Which standards of care were violated and who was responsible?
In your role as an educator, administrator, or practitioner, what risk management steps should be taken before or after the incident to alleviate the issue?
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, 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 IV infiltration.
Two weeks after the event, the patient developed necrosis of the hand, 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 alleges that she is no longer able to perform as a musical conductor because of this.
While reviewing charts, the risk manager noted that there were short-staffing issues during the 3 months prior to this incident, and many nurses were working double shifts (evenings and nights) then coming back to work the evening shift again. The risk manager also noted a pattern of using float nurses among several units.
Assessment Requirements:
Before finalizing your work, you should:
- be sure to read the assessment 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 Academic Success Center, online, or elsewhere in the course.
Your writing assessment 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 7th edition formatting and citation style.
Minimum Submission Requirements.
- This assessment should be a 3- to 4-page Microsoft Word document, in addition to the title and reference pages.
- Support your paper with a minimum of three scholarly references.
- Respond to the questions in a thorough manner, providing specific examples of concepts, topics, definitions, and other elements asked for in the questions. Your submission should be highly organized, logical, and focused.
- Your submission should provide a clearly established and sustained viewpoint and purpose.
- Your writing should be well ordered, logical, and unified, as well as original and insightful.
- Your submission must be written in Standard English and demonstrate exceptional content, organization, style, and grammar, and mechanics.
- A separate page at the end of your submission should contain a list of references in APA format. Use your textbook, the Library, and the internet for research.
- Be sure to include references for all sources and to cite them using in-text citations where appropriate. Your sources and content should follow current APA citation style. Review the writing resources for APA formatting and citation found in Academic Tools. Additional writing resources can be found within the Academic Success Center.
MN506M2-2 Competency Assessment Rubric
All competency criteria must be met to earn a B grade and pass this Course Outcome.
A predefined number of mastery criteria must be met to earn an A grade, indicating mastery of the Course Outcome. See the CLA and Grade Criteria Chart below.
| MET | NOT YET MET | |
| Role of the APN | ||
| Competency | ||
| Identifies the role of the APN, content of paper pertains to the identified role. | ||
| Identifies all standards of care violations pertaining to the identified APN role (administrator, practitioner, or educator). | ||
| Clearly identifies who violated the standards of care, and how the standards of care were violated. | ||
| Mastery | ||
| The individuals responsible for the violations were identified. Each individual’s standards of care violation is described, including how the violation happened. | ||
| Risk Management Steps Before | ||
| Competency | ||
| Identifies risk management steps relevant to the APN role (Administrator, Practitioner, or Educator) before event to prevent such adverse events. | ||
| Mastery | ||
| All risk management measures described are relevant to the APN role identified. | ||
| Risk Management Steps After | ||
| Competency | ||
| Identifies risk management steps to be taken that are relevant to the APN role (Administrator, Practitioner, or Educator) after event to prevent future adverse events. | ||
| Mastery | ||
| All risk management steps described are relevant to the APN role identified. | ||
| Total Competency Criteria: | ||
| Total Mastery Criteria: |
CLA and Grade Criteria Chart
| CRITERIA | CLA Score | Grade | Points |
| Meets all competency criteria and 2-3 of mastery criteria | 5 | A | 1000 |
| Meets all competency criteria and 1 of mastery criteria | 4 | B | 850 |
| Meets 4 of competency criteria | 3 | Not Yet Competent* | 0 |
| Meets 3 of competency criteria | 2 | Not Yet Competent* | 0 |
| Meets 1-2 of competency criteria | 1 | Not Yet Competent* | 0 |
| Meets 0 competency criteria | 0 | Not Yet Competent* | 0 |
| No submission | NA | Not Yet Competent* | 0 |
*Not Yet Competent grades convert to an F at term end
*If work submitted for this competency assessment does not meet the minimum submission requirements, it will be returned for revision without being scored. If the work submitted does not meet the minimum submission requirements by the end of the term you will receive a failing score.
