For the Week 1 Assignment, you will explore the ethical and legal implications of the following scenario, and consider how to appropriately respond:
As a nurse practitioner, you prescribe medications for your patients. You make an error when prescribing medication to a 5-year-old patient. Rather than dosing him appropriately, you prescribe a dose suitable for an adult. Review the scenario assigned by your Instructor for this Assignment.
Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor.
Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.
By Day 7 of Week 1
Write a 2- to 3-page paper that addresses the following:
Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.
Explain the process of writing prescriptions, including strategies to minimize medication errors.
MUST HAVE 4 REFERENCES LESS THAN 5 YEARS OLD (2015 OR NEWER)
APA 7 FORMAT
TITLE PAGE, AND REFERENCE PAGE
00SKSK2023-06-03 07:19:372023-06-03 07:19:37Ethical And Legal Implications Of Prescribing Drugs
Journal article (Example 1) McCauley, S. M., & Christiansen, M. H. (2019). Language learn in g as langu age use: A cross-
lingui stic model of ch ild languag e development. Psycho logica l Review, 126(1), 1-51. https://doi.org/10.1037/rev0000126
Newspaper article (Example 16) Guarino, B. (2017, December4). Howw ill hum an ity reactto alien life? Psyc hologists have some
predictions. The Washington Post. https ://www.washingtonpost.com/news/speaking-of- science/wp/2017 /12/04/ ho w-will-humanity-react-to-ali en -life-psychologi st s-ha ve-som e – predictions
Authored book (Example 20) Brown, L. S. (2018). Feminist therapy (2nd ed.). American Psychological Assoc iation . https://
doi.org/1 0.1 037/0000092-000
Chapter in an edited book (Example 38) Balsam, K. F., Martell, C. R., Jones, K. P. , & Safren, S. A. (2019). Affirmative cognitive behavior
therapy with sexua l and gender minority people. In G. Y. Iwamasa & P. A. Ha ys (Eds.), Cultur- al/y responsive cognitive behavior therapy: Practice and supervision (2nd ed., pp. 287-314). American Psychological Association. https://doi.org/10.1037/0000119-012
Dictionary entry (Example 47) Merriam-Webster. (n.d.). Self-report. In Merriam-Webster.com dictionary. Retrieved July 12,
2019, from https://www.merriam-webster.com/dictionary/self-report
Government report (Example 50) National Cancer Insti tute. (2018). Facing forward: Life after cancer treatment (NIH Publica-
tion No. 18-2424). U.S. Dep~rtment of Hea lth and Human Services, National In stitutes of H ea Ith. https:!/www.cancer.gov/publications/patient-educati on/I ife-aher-treatment. pdf
YouTube video (Example 90) University of Oxford. (2018, December 6). Ho w do geckos wa lk on water? [Video]. YouTube.
Government webpage or website (Example 111) Centers for Disease Control and Prevention. (2018, January 23). People at high risk of deve/-
P.ublication Manual oí the American P.sy’chological Association,
officia l source fo~ APA Style. With millions of cofJies sold worldwide in multifJle
languages, it is the style manual of choice for writers, researcliers, .- and educators in the social and behavioral nursing, communica-
tions, education, business, engineering,
Known fo~ its authoritative, easy-to-use reference and • • rIl!l!!mJm· m··… · · .. …. •• … … … .
fJowerful, concise, and elegant scholarly communication . It guides users
through the scholarly writing fJrocess-from the ethics of authorshifJ to refJorting researdi . . . . .. . edition is an indisRensable resource for students and Rro- fessionals to achieve excellence in writing and maKe imfJact with their worK.
NEW TO THIS EDITION
… . .. “. – .. othe~ fJafJer tYfJes as well as guidelines on citing
authors and student writers
new chafJters on journal refJorting standards, bias-free language guidelines,
and legal references
. – 100 new reference examRles covering Reriodicals, books, audiovisual social media, webfJages and websites, and ot – . . – . ‘. new sample tables and figures
guidelines that sUfJR0rt accessibility for all users, including simRlified referenc
heading formats as well as additional font ofJtions
978-1-4338-3215 – 4 I 90000 9 781433 832154
SEVENTH EDITlON
PUBLICATION
anua of the American Psychological Association
THE OFFICIAL GUIDE TO APA STYLE
@ AMERICAN PSYCHOlOGICAl ASSOCIATlON Washington, DC
The correct reference for this book is as follows:
American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). https:l/doi.org/10.1037/000016S-000
ISBN 978-1-4338-3215-4 (Hardcover)
ISBN 978-1-4338-3216-1 (Paperback)
ISBN 978-1-4338-3217-8 (Spiral)
Library of Congress Cataloging-in-Publication Data applied for
https:/ldoi.org/10.1037/0000165-000
Printed in the United Sta tes of America
10 9 8 7 6 5 4 3 2 1
CONTENTS
List of Tables and Figures ix
Editorial Staff and Contributors xiii
Acknowledgments xv
Introduction xvii
1 Scholarly Writing and Publishing Principies 3 Types of Articles and Papers 4
ETHICAL, LEGAL, AND PROFESSIONAL STANDARDS IN PUBLlSHING 11
Ensuring the Accuracy of Scientific Findings 11
Protecting the Rights and Welfare of Research Participants and Subjects 21
Protecting Intellectual Property Rights 24
2 Paper Elements and Format Required Elements 29
Paper Elements 30
Format 43
Organization 47
SAMPLE PAPERS 50
3 Journal Article Reporting Standards Overview of Reporting Standards 72
Common Reporting Standards Across Research Designs 73
Reporting Standards for Ouantitative Research 77
Reporting Standards for Oualitative Research 93
Reporting Standards for Mixed Methods Research 105
29
71
v
9 Reference List Reference Citegories 281
Principies of Reference List Entries 283
REFERENCE ELEMENTS 285
Author 285
Date 289
Title 291
Source 293
Reference Variations 301
Reference List Format and Order 303
10 Reference Examples Author Variations 314
Date Variations 315
Title Variations 315
Source Variations 316
Textual Works 316
Data Sets, Software, and Tests 337
Audiovisual Media 341
Online Media 348
11 Legal References General Guidelines for Legal References 355
Legal Reference Examples 357
12 Publication Process Preparing for Publication 371
