Designate and discussion how this five issues where affected by the COVID-19 pandemic?

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Discussion Exercise: Chapter 7

Objective: The students will complete a Virtual Classroom Discussion Exercise that will Extend your knowledge beyond the core required materials for this class, Engage in collaborative learning with other students to improve the quality of the learning experience for all students and Apply the higher cognitive skills associated with critical thinking to your academic and professional work.

ASSIGNMENT GUIDELINES (10%):

Students will judgmentally amount the readings from Chapter assign on your textbook. This assignment is prearranged to help you to learning in all disciplines because it helps student’s process information rather than simply receive it.
You need to read the PowerPoint Presentation assigned for week 4 and develop a 2-3 page paper replicating your appreciative and competence to apply the readings to your ethics knowledge. Each paper must be typewritten with 12-point font and double-spaced with standard margins. Follow APA style 7th edition format when referring to the selected articles and include a reference page.

 

EACH   PAPER SHOULD INCLUDE THE FOLLOWING:

1. Introduction (25%) Provide a brief synopsis of the meaning (not a description) of each Chapter and articles you read, in your own words that will apply to the case study presented.

2.  Discussion Challenge (65%)

Health care in the 21st century is governed by a confusing array of rules, regulations, laws, and ethical standards. Issues that involve confidentiality, informed consent, and patient relationships can appear out of nowhere, even when health care workers have the best of intentions. What’s legal today might not be considered ethical, and there is the ever-present threat of being sued for negligence and malpractice. There are unresolved issues around doctor assisted dying that have yet to be worked out, while medical procedures considered ethical for adults might not be seen as ethical for minors.

Here are the top five ethical issues that health care managers of today and tomorrow will be facing in the course of delivering responsible and compassionate patient care.

a. Patient Confidentiality

b. Patient Relationships

c. Malpractice and Negligence

d. Informed Consent

e. Issues Related To Physician Assisted Suicide (PAD).

STUDENT CHALLENGE:

1. Describe, mention and define the five ethical issues that health care managers of today and explain your point of view relate with the ethical implication.

2. Designate and discussion how this five issues where affected by the COVID-19 pandemic? 

Chapter Seven

1

 

Operational Definitions

Health information is data related to medical history.

Health information records include history, lab results, diagnostic information, and notes.

It creates data sets that are used for individuals and populations.

Operational Definitions

Health information management (H IM) includes obtaining, using, and protecting both digital and traditional patient information.

Professionals in each IM