Minimum Submission Requirements
| Minimum Submission Requirements | MET | NOT YET MET |
| Proper notification of any resubmission, repurposing, or reworking of prior work per the Purdue Global Student Coursework Resubmission, Repurposing, and Reworking Policy Resource. | ||
| This assessment should be a Microsoft Word (minimum 3-4 page) document, in addition to the title and reference pages. | ||
| Support your paper with a minimum of three (3) scholarly references. | ||
| Respond to the questions in a thorough manner, providing specific examples of concepts, topics, definitions, and other elements asked for in the questions. Your submission should be highly organized, logical, and focused. | ||
| Your submission should provide a clearly established and sustained viewpoint and purpose. | ||
| Your writing should be well ordered, logical, and unified, as well as original and insightful. | ||
| Your submission must be written in Standard English and demonstrate exceptional content, organization, style, and grammar and mechanics. | ||
| A separate page at the end of your submission should contain a list of references in APA format. Use your textbook, the Library, and the internet for research. | ||
| Be sure to include references for all sources and to cite them using in-text citations where appropriate. Your sources and content should follow current APA citation style. Review the writing resources for APA formatting and citation found in Academic Tools. Additional writing resources can be found within the Academic Success Center. |
MN506M3-3: Analyze The Effects Of Contemporary Health Policy On Providers And Consumers.
his competency assessment assesses the following Outcome(s):
MN506M3-3: Analyze the effects of contemporary health policy on providers and consumers.
For this assessment, 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.
To view the Grading Rubric for this assessment, please visit the Grading Rubrics section of the Course Resources.
Assessment Requirements:
Before finalizing your work, you should:
- be sure to read the assessment description carefully (as displayed above);
- utilize spelling and grammar check to minimize errors; and
- review APA formatting and citation information found in the Academic Success Center, online, or elsewhere in the course.
Your writing Assessment 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 7th edition formatting and citation style.
How to Submit:
Submit your assessment to the unit Dropbox before midnight on the last day of the unit.
Minimum Submission Requirements
- This assessment should be a 3- to 4-page Microsoft Word document, in addition to the title and reference pages.
- Support your paper with a minimum of three scholarly references.
- Respond to the questions in a thorough manner, providing specific examples of concepts, topics, definitions, and other elements asked for in the questions. Your submission should be highly organized, logical, and focused.
- Your submission should provide a clearly established and sustained viewpoint and purpose.
- Your writing should be well ordered, logical, and unified, as well as original and insightful.
- Your submission must be written in Standard English and demonstrate exceptional content, organization, style, and grammar, and mechanics.
- A separate page at the end of your submission should contain a list of references in APA format. Use your textbook, the Library, and the internet for research.
- Be sure to include references for all sources and to cite them using in-text citations where appropriate. Your sources and content should follow current APA citation style. Review the writing resources for APA formatting and citation found in Academic Tools. Additional writing resources can be found within the Academic Success Center.
MN506M3-3 Competency Assessment Rubric
All competency criteria must be met to earn a B grade and pass this Course Outcome.
A predefined number of mastery criteria must be met to earn an A grade, indicating mastery of the Course Outcome. See the CLA and Grade Criteria Chart below.