Understanding the Editorial Publication Process 376
Manuscr-ipt Preparation 381
Copyright and Permission Guidelines 384
During and After Publication 390
Credits for Adapted Tables, Figures, and Papers 397
References 401
Index 407
CONTENTS ~ vii
281
313
355
371
LIST OF TABLES ANO FIGURES
Tables
Table 2.1 Effective and Ineffective Paper Titles 33
Table 2.2 Examples of Author Bylines and Affiliations 34
Table 2.3 Format for the Five Levels of Heading in APA Style 48
Figure 7.21 Sample Display of Genetic Material (Physical Map) 250
Figure 8.1 Example of an Appropriate Level of Citation 254
Figure 8.2 Correspondence Between a Reference List Entry and an In-Text 262 Citation
Figure 8.3 Example of Repeated Narrative Citations With the Year Omitted 265
Figure 8.4 Example of a Long Paraphrase With a Single In-Text Citation 270
Figure 8.5 Example of Repeated Citations Necessary to Clarify Sources 271
Figure 8.6 Example of Changes Made to a Direet Ouotation 275
Figure 8.7 Example of Citations Omitted at the End of a Ouotation 276
Figure 9.1 Example of Where to Find Reference Information for a Journal Article 283
Figure 9.2 Examples of the Order of Works in a Reference List 304
Figure 9.3 Sample Annotated Bibliography 308
Figure 9.4 Use of Asterisks to Indicate Studies Included in a Meta-Analysis 309
Figure 12.1 Flowchart of Manuscript Progression From Submission to Publication 377
EDITORIAL STAFF AND
CONTRIBUTORS
Project Director
Emily L. Ayubi
APA Style Team
Chelsea L. Bromstad Lee
Hayley S. Kamin
Timothy L. McAdoo
Anne T. Woodworth
Ayanna A. Adams
Publication Manual Revision Task Force
James Campbell Ouick, Chair
Mark Appelbaum
Jacklynn Mary Fitzgerald
Scott Hines
Heidi M . Levitt
Arthur M. Nezu
Pamela Reid
APA Publications and Communications Board Task Force on Journal Article Reporting Standards
APA Working Group on Ouantitative Research Reporting Standards
Mark Appelbaum, Chair
Harris Cooper
Rex B. Kline
Evan Mayo-Wilson
Arthur M . Nezu
Stephen M. Rao
James Campbell Ouick, Publications and Communications Board Liaison
APA Working Group on Reporting Standards for Oualitative Research
Heidi M. Levitt, Chair
Michael Bamberg
John W. Creswell
David M. Frost
Ruthellen Josselson
Carola Suárez-Orozco
James Campbell Ouick, Publications and Communications Board Liaison
APA Public Interest Bias-Free Language Committees
Committee on Aging
Walter R. Boot
Brian Carpenter
Erin E. Emery-Tiburcio
Margaret Norris
Patricia A. Parmelee
Maggie L. Syme
Deborah A. DiGilio, Staff Liaison
Committee on Disability Issues in Psychology
Erin E. Andrews
Susan D’Mello
Jennifer J. Duchnick
xiii
xiv ~ EDI TO RI A L STAF F A ND CON TRIBUT O RS
Dana S. Dunn
John W. Hagen
Pooma Kushalnagar
Eun-Jeong Lee
Erin M . Liebich
Treven Curtis Pickett
Jennifer Reesman
Karrie A. Shogren
Maggie K. Butler, Staff Liaison
Committee on Ethnic Minority Affairs
A. Kathleen Burlew
Milton A. Fuentes
Daniel Gaztambide
Scott Graves
Kelli Johnson
Michelle Madore
Sandra Mattar
Helen A. Neville
Don Operario
Wendy Peters
Don Pope-Davis
Tiffany Townsend, Staff Liaison
Alberto Figueroa-García, Staff Liaison
Committee on Sexual Orientation and Gender Diversity
Mark Brennan-Ing
Sarah Burgamy
Arlene Noriega
Seth T. Pardo
Julia Z. Benjamin, American Psychological Association of Graduate Stude nts CSOGD Chair
Clinton Anderson, Staff Liaison
Ron Schlittler, Staff Liaison
Committee on Socioeconomic Sta tus
Rosario Ceballo
Ramani Durvasula
John Ruiz
Wendy R. Williams
Keyona King-Tsikata, Staff Liaiso n
Maha Khalid, Staff Liaison
Committee on Women in Psychology
Alette Coble-Temple
Paola Michelle Contreras
Sarah L. Cook
Diya Kallivayalil
Shannon Lynch
Charlotte McCloskey
Alayne J. Ormerod
Lauren Stutts
Shari E. Miles-Cohen, Staff Liaison
Tanya Burrwell Dozier, Staff Liaison
Reviewers
Tricia B. Bent-Goodley
Melinda Knight
Rachel Mack
Cynthia Saver
Frank C. Worrell
Jeff Zuckerman
ACKNOWLEDGMENTS
The precursor to the Publication Manual oi the American Psychological Association was published in 1929 as a seven-page article in Psychological Bulletin describing a “standard of procedure, to which exceptions would doubtless be necessary, but to which reference might be made in cases of doubt” (Bentley et al. , 1929, p. 57). Since then, the scope and length of the Publication Manual have grown in response to the needs of researchers, students, and educators across the social and behavioral sciences, health care, natural sciences, humanities, and more; however, the spirit of the original authors’ intentions remains.
To address changes in scholarly writing and publishing since the release of the sixth edition, we consulted many professional groups and experts (each recognized individually in the Editorial Staff and Contributors list). We thank members of the Publication Manual Revision Task Force for their vision for the manual and for ensuring that our guidance reflects current best practices. We also thank the APA Working Group on Quantitative Research Reporting Stan- dards for updating the originaljournal article reporting standards (JARS) for quantitative research and the APA Working Group on Reporting Standards for Qualitative Research for their groundbreaking work in establishing the first set of qualitative and mixed methods JARS in APA Style . We are indebted to members of the APA Public Interest Directorate committees and other advo- cacy groups who revised the bias-free language guidelines on age, disability, rae e and ethnicity, sexual orientation and gender diversity, and socio eco- nomic status. We are also grateful to the reviewers who provided valuable per- spectives while representing psychology, nursing, education, business, social work, ethics, and writing instruction.
The important work of the Publication Manual Revision Task Force, JARS working groups, APA bias-free language committees, and other experts builds on efforts from previous groups. Thus, we also acknowledge the significant contri- butions of prior task forces, working groups, and APA staff members who revised previous editions of the Publication Manual.