| MET | NOT YET MET | |
| Policy Identification & Summary | ||
| Competency | ||
| Identifies a healthcare policy/legislation, names the policy/legislation and the date of implementation, identifies the state, county or local area pertaining to the policy. | ||
| Summarizes policy/legislation, all relevant facts are included, and the role of the APN is integrated throughout the paper. | ||
| Analyzes one strength and one weakness of the policy/legislation. | ||
| Mastery | ||
| Identifies and analyzes one strength and one weakness of the policy/legislation. The strength and weakness identified are significant and has major impact on the providers and consumers. | ||
| Policy Impact on Consumer Stakeholders | ||
| Competency | ||
| Discusses impact of policy on all consumer stakeholders. | ||
| Mastery | ||
| All the consumer stakeholders are identified, positive and negative impacts are discussed. | ||
| Policy Impact on Provider Stakeholders | ||
| Competency | ||
| Discusses impact of policy on all provider stakeholders. | ||
| Mastery | ||
| All the provider stakeholders are identified, positive and negative impacts are discussed. | ||
| Total Competency Criteria: | ||
| Total Mastery Criteria: |
CLA and Grade Criteria Chart
| CRITERIA | CLA Score | Grade | Points |
| Meets all competency criteria and 2-3 of mastery criteria | 5 | A | 1000 |
| Meets all competency criteria and 1 of mastery criteria | 4 | B | 850 |
| Meets 4 of competency criteria | 3 | Not Yet Competent* | 0 |
| Meets 3 of competency criteria | 2 | Not Yet Competent* | 0 |
| Meets 1-2 of competency criteria | 1 | Not Yet Competent* | 0 |
| Meets 0 competency criteria | 0 | Not Yet Competent* | 0 |
| No submission | NA | Not Yet Competent* | 0 |
*Not Yet Competent grades convert to an F at term end
*If work submitted for this competency assessment does not meet the minimum submission requirements, it will be returned for revision without being scored. If the work submitted does not meet the minimum submission requirements by the end of the term you will receive a failing score.
Minimum Submission Requirements
| Minimum Submission Requirements | MET | NOT YET MET |
| Proper notification of any resubmission, repurposing, or reworking of prior work per the Purdue Global Student Coursework Resubmission, Repurposing, and Reworking Policy Resource. | ||
| This assessment should be a Microsoft Word (minimum 3-4 page) document, in addition to the title and reference pages. | ||
| Support your paper with a minimum of three (3) scholarly references. | ||
| Respond to the questions in a thorough manner, providing specific examples of concepts, topics, definitions, and other elements asked for in the questions. Your submission should be highly organized, logical, and focused. | ||
| Your submission should provide a clearly established and sustained viewpoint and purpose. | ||
| Your writing should be well ordered, logical, and unified, as well as original and insightful. | ||
| Your submission must be written in Standard English and demonstrate exceptional content, organization, style, and grammar and mechanics. | ||
| A separate page at the end of your submission should contain a list of references in APA format. Use your textbook, the Library, and the internet for research. | ||
| Be sure to include references for all sources and to cite them using in-text citations where appropriate. Your sources and content should follow current APA citation style. Review the writing resources for APA formatting and citation found in Academic Tools. Additional writing resources can be found within the Academic Success Center. |
Effects Of Contemporary Health Policy/ Legislation on Providers and Consumers Example Solution
Healthcare institutions function under laws, policies, and regulations. These policies and regulations are dynamic and keep changing with changing demands to meet the consumer and provider needs. They also ensure that all individuals receive care with maximum benefit. Advanced practice nurses should be aware of these regulations to implement them in their practice. When these policies arise, they affect consumers and care providers differently. Legislations are statutory laws put in place by the governing body or bodies. This essay discusses recent local/state healthcare legislation and its implications.
Policy Identification & Summary
Falls are unplanned events that can be prevented because the major causes of falls are environmental factors such as poor lighting, lack of handrails, slippery floors, present obstacles, and high staircases; thus, individuals are unable to climb safely (Kiel et al., 2019). Falls, especially among elderly individuals, have increased lately, provoking the state governments to develop legislation and policies to manage patient falls. One elaborate legislation is the California SB 280 in 2019, which requires the state’s housing and community development department to investigate and implement changes to building standards to accommodate aging in place designs such as grab bars installation (State Net, 2022).
The legislation provides a list of recommendations that could be incorporated into the California Residential Code in new and existing buildings. These include appropriate locations of switches, doorbells, heating ventilation, and air- conditioning controls that are easily reachable. Additional investigation recommendations are grab bars installation in bathrooms and a 32-inch clearance width on an opening for a bathroom and bedroom door (State Net, 2022). The APRNs role in this legislation is vital. They will assess the hospital environments and determine the recommendations that can be implemented in new and existing healthcare institutions to prevent these falls.
These recommendations, once approved, are subject to all residential and home buildings. The state department will evaluate and consider costs for various building plans before recommending them as laws. The current health and safety legislation requires all institutions dealing with such individuals (elderly), such as nursing homes, residential areas, and other hospitals, to submit their building plans to the State Department of housing and community development for development and adoption (State Net, 2022). The legislation aims to reduce falls in the state which are the leading causes of injuries (fatal and nonfatal) among elderly individuals.
The legislation’s weakness is that it gives the state department of building and community department the mandate to investigate and implement new building standards. The legislation lacks measures to determine its success or failure because there are no specific objectives for the mandates (State Net, 2022). One strength of the legislation is that the department’s new building designs and instructions will be enacted under the law, forcing all institutions to comply with the law. In addition, the department can incorporate recommendations by institutions such as hospitals under the mandate to improve safety (State Net, 2022). The policy is also not limited to healthcare institutions, and it will decrease falls in homes, thus reducing the fall burden in inpatient and outpatient departments.
Policy Impact on Consumer Stakeholders
The provider stakeholders of this legislation are healthcare institutions, the state department of housing and community development, and social institutions. The state department will have an added load of coordinating research to improve safety in buildings. The researched building for aging designs will be enacted as laws, and every social institution and other institutions must adhere to them. The institutions will require adjusting their building plans and ensuring new buildings comply with the set regulations (State Net, 2022). The legislation will increase costs of accreditation and approval of building plans and high costs of renovations to meet the new standards. Failure to meet state laws attracts fines, and thus institutions will be forced to comply with the standards. However, implementing the legislation will increase safety in these buildings, preventing the high healthcare costs and lawsuit costs associated with patient falls. In addition, it will increase hospital reputations and promote good public relationships.
Policy Impact on Provider Stakeholders
Older adults are the primary consumers of the legislation. However, all other members of the public will benefit from the legislation. Older adult falls are a leading cause of death from unintentional injury (Florence et al., 2018). Falls are counted as nosocomial injuries, and thus major healthcare insurance policies such as Medicare and Medicaid due to pay hospitals for such injuries (Stevens & Lee, 2018). The mandate is left to the hospitals and patients, and thus patients suffer high healthcare costs. With the legislation in place, institutions will improve their safety and reduce falls and associated costs. Falls also lead to morbidities and mortalities, which negatively affect patients and their families, hence the need for community-based interventions (Ganz & Latham, 2020). Morbidities such as fractures and loss of function affect their quality of life. Deaths from falls affect family structures and psychological health. These morbidities and mortalities will reduce with the implementation and success of SB 280 2019 (State Net, 2022). In addition, the homes will be safer for older adults hence decongesting nursing homes and allowing older adults to receive care in familiar environments (around their families) hence better outcomes.
Conclusion
Legislations and policies improve the health and the safety of individuals. California’s SB 280 2019 legislation aims to prevent patient falls by providing safe environments both in institutions and at home. The legislation offers recommendations such as grab bars, accessibility of light switches and air conditioners, and others. The legislation will impose costs on hospitals and residential facilities to enhance safety as can be accommodated. It will thus decrease the falls burden on the state and associated lawsuits and healthcare costs
References
Florence, C. S., Bergen, G., Atherly, A., Burns, E., Stevens, J., & Drake, C. (2018). Medical costs of fatal and nonfatal falls in older adults. Journal of the American Geriatrics Society, 66(4), 693-698. https://doi.org/10.1111/jgs.15304
Ganz, D. A., & Latham, N. K. (2020). Prevention of falls in community-dwelling older adults. New England Journal of Medicine, 382(8), 734-743. https://doi.org/10.1056/NEJMcp1903252
Kiel, D. P., Schmader, K., & Lin, F. (2018). Falls in older persons: Risk factors and patient evaluation. UpToDate. Waltham: UpToDate Inc. https://www.medilib.ir/uptodate/show/3012
State Net, (2022). An Act to Add Section 17922.15 to the Health and Safety Code, Relating to Building Standards. Legislative Counsel’s Digest. http://custom.statenet.com/public/resources.cgi?id=ID:bill:CA2019000S280&ciq=ncsl9&client_md=c7025dc4372b5ea799aa626d0219fa05&mode=current_text
Stevens, J. A., & Lee, R. (2018). The potential to reduce falls and avert costs by clinically managing fall risk. American Journal of Preventive Medicine, 55(3), 290-297. https://doi.org/10.1016/j.amepre.2018.04.035
MN506M4-4: Assess The Strengths And Weaknesses Of The Current Health Care Act Of The United States.