For their guidance on writing about older adults with respect and dignity, we thank Nancy Lundebjerg and Dan Trucil from the American Geriatrics Soci-
xv
xvi C\.y ACKNOWLEDGMENTS
ety. For her contribution to the sections on race and ethnicity, we thank Karen Suyemoto from the University of Massachusetts Boston. For their insights on sexual orientation, gender, and disability, we thank reviewers from the Human Rights Campaign: Jay Brown, Katalina Hadfield, Ellen Kahn, and Sula Malina. We also thank lore m. dickey, Mira Krishnan, and Anneliese A. Singh, mem- bers of APA Division 44: Society for the Psychology of Sexual Orientation and Gender Diversity, for their expertise in revising the sections on sexual orien- tation and gender diversity. For his suggestions regarding substance use lan- guage, we thank William W. Stoops from the University of Kentucky College of Medicine. They all shared their wisdom and passion for their communities to help people write with respect and inclusivity.
This edition of the Publication Manual is more accessible thanks in large part to the enthusiastic, detailed, and thoughtful contributions from David Berman Communications- in particular, David Berman, Michael E. Cooper, Hannah Langford Berman, and Krisandra Ivings. They helped refine our rec- ommendations for fonts , headings , reference style, color contrast, and more to benefit all people who will use the manual.
For their guidance on presenting findings in tables and figures, we thank Adelheid A. M. Nicol and Penny M. Pexman. We also thank Gilad Chen, Anne M. Galletta, Roger Giner-Sorolla, Kevin Grimm, Lisa 1. Harlow, Wendy Rog – ers, and Nadine Michele Weidman for their insights into publishing. We thank Steve W. J. Kozlowski, Open Science and Methodology Chair, for his expertise on replication and publication ethics. For their valuable expertise on legal ref- erences , we thank David DeMatteo and Kirk Heilbrun from Drexel University.
We also thank the many APA staff and consultants who contributed their feedback and expertise. These staffwork across APA Publishing, the Education Directorate, the Executive Office, Information Technology Services, the Office of General Counsel, the Public Interest Directorate, and the Science Director- ate: Joe Albrecht, Emma All, Ida Audeh, David Becker, Cara Bevington, Martha Boenau, Marla Bonner, Liz Brace, Dan Brachtesende, Dan Brown, Ann Butler, Kerry Cahill, Brenda Carter, Lindsay Childress-Beatty, Alison Cody, Lyndsey Curtis, Chris Detzi, Katie Einhorn, A¿dy Elkington, Kristine Enderle, Elise Frasier, Rob Fredley, Dana Gittings, Hannah Greenbaum, Rachel Hamilton, Sue Harris, Beth Hatch, Annie Hill, Sue Houston, Shelby Jenkins, Robert Johnson, Lois Jones, Shontay Kincaid, Kristen Knight, Kristin Walker Kniss , Marla Koenigsknecht, David Kofalt, George Kowal, J.J. Larrea, Stefanie Lazer, Katy Lenz, Glynne Leonard, Kathryn Hyde Loomis, TimMeagher, Jennifer Meidinger, Claire Merenda, Neceo McKinley, Debra Naylor, David Nygren, Sangeeta Panicker, Amy Pearson, Steph Pollock, Lee Rennie, Natalie Robinson, Kathleen Sheedy, Jasper Simons, Rose Sokol-Chang, Ann Springer, Elizabeth Stern, Amber Story, Daniya Tamendarova, Nina Tandon, Ron Teeter, Karen Thomas, Jenna Vaccaro, Purvi Vashee, Chi Wang, Jason Wells, Sarah Wiederkehr, Angel Williams, Kimberly Williams, Aaron Wood, and Sherry Wynn.
Last, we thank our many users who contributed their feedback via emails, surveys, interviews, focus groups, and social media. Your insights into what worked for you and what more you needed from APA Style have been invalu- able in revising and creating content for this edition of the manual.
INTRODUCTION
Excellence in writing is critical for success in many academic and professional pursuits. APA Style is a set of guidelines for clear and precise scholarly com- munication that helps authors , both new and experienced, achieve excellence in writing. It is used by millions of people around the world in psychology and also in fields ranging from nursing to social work, communications to education, business to engineering, and other disciplines for the preparation of manuscripts for publication as well as for writing student papers, dissertations, and theses. The Publication Manual of the American Psychological Association is the authoritative resource for APA Style, and we are proud to deliver its seventh edition.
Why Use APA Style?
APA Style provides a foundation for effective scholarly communication because it helps authors present their ideas in a clear, concise, and organized manner. Uniformity and consistency enable readers to (a) focus on the ideas being pre- sented rather than formatting and (b) sean works quickly for key points, find- ings, and sources. Style guidelines encourage authors to fully disclose essential information and allow readers to dispense with minor distractions, such as inconsistencies or omissions in punctuation, capitalization, reference citations, and presentation of statistics.
When style works best, ideas flow logically, sources are credited appro- priately, and papers are organized predictably and consistently. People are described using language that affirms their worth and dignity. Authors plan for ethical compliance and report critical details of their research protocol to allow readers to evaluate findings and other researchers to potentially replicate the studies. Tables and figures present data in an engaging, consistent manner.
Whether you use APA Style for a single class or throughout your career, we encourage you to recognize the benefits of a conscientious approach to writing. Although the guidelines span many areas and take time and practice to learn, we hope that they provide a balance of directiveness and flexibility and will eventually become second nature.
xvii
xviii ~ INTRODUCTION
APA Style for Students
The Publication Manual has long been an authoritative source for scholarly writ- ing, and this edition provides more targeted guidance and support for students. AH students, no matter what career they pursue , can benefit from mastering scholarly writing as a way to develop their critical thinking skills and hone the precision and elarity of their communication.
Most guidelines in the Publication Manual can be applied to both student papers and professional manuscripts. The manual also has elements specifi- cally designed for students, ineluding a student title page; guidance on citing elassroom or intranet sources; and descriptions of common types of student papers such as annotated bibliographies, response papers, and dissertations and theses. Journal artiele reporting standards (JARS) are intended primarily for authors seeking publication but may be helpful for students completing advanced research projects.
Utility and Accessibility
We have created the seventh edition of the Publication Manual with the practical needs of users in mind. Within chapters, content is organized using numbered sections to help users quickly locate answers to their questions. This ease of navigability and depth of content mean that the manual can be used as both a reference work and a textbook on scholarly writing.