MN506M4-4: Assess The Strengths And Weaknesses Of The Current Health Care Act Of The United States.
In this assessment, you will discuss how your state is enacting the Affordable Care Act (ACA). In a 3- to 4-page paper, exclusive of cover and reference pages, you will:
- Identify at least three components of the Affordable Care Act (ACA) that are important to APN practice.
- Describe why the three components are important to APN practice.
- Determine whether your state is or is not implementing the three components.
- Describe how the decision to implement or not implement the three components impacts healthcare in your state.
Assessment Requirements:
Before finalizing your work, you should:
- be sure to read the assessment 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 Academic Success Center, online, or elsewhere in the course.
Your writing assessment 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 7th edition formatting and citation style.
Minimum Submission Requirements
- This assessment should be a 3- to 4-page Microsoft Word document, in addition to the title and reference pages.
- Support your paper with a minimum of three scholarly references.
- Respond to the questions in a thorough manner, providing specific examples of concepts, topics, definitions, and other elements asked for in the questions. Your submission should be highly organized, logical, and focused.
- Your submission should provide a clearly established and sustained viewpoint and purpose.
- Your writing should be well ordered, logical, and unified, as well as original and insightful.
- Your submission must be written in Standard English and demonstrate exceptional content, organization, style, and grammar, and mechanics.
- A separate page at the end of your submission should contain a list of references in APA format. Use your textbook, the Library, and the internet for research.
- Be sure to include references for all sources and to cite them using in-text citations where appropriate. Your sources and content should follow current APA citation style. Review the writing resources for APA formatting and citation found in Academic Tools. Additional writing resources can be found within the Academic Success Center.
MN506M4-4 Competency Assessment Rubric
Competency Assessment Rubric
All competency criteria must be met to earn a B grade and pass this Course Outcome.
A predefined number of mastery criteria must be met to earn an A grade, indicating mastery of the Course Outcome. See the CLA and Grade Criteria Chart below.
| MET | NOT YET MET | |
| APN and the ACA | ||
| Competency | ||
| Identify at least three components of the Affordable Care Act (ACA) that are important to APN practice | ||
| Mastery | ||
| Identifies a minimum of three components of the ACA that are important to APN practice. | ||
| Why Important | ||
| Competency | ||
| Describe why the three components are important to APN practice | ||
| Mastery | ||
| Explains why the three identified components of the ACA are important to APN practice. | ||
| Your state and the ACA | ||
| Competency | ||
| Determine whether your state is or is not implementing the three components. | ||
| Describe how the decision to implement or not implement the three components impacts healthcare in your state. | ||
| Mastery | ||
| Explains whether the three identified components of the ACA are being (have been) implemented in the student’s state of practice. Describes the extent to which any component was implemented in only partially adopted by the state. Explains the impact on healthcare in the state, and on APN practice. | ||
| Total Competency Criteria: | ||
| Total Mastery Criteria: |
CLA and Grade Criteria Chart
| CRITERIA | CLA Score | Grade | Points |
| Meets all competency criteria and 2-3 of mastery criteria | 5 | A | 1000 |
| Meets all competency criteria and 1 of mastery criteria | 4 | B | 850 |
| Meets 3 of competency criteria | 3 | Not Yet Competent* | 0 |
| Meets 2 of competency criteria | 2 | Not Yet Competent* | 0 |
| Meets 1 of competency criteria | 1 | Not Yet Competent* | 0 |
| Meets 0 competency criteria | 0 | Not Yet Competent* | 0 |
| No submission | NA | Not Yet Competent* | 0 |
*Not Yet Competent grades convert to an F at term end
*If work submitted for this competency assessment does not meet the minimum submission requirements, it will be returned for revision without being scored. If the work submitted does not meet the minimum submission requirements by the end of the term you will receive a failing score.
Minimum Submission Requirements
| Minimum Submission Requirements | MET | NOT YET MET |
| Proper notification of any resubmission, repurposing, or reworking of prior work per the Purdue Global Student Coursework Resubmission, Repurposing, and Reworking Policy Resource. | ||
| This assessment should be a Microsoft Word (minimum 3-4 pages) document, in addition to the title and reference pages. | ||
| Support your paper with a minimum of three (3) scholarly references. | ||
| Respond to the questions in a thorough manner, providing specific examples of concepts, topics, definitions, and other elements asked for in the questions. Your submission should be highly organized, logical, and focused. | ||
| Your submission should provide a clearly established and sustained viewpoint and purpose. | ||
| Your writing should be well ordered, logical, and unified, as well as original and insightful. | ||
| Your submission must be written in Standard English and demonstrate exceptional content, organization, style, and grammar and mechanics. | ||
| A separate page at the end of your submission should contain a list of references in APA format. Use your textbook, the Library, and the internet for research. | ||
| Be sure to include references for all sources and to cite them using in-text citations where appropriate. Your sources and content should follow current APA citation style. Review the writing resources for APA formatting and citation found in Academic Tools. Additional writing resources can be found within the Academic Success Center. |
MN506M5-5: Critique The Role Of Nursing Advocacy In The Implementation Of Health Policy.
This competency assessment assesses the following Outcome(s):
MN506M5-5: Critique the role of nursing advocacy in the implementation of health policy.
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 from varying perspectives of a policy proposal. They guide available research behind each perspective. Experts create health policy briefs in the field through funding from public and private grants.
Select one policy brief from the Robert Wood Johnson Foundation website:
Robert Wood Johnson Foundation. (n.d.). Health policy in brief. https://www.rwjf.org/en/library/collections/health-affairs-briefs.html
- Identify the primary issue discussed in the brief, summarize the brief, and state the relationship of the issue to APN practice.
- List at least three strengths, weaknesses, advantages, and/or disadvantages of the issue.
- Describe at least three solutions or recommendations for the issue.
- In your role as an APN, list at least three ways you would advocate for or against the policy implementation?
In your paper, you may take the position either for or against the policy proposal, or both.
Assessment Requirements:
Before finalizing your work, you should:
- be sure to read the assessment description carefully (as displayed above);
- utilize spelling and grammar check to minimize errors; and
- review APA formatting and citation information found in the Academic Success Center, online, or elsewhere in the course.
Your writing Assessment 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 7th edition formatting and citation style.
How to Submit:
Submit your assessment to the Dropbox.
Minimum Submission Requirements
- This assessment should be a 3- to 4-page Microsoft Word document, in addition to the title and reference pages.
- Support your paper with a minimum of three scholarly references.
- Respond to the questions in a thorough manner, providing specific examples of concepts, topics, definitions, and other elements asked for in the questions. Your submission should be highly organized, logical, and focused.
- Your submission should provide a clearly established and sustained viewpoint and purpose.
- Your writing should be well ordered, logical, and unified, as well as original and insightful.
- Your submission must be written in Standard English and demonstrate exceptional content, organization, style, and grammar, and mechanics.
- A separate page at the end of your submission should contain a list of references in APA format. Use your textbook, the Library, and the internet for research.