This edition promotes accessibility for everyone, ineluding users with dis- abilities. In consultation with accessibility experts, we ensured that the guide- lines support users who read and write works in APA Style through a variety of modalities, ineluding screen readers and other assistive technologies. For exam- pIe, we present a streamlined format for in-text citations intended to reduce the burden of both writing and reading them. We provide guidance on how to use adequate contrast in figures to meet Web Content Accessibility Guidelines (Web Accessibility Initiative, 2018). We also support the use of a variety of fonts and default settings in common word-processing programs, meaning that users need to make fewer adjustments to their systems to be ready to write in APA Style. Above all, our aim is to support the many ways in which people commu- nicate. We encourage authors to be conscientious and respectful toward both the people about whom they are writing and the readers who will benefit from their work.
What’s New in the Seventh Edition?
Brief descriptions of new and updated content are provided next on a chapter- by-chapter basis. For a more comprehensive overview of content changes, see the APA Style website (https://apastyle.apa.org).
Chapter 1: Scholarly Writing and Publishing PrincipIes
Chapter 1 addresses types of papers and ethical compliance.
• New guidance addresses quantitative, qualitative, and mixed methods arti- eles as well as student papers, dissertations, and theses.
INTRODUCTION ~ xix
• Information onplanning for and ensuring ethical compliance reflects best practices.
• Guidance on data sharing, including in qualitative research, reflects open practice standards . .
Chapter 2: Paper Elements and Format
Chapter 2 is designed to help novice users of APA Style select, format , and orga- nize paper elements.
• The title page is updated for professionals, and a new student title page is provided.
• For all papers, the byline and affiliation format on the title page aligns with publishing standards.
• The author note includes more information, such as ORCID iDs, disclosure of conflicts of interest or lack thereof, and study registration information.
• The running head format has been simplified for professional authors and is not required for students.
• Font specifications are more flexible to address the need for accessibility.
• An updated heading format for Levels 3, 4, and S improves readability and assists authors who use the heading-styles feature of their word-processing programo
• Two new sample papers are provided: a professional paper and a student paper, with labels to show how specific elements appear when implemented.
Chapter 3: Journal Article Reporting Standards
Chapter 3 orients users to journal article reporting standards (JARS) and includes tables outlining standards for reporting quantitative, qualitative, and mixed methods research.
• JARS for quantitative research has been significantly expanded and updated (see Appelbaum et al., 2018; Cooper, 2018).
• The updated JARS now cover qualitative and mixed methods research (see Levitt, 2019; Levitt et al., 2018).
Chapter 4: Writing Style and Grammar
Chapter 4 provides guidance on writing style and grammar.
• The singular “they” is endorsed, consistent with inclusive usage.
• More detailed guidance helps writers avoid anthropomorphism.
Chapter 5: Bias-Free Language Guidelines Chapter S presents bias-free language guidelines to encourage authors to write about people with inclusivity and respecto
• Existing guidance on age, disability, gender, racial and ethnic identity, and sexual orientation has been updated to reflect best practices.
xx ~ INTRODUCTION
o New guidance is pravided on participation in research, socioeconomic sta- tus, and intersectionality.
Chapter 6: Mechanics of Style
Chapter 6 covers the mechanics of style, ineluding punctuation, capitalization, abbreviations, numbers, and statistics in texto
o Updated guidance answers a common question: Use one space after a period at the end of a sentence, unless an instructor or publisher requests otherwise.
o Formatting of linguistic examples has changed; quotation marks are now used araund examples, rather than italics, to promote accessibility.
o Expanded guidance is pravided on the capitalization of proper nouns, job titles, diseases and disorders , and more.
o Guidelines for the presentation of abbreviations address common questions, such as how to inelude a citation with an abbreviation.
o Guidelines for the presentation of numbers have been updated to be consis- tent throughout a work (e.g., there is no longer an exception for presenting numbers in an abstract).
o New guidance is given on how to write gene and protein names.
o Updated guidelines allow greater flexibility for lettered, numbered, and bul- leted lists.
Chapter 7: Tables and Figures
Chapter 7 presents guidance on creating tables and figures.
o More than 40 new sample tables and figures are presented, in dedicated sec- tions, covering a variety of research types and topics.
o The presentation of tables and figures in text is more flexible (either after the reference list on separate pages or embedded in the text).
o Formatting of tables and figures is parállel, ineluding consistent styles for numbers, titles, and notes.
o The accessible use of color in figures is addressed.
Chapter 8: Works Credited in the Text
Chapter 8 addresses appropriate levels of citation as well as plagiarism, self- plagiarism, and other unethical writing practices.
o In-text citations have been simplified; all in-text citations for works with three or more authors are shortened to the name of the first author plus “et al.” (except where this would create ambiguity).
o New guidance is provided on how to cite recorded or unrecorded Traditional Knowledge and Oral Traditions of Indigenous Peoples.
o Examples of paraphrasing demonstrate how to achieve elear attribution without overcitation.
o N ew guidance is provided on how to format quotations fram research partic- ipants.
INTR O DUCTI O N C\.Y xxi
Chapter 9: Reference List
Chapter 9 examines the four elements of a reference list entry (autho r, date , title, and source).
• The numbei- of authors ineluded in a r eference entry has changed; up to 20 authors are now ineluded before names are omitted with an ellipsis.
• The presentation of digital object identifiers (DOIs) and URLs.has been stan- dardized . Both are presented as hyperlinks ; the label “DOI :” is no longer used, and the words “Retrieved from” are used only when a retrieval date is also needed.
• Updated guidance explains when to inelude DOIs and URLs for works re- trieved fram most academic research databases as well as from proprietary databases such as ERIe or UpToDate.
• New formatting guidance is pravided for annotated bibliographies.
Chapter 10: Reference Examples
Chapter 10 provides more than 100 examples of APA Style references, each with accompanying parenthetical and narrative in-text citations.
• Templates are provided for every reference category.
• References are streamlined; for example , journal artiele references always in- elude the issue number, and book references now omit the publisher location.
• Audiovisual materials receive expanded coverage, with new examples for YouTube videos, PowerPoint slides and lecture notes, TED Talks, and more.
• Social media, webpages, and websites are addressed in new categories. For consistency and ease of formatting, blogs and other online platforms that publish artieles are part of the periodicals category.
Chapter 11: Legal References
Chapter 11 presents expanded and updated legal reference examples.
• Guidelines fram The Blueboolc: A Uniform System oi Citation continue to be the foundation for APA Style legal references, with sorne modifications.
• New, relevant legal reference examples are provided (e.g., the Every Student Succeeds Act).
Chapter 12: Publication Process
Chapter 12 provides guidance on the publication process.
• New content helps early career researchers adapt a dissertation or thesis into a journal artiele or artieles , select a journal for publication, avoid predatory or deceptive publishers , and navigate journal submission.
• Improved guidance on the journal publication pracess reflects current pra- ces ses and policies authors need to be aware of when preparing a manuscript for submission.
• New guidance addresses how authors can share and promote their work fol- lowing publication.
xxii ~ INTRODUCTION
APA Style Online
The APA Style website (https://apastyle.apa.org) is the premier and authorita- tive online destination for APA Style. In addition to numerous free resources and instructional aids, it contains supplemental content that is referred to through- out the manual, including additional reference examples, sample papers, and guidance on using color effectively and accessibly in figures.
The JARS website (https://apastyle.apa.org/jars) contains the full repository of information about journal article reporting standards for a wide range of research designs; it is freely available to complement the orienting information in Chapter 3.
The APA Style blog (https://apastyle.apa.org/blog) and related social media accounts will continue to answer questions about and share insights into APA Style with the publication of the seventh edition, providing authoritative con- tent from members ofthe APA Style team.
Academic Writer (https://digitallearning.apa.org/academic-writer) is APA’s cloud-based tool for teaching and learning effective writing. Developed by the creators of APA Style , this product helps both student and professional authors compose research papers and master the application of seventh-edition APA Style.
Notes to Users
The Publication Manual refers to numerous products and services that are not affiliated with the American Psychological Association but that our readers may encounter or use during the process of research, writing, and publication. The trademarks referenced in the Publication Manual are the property of their respective owners. The inclusion of non-APA products is for reference only and should not be construed as an endorsement of or affiliation between APA and the owners of these products and their respective brands.
Finally, sorne eagle-eyed users have asked why every aspect of APA Style is not applied throughout this manual. The manual is a published work, whereas the guidelines for APA Style are meant to be applied to manuscripts being sub- mitted for publication or to student papers. Considerations for published works such as this book (e.g., typesetting, line spacing, length, fonts , use of color, mar- gins) differ from those of draft manuscripts or student papers and thus necessi- tate deviations from APA Style formatting . Also, in this manual- in which we are writing about writing-it is often necessary to distinguish between explanatory text and examples through the use of font , color, and other design elements. Wherever possible, however, we have endeavored to demonstrate APA Style while writing about it and to present the information in a way that is accessible for our many users around the world.
Contents
Types of Articles and Papers 1.1 Ouantitative Articles 4 1.2 Oualitative Articles 5 1.3 Mixed Methods Articles 6 1.4 Replication Articles 6 1.5 Ouantitative and Oualitative Meta-Analyses 7 1.6 Literature Review Articles 8 1.7 Theoretical Articles 8 1.8 Methodological Articles 8 1.9 Other Types of Articles 9
1.10 Student Papers, Dissertations, and Theses 9
4
ETHICAL, LEGAL, ANO PROFESSIONAL STANOAROS IN PUBLlSHING 11
Ensuring the Accuracy of Scientific Findings 11 1.11 Planning for Ethical Compliance 11 1.12 Ethical and Accurate Reporting of Research Results 12 1.13 Errors, Corrections, and Retractions After Publication 13 1.14 Data Retention and Sharing 13 1.15 Additional Data-Sharing Considerations for Oualitative Research 16 1.16 Duplicate and Piecemeal Publication of Data 17 1.17 Implications of Plagiarism and Self-Plagiarism 21
Proteding the Rights and Welfare of Research Participants 21 and Subjeds 1.18 Rights and Welfare of Research Participants and Subjects 21 1.19 Protecting Confidentiality 22 1.20 Conflict of Interest 23
Proteding Intelledual Property Rights 24 1.21 Publication Credit 24 1.22 Order of Authors 25 1.23 Authors’ Intellectual Property Rights During Manuscript Review 25 1.24 Authors’ Copyright on Unpublished Manuscripts 26 1.25 Ethical Compliance Checklist 26
1 SCHOLARLY WRITING ANO
PUBLISHING PRINCIPLES
Research is complete only when scholars share their results or findings with the scientific community. Although researchers may post articles on scholarly collaboration sites or preprint servers or share them informally by email or in person, the most widely accepted medium for formal scholarly communication continues to be the published article in a peer-reviewed, scientific journal. Sci- entific journals contain our primary research literature and thus serve as repos- itories of the accumulated knowledge of a field.
Students are also important members of the scholarly community. Although most student work is not formally published, by writing papers students engage in critical thinking, thoughtful self-reflection, and scientific inquiry and thereby prepare to make unique contributions to the repository of knowledge. There- fore, student writing deserves the same level of care and attention to detail as that given to professional writing.
In this chapter, we provide important principIes that professional and stu- dent authors should consider before writing their paper or, in many cases, before embarking on a research study. We begin with overviews of the differ- ent types of articles and papers professional and student authors write. This is followed by a discussion of ethical, legal, and professional standards in pub- lishing that all authors of scholarly work, regardless of the type of paper they are writing or their level of experience, must be mindful of and abide by. For example, research conducted with human participants or nonhuman animal subjects must be approved by an institutional review board (IRE), institutional animal care and use committee (IACUC), or another ethical committee. Simi- larly, an author writing about human participants must protect their confiden- tiality while following best practices for data sharing. Moreover, any written work, from a course paper to a published manuscript, should represent an orig- inal con tribu ti o n and include appropriate citations to the work of others. Thus, scholarly writing and publishing, in all forms, are inherendy embedded in and guided by an ethical contexto
3
4 ~ SCHOLARLY WRITING AND PUBLlSHING PRINCIPLES
Types of Articles and Papers
Many types of articles are published in scientific journals, including quantita- tive, qualitative, and mixed methods empirical articles and replications. These journal articles report primary, or original, research-that is, research that has not been previously forinally published. Theoretical articles and methodological articles do not present research but describe advancements in theories or meth- ods. Journal articles that review or synthesize findings from primary research include literature reviews and quantitative and qualitative meta-analyses. By understanding the characteristics of different types of articles and the types of information they most efficiently convey, you will be able to select an article type that fits your research and to follow the appropriate journal article report- ing standard s (discussed in Chapter 3). Students may write the same kinds of articles that are published in journals, as well as student papers (including course assignments, dissertations, and theses) not intended for publication in ajournal (see Section 1.10). Sample papers are included at the end of Chapter 2 and on the APA Style website (https://apastyle.apa.org).
1.1 Quantitative Articles In quantitative articles, authors report original, empirical, quantitative research. Quantitative research refers to a set of approaches commonly used in the behav- ioral and social sciences and related fields in which the observed outcomes are numerically represented. The results of these studies are typically analyzed using methods (statistics, data analyses, and modeling techniques) that rely on the numerical properties of the measurement system. Quantitative research studies use a variety of experimental designs and a range of analytic tech- niques. Sorne quantitative articles present novel hypotheses and data analyses not considered or addressed in previous reports of related data. Within the article, authors should describe elements of their study in the first person (see Section 4.16). Researchers who used a quantitative approach should follow the quantitative journal article reporting standard s to report their findings (see Sections 3.5-3.12).
Quantitative articles typically include distinct sections that reflect the stages of the research process and appear in the following sequence:
• Introduction: a statement of the purpose of the investigation, a review of the background literature, and an explicit statement of the hypotheses being explored (see Section 3.4)
• Method: a full description of each step of the investigation, including details about the material s used and the procedures followed (which should be sufficient to enable replication), a full statement of the research design, statements on the protection of human participants or nonhuman animal subjects and informed consent, and a description (in words and/or a figure) of the flow of participants through the study (see Section 3.6)
• Results: data analysis and a report ofthe findings (see Section 3.7)
• Discussion: a summary of the study, including any interpretation, limita- tions, and implications of the results (see Section 3.8)
Reports of Multiple Studies. Authors of quantitative articles often report the findings of several conceptually linked studies in one manuscript. These authors
Types of Articles and Pape rs
should make the rationale , logic, order, and method of each study clear to read- ers. Headings should be used to label each study- for instance, “Experiment 1,” “Experiment 2;’ and so forth. This format organizes the sections and makes them easier to discuss in the manuscript or in later research articles : Method and Results subsections can appear under each study heading. If appropriate, the authors can include ashort subsection titled “Discussion” in which they explore the implications of the results of each study, or they can combine the discussion with the description of results under a heading such as “Results and Discussion.” Authors should always include a comprehensive general discussion of all the studies at the end of the article, which often has the heading “General Discussion.”
1.2 Qualitative Articles
In qualitative articles, authors report original, empirical, qualitative research. Qualitative research refers to scientific practices that are used to generate knowl- edge about human experience and/or action, including social processes. Quali- tative approaches tend to share four sets of characteristics:
• Researchers analyze data consisting of naturallanguage (i.e., words), research- er observations (e.g. , social interactions), and/or participants’ expressions (e.g., artistic presentations) rather than collecting numerical data and conducting mathematical analyses. Reports tend to show the development of qualita- tive findings using naturallanguage (although numbers may be used adjunc- tively in describing or exploring these findings).
• Researchers often use an iterative process of analysis in which they reexam- ine developing findings in light of continued data analysis and refine the initial findings. In this way, the process of analysis is self-correcting and can produce original knowledge.
• Researchers recursively combine inquiry with methods that require research- ers’ reflexivity about how their own perspectives might support or impair the research process and thus how their methods should best be enacted.
\
• Researchers tend to study experiences and actions whose meaning may shift and evolve; therefore, they tend to view their findings as being situated within place and time rather than seeking to develop laws that are expected to remain stable regardless of contexto
Researchers who used a qualitative approach should follow the qualitative jour- nal article reporting standards to report their findings (see Sections 3.13- 3.17).
Case Studies and OtherTypes of Qualitative Articles. A variety of methods are reported in qualitative articles, and the structure of qualitative articles varies depending on the nature of the study. For example, in case studies researchers report analyses or observations obtained while working closely with an indi- vidual, group, community, or organization. Case studies illustrate a problem in depth; indicate a means for solving a problem; and/or shed light on needed research, clinical applications, or theoretical matters. Qualitative articles also describe studies with multiple participants, groups, communities, or organiza- tions that identify commonalities and/or differences across these entities. Such research can have a systemic focus, examining the ways in which social pro- cesses, actions, or discourses are structured.
C\.v 5
SCHOLARLY WRITING AND PUBLlSHING PRINCIPLES
Regardless of the qualitative research approaches they use , when writing re- ports, authors should carefully consider the balance between providing import- ant illustrative material and using confidential participant data responsibly (see Sections 1.18-1.19 for more on confidentiality; see also Section 1.15). Qualitative reports may be organized thematically or chronologically and are typically pre- sented in a reflexive , first-person style, detailing the ways in which the research- ers arrived at questions, methods, findings, and considerations for the field .
1.3 Mixed Methods Articles In mixed methods articles, authors report research combining qualitative and quantitative empirical approaches. Mixed methods research should not be con- fused with mixed models research, which is a quantitative procedure, or with multi- methods research, which entails using multiple methods from the same approach. Mixed methods research involves the following:
• describing the philosophical assumptions or theoretical models used to in- form the study design (Creswell, 2015);
• describing the distinct methodologies, research designs, and procedures in relation to the study goals;
• collecting and analyzing both qualitative and quantitative data in response to research aims, questions, or hypotheses; and
• integrating the findings from the two methodologies intentionally to gener- ate new insights.
The basic assumption of a mixed methods approach is that the combined qual- itative findings and quantitative results lead to additional insights not gleaned from the qualitative or quantitative findings alone (Creswell, 2015; Greene, 2007; Tashakkori & Teddlie, 2010). Because there are many ways to design a mixed methods study, the structure of mixed methods articles varies depending on the specific nature of the study and the balance between the two methodologies. Researchers who used a mixed methods approach should follow the mixed meth- ods journal article reporting standards to report their findings (see Section 3.18).
1.4 Replication Articles In replication articles, authors report the results of work intended to verify or reproduce findings from previous investigations. The aim of a replication study is to examine whether the conclusions from an earlier study remain the same or similar over variations in the conduct of the original study. There are internal and external forms of replication; only external replications are addressed in APA journal article reporting standards (see Section 3.10). An external replication occurs when researchers obtain a new sample and duplicate, insofar as is possi- ble or desirable, the features of the original study being replicated. New design, measures, and/or data-analysis methods can also be used to test whether a find- ing has generality beyond the particular situation studied in the original work, but any such variations must be clearly specified in the reporto
Researchers conducting an external replication should report sufficient infor- mation to allow readers to determine whether the study was a direct (exact, lit- eral) replication, approximate replication, or conceptual (construct) replication. In a direct replication, researchers repeat a study collecting data from a new sam- pIe in a way that duplicates as far as possible the conditions of the earlier study.
00SKSK2023-06-03 07:18:392023-06-03 07:18:58The Effects Of Covid On Pediatric Nurses
Safety and Quality Improvement in Professional Nursing Practice
Chapter 8
1
Patient Safety
Ensures that nursing practice is safe, effective, efficient, equitable, timely, and patient-centered (ANA)
Minimization of risk of harm to patients and providers through both system effectiveness and individual performance (QSEN & NOF)
To Err Is Human: Building a Safer Health System (IOM, 2000)
At least 44,000 and possibly up to 98,000 people die each year as the result of preventable harm.
Cause of the errors is defective system processes that either lead people to make mistakes or fail to stop them from making a mistake, not the recklessness of individual providers.
Error
Error is the failure of a planned action to be completed as intended, or the use of a wrong plan to achieve an aim with the goal of preventing, recognizing, and mitigating harm.
Common errors include drug events and improper transfusions, surgical injuries and wrong-site surgeries, suicides, restraint-related injuries or death, falls, burns, pressure ulcers, and mistaken patient identities (IOM, 2000).
Event Analysis
Individual approach or system approach
Culture of blame
Culture of safety
Just culture
Root-cause analysis
TERCAP
Reason’s Adverse Event Trajectory
Example Fishbone Diagram
Figure 8-2 Typical fishbone diagram.
Classification of Error
Type of error
Communication
Patient management
Clinical performance
Where the error occurs
Latent failure and active failure
Organizational system failures and system process or technical failure
Human Factor Errors
Skill-based
Deviation in the pattern of a routine activity such as an interruption
Knowledge-based
Rule-based
Conscious decision by the nurse to “workaround” or take a shortcut, so the system defense mechanisms are bypassed, thereby increasing risk of harm to patient
To Err Is Human: Building A Safer Health System (IOM, 2000) (1 of 2)
User-centered designs with functions that make it hard or impossible to do the wrong thing
Avoidance of reliance on memory by standardizing and simplifying procedures
Attending to work safety by addressing work hours, workloads, and staffing ratios
Avoidance of reliance on vigilance by using alarms and checklists
To Err Is Human: Building A Safer Health System (IOM, 2000) (2 of 2)
Training programs for interprofessional teams
Involving patients in their care; anticipation of the unexpected during organizational changes
Design for recovery from errors
Improvement of access to accurate, timely information such as the use of decision-making tools at the point of care
Crossing the Quality Chasm: A New Health System for the 21st Century (IOM, 2000)
STEEEP
Safe
Timely
Effective
Efficient
Equitable
Patient-centered
10 rules for redesign
Rule #6: Safety is a system property.
Keeping Patients Safe: Transforming the Work Environment of Nurses (IOM, 2004)
Chief nursing executive should have leadership role in the organization.
Creation of satisfying work environments for nurses.
Evidence-based nurse staffing and scheduling to control fatigue.
Giving nurses a voice in patient care delivery.
Designing work environments and cultures that promote patient safety.
Preventing Medication Errors: Quality Chasm Series (IOM, 2006)
Paradigm shift in the patient–provider relationship
Using information technology to reduce medication errors
Improving medication labeling and packaging
Policy changes to encourage the adoption of practices that will reduce medication errors
Joint Commission National Patient Safety Goals
Reviewed and updated annually, focuses on system-wide solutions to problems
2015 goals: Identify patients correctly, use medications safely, improve staff communication, use alarms safely, prevent infection, identify patient safety risks, and prevent mistakes in surgery
National Quality Forum Goals
Improving quality health care by setting national goals for performance improvement
Endorsement of national consensus standards for measuring and public reporting on performance
Promoting the attainment of national goals
National Quality Forum Safe Practices
Endorsed safe practices defined to be universally applied in all clinical settings in order to reduce the risk of error and harm for patients.
34 practices have been shown to decrease the occurrence of adverse health events.
Also endorses list of 29 preventable, serious adverse events for public reporting.
Sentinel Events
An unexpected occurrence involving death or serious physical or psychological injury or the risk thereof.
Examples include wrong patient events, wrong site events, wrong procedures, delays in treatment, operative or postoperative complications, retention of foreign body, suicides, medication errors, perinatal death or injury, and criminal events.
Progress
Healthcare organizations have responded to incentive programs, accreditation standards, and public opinion.
Professional organizations have responded with revisions to standards that place more emphasis on healthcare quality and patient safety.
Educators have responded by infusing quality and safety concepts into student didactic and clinical experiences guided by initiatives such as the QSEN and Nurse of the Future.
Patient Narratives
A short video about The Betsy Lehman Center for Patient Safety and Medical Error Reduction is available at: https://youtu.be/wwB88zF4wvU
The Chasing Zero: Winning the War on Healthcare Harm video is available at: https://youtu.be/MtSbgUuXdaw
The Transparent Health−Lewis Blackman Story video is available at: https://youtu.be/Rp3fGp2fv88
Healthcare Quality (1 of 2)
Quality is the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.
Healthcare Quality (2 of 2)
Quality improvement refers to the use of data to monitor the outcomes of care processes, and uses improvement methods to design and test changes to continuously improve the quality and safety of healthcare systems.
Crossing the Quality Chasm (IOM, 2001)
Safe, timely, effective, efficient, equitable, and patient-centered (STEEEP)
10 rules for redesign to move the healthcare system toward the identified performance expectations
10 Rules for Redesign (1 of 3)
Care is based on continuous healing relationships with patients receiving care whenever and wherever it is needed.
Care can be customized according to the patient’s needs and preferences even though the system is designed to meet the most common types of needs.
The patient is the source of control and, as such, should be given enough information and opportunity to exercise the degree of control he or she chooses regarding decisions that affect him or her.
10 Rules for Redesign (2 of 3)
Knowledge is shared and information flows freely so that patients have access to their own medical information.
Decision making is evidence based; that is, it is based on the best available scientific knowledge and should not vary illogically between clinicians or locations.
Safety is a system property and patients should be safe from harm caused by the healthcare system.
10 Rules for Redesign (3 of 3)
Transparency is necessary where systems make information available to patients and families that enable them to make informed decisions when selecting a health plan, hospital, or clinic, or when choosing alternative treatments.
Patient needs are anticipated rather reacted to.
Waste of resources and patient time is continuously decreased.
Cooperation among clinicians is a priority to ensure appropriate exchange of information and coordination of care.
Measures of Quality
Benchmarking
Core measures
Accountability
Composite measures
Measures of Nursing Care
Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospital Survey
National Voluntary Consensus Standards for Nursing-Sensitive Care
National Database of Nursing Quality Indicators (NDNQI)
Continuous Quality Improvement (CQI)
Structured organizational process that involves personnel in planning and implementing the continuous flow of improvements in the provision of quality health care that meets or exceeds expectations
Processes or Pathways for CQI
First process occurs as data that is regularly collected is monitored; if the data indicate that a problem exists, then an analysis is done to identify possible causes and a process is initiated to pilot a change.
Second process involves the identification of a problem outside of the routine data monitoring system.
Quality Improvement Methodologies
“Plan, Do, Study, Act”
Six Sigma
Define, Measure, Analyze, Improve, Control
Swiss Cheese Model
Figure 8-5 Plan, Do, Study, Act (PDSA) cycle.
American Nurses Association (ANA) Standard #14
ANA standard of professional performance: The registered nurse contributes to quality nursing practice with competencies that include the nurse’s role in various quality improvement activities such as collecting data to monitor quality and collaboration to implement quality improvement plans and interventions.
Challenges
Adequacy of resources
Engaging nurses from management to the bedside in the process
Increasing number of QI activities
Administrative burden of QI initiatives
Lack of preparation of nurses in traditional nursing education programs for role in QI
00SKSK2023-06-03 07:18:172023-06-03 07:18:17How do best practices contribute to quality and safety?
You are a new female employee at Valley Medical Center’s intensive care unit and love your job. Although only 25 years old, you have been a nurse for 4 years, and the last 2 years were spent in a small critical care unit in a rural hospital. You work the 3:00 PM to 11:00 PM shift. Ever since you came to work there, one of the male physicians, Dr. Long, has been especially attentive to you. At first, you were flattered, but more recently, you have become uncomfortable around him. He sometimes touches you and seems to be flirting with you. You have no romantic interest in him and know that he is married. Last night, he asked you to meet him for an after-work drink and you refused. He is a very powerful man in the unit, and you do not want to alienate him, but you are becoming increasingly troubled by his behavior.
Today, you went to your shift charge nurse and explained how you felt. In response, the nurse said, “Oh, he likes to flirt with all the new staff, but he’s perfectly harmless.” These comments did not make you feel better. At approximately 7:00 PM, Dr. Long came to the unit and cornered you again in a comatose patient’s room and asked you out. You said no again, and you are feeling more anxious because of his behavior.
ASSIGNMENT:
Outline an appropriate course of action. What options can you identify? What is your responsibility? What are the driving and restraining forces for action? What support systems for action can you identify? What responsibility does the organization have? Be creative and think beyond the obvious. Be able to support your decisions.
Part 2:
LEARNING EXERCISE 18.7
A Chief Nursing Officer’s Dilemma
You are the chief nursing officer of County Hospital. Dr. Martin Jones, a cardiologist, has approached you about having an intensive care unit/critical care unit (ICU/CCU) nurse make rounds with him each morning on all of the patients in the hospital with a cardiac-related diagnosis. He believes that this will probably represent a 90-minute commitment of nursing time daily. He is vague about the nurse’s exact role or purpose, but you believe that there is great potential for better and more consistent patient education and care planning.
Audrey, one of your finest ICU/CCU nurses, agrees to assist Dr. Jones. She has always wanted to have an expanded teaching role. However, for various reasons, she has been unable to relocate to a larger city where there are more opportunities for teaching. You warn Audrey that it might be some time before this role develops into an autonomous position, but she is eager to assist Dr. Jones. The other ICU/CCU staff agree to cover Audrey’s patients while she is gone, although it is obviously an extension of an already full patient load.
After 3 weeks of making rounds with Dr. Jones, Audrey comes to your office. She tearfully reports that rounds frequently take 2 to 3 hours and that making rounds with Dr. Jones amounts to little more than “picking up his pages and being a personal handmaiden.” She has assertively stated her feelings to him and has attempted to demonstrate to Dr. Jones how their allegiance could result in improved patient care. She states that she has not been allowed any input into patient decisions and is frequently reminded of “her position” and his ability to have her removed from her job if she does not like being told what to do. She is demoralized and demotivated. In addition, she believes that her peers resent having to cover her workload because it is obvious that her role is superficial at best.
You ask Audrey if she wants you to assign another nurse to work with Dr. Jones, and she says that she would really like to make it work but does not know what action to take that would improve the situation.
You call Dr. Jones, and he agrees to meet with you at your office when he completes rounds the following morning. At this visit, Dr. Jones confirms Audrey’s description of her role but justifies his desire for the role to continue by saying, “I bring $10 million of business to this hospital every year in cardiology procedures. The least you can do is provide the nursing assistance I am asking for. If you are unable to meet this small request, I will be forced to consider taking my practice to a competitive hospital.” However, after further discussion, he does agree that eventually he would consider a slightly more expanded role for the nurse after he learns to trust her.
ASSIGNMENT:
Do you meet Dr. Jones’s request? Does it make any difference whether Audrey is the nurse, or can it be someone else? Is the amount of revenue that Dr. Jones generates relevant in your decision making? Should you try to talk Audrey into continuing the position for a while longer? While trying to reach a goal, people must sometimes endure a difficult path, but at what point does the means not justify the end? Be realistic about what you would do in this situation. What do you perceive to be the greatest obstacles in implementing your decision?
Part 3:
LEARNING EXERCISE 19.12
Memo to Chief Executive Officer Leads to Miscommunication
Carol White, the coordinator for the multidisciplinary mental health outpatient services of a 150-bed psychiatric hospital, feels frustrated because the hospital is very centralized. She believes that this keeps the hospital’s therapists and nurse-managers from being as effective as they could if they had more authority. Therefore, she has worked out a plan to decentralize her department, giving the therapists and nurse-managers more control and new titles. She sent her new plan to Chief Executive Officer Joe Short and has just received this memo in return.
Dear Ms. White:
The Board of Directors and I met to review your plan and think it is a good one. In fact, we have been thinking along the same lines for quite some time now. I’m sure you must have heard of our plans. Because we recently contracted with a physician’s group to cover our crisis center, we believe this would be a good time to decentralize in other ways. We suggest that your new substance abuse coordinator report directly to the new Chief of Mental Health. In addition, we believe your new director of the suicide prevention center should report directly to the Chief of Mental Health. He then will report to me.
I am pleased that we are both moving in the same direction and have the same goals. We will be setting up meetings in the future to iron out the small details.
Sincerely,
Joe Short, CEO
ASSIGNMENT:
How and why did Carol’s plan go astray? How did her mode of communication affect the outcome? Could the outcome have been prevented? What communication mode would have been most appropriate for Carol to use in sharing her plan with Joe? What should be her plan now? Explain your rationale.
00SKSK2023-06-03 07:17:252023-06-03 07:17:25Confronting Sexual Harassment