- Be sure to include references for all sources and to cite them using in-text citations where appropriate. Your sources and content should follow current APA citation style. Review the writing resources for APA formatting and citation found in Academic Tools. Additional writing resources can be found within the Academic Success Center.
MN506M5-5 Competency Assessment Rubric
All competency criteria must be met to earn a B grade and pass this Course Outcome.
A predefined number of mastery criteria must be met to earn an A grade, indicating mastery of the Course Outcome. See the CLA and Grade Criteria Chart below.
| MET | NOT YET MET | |
| The Issue and the APN | ||
| Competency | ||
| Identify the primary issue discussed in the brief, summarize the brief, and state the relationship of the issue to APN practice. | ||
| Mastery | ||
| Identifies the primary issues about which the brief is written. Provides a brief summary of the entire brief. Identifies the relationship between APN practice and the topic discussed in the brief. | ||
| Weaknesses & Strengths | ||
| Competency | ||
| List at least three strengths, weaknesses, advantages, and/or disadvantages of the issue | ||
| Mastery | ||
| Identifies and analyzes at least three positive/negative impacts of the policy brief. | ||
| The Solution | ||
| Competency | ||
| Describe at least three solutions or recommendations for the issue | ||
| Mastery | ||
| Develops at least three solutions or recommendations on how to resolve the issue or improve the identified problem. The strategies are substantial, and from an advanced practice perspective in the chosen field. | ||
| Taking a Stand | ||
| Competency | ||
| In your role as an APN, list at least three ways you would advocate for or against the policy implementation? | ||
| Mastery | ||
| The paper demonstrates a high level of understanding of the advocacy role of the APN in the chosen administrator/educator/practitioner field. The APN advocacy role is integrated throughout the paper. | ||
| Total Competency Criteria: | ||
| Total Mastery Criteria: |
CLA and Grade Criteria Chart
| CRITERIA | CLA Score | Grade | Points |
| Meets all competency criteria and 3-4 of mastery criteria | 5 | A | 1000 |
| Meets all competency criteria and 1-2 of mastery criteria | 4 | B | 850 |
| Meets 3 of competency criteria | 3 | Not Yet Competent* | 0 |
| Meets 3 of competency criteria | 2 | Not Yet Competent* | 0 |
| Meets 1 of competency criteria | 1 | Not Yet Competent* | 0 |
| Meets 0 competency criteria | 0 | Not Yet Competent* | 0 |
| No submission | NA | Not Yet Competent* | 0 |
*Not Yet Competent grades convert to an F at term end
*If work submitted for this competency assessment does not meet the minimum submission requirements, it will be returned for revision without being scored. If the work submitted does not meet the minimum submission requirements by the end of the term you will receive a failing score.
Minimum Submission Requirements
| Minimum Submission Requirements | MET | NOT YET MET |
| Proper notification of any resubmission, repurposing, or reworking of prior work per the Purdue Global Student Coursework Resubmission, Repurposing, and Reworking Policy Resource. | ||
| This assessment should be a Microsoft Word (minimum 3-4 pages) document, in addition to the title and reference pages. | ||
| Support your paper with a minimum of three (3) scholarly references. | ||
| Respond to the questions in a thorough manner, providing specific examples of concepts, topics, definitions, and other elements asked for in the questions. Your submission should be highly organized, logical, and focused. | ||
| Your submission should provide a clearly established and sustained viewpoint and purpose. | ||
| Your writing should be well ordered, logical, and unified, as well as original and insightful. | ||
| Your submission must be written in Standard English and demonstrate exceptional content, organization, style, and grammar and mechanics. | ||
| A separate page at the end of your submission should contain a list of references in APA format. Use your textbook, the Library, and the internet for research. | ||
| Be sure to include references for all sources and to cite them using in-text citations where appropriate. Your sources and content should follow current APA citation style. Review the writing resources for APA formatting and citation found in Academic Tools. Additional writing resources can be found within the Academic Success Center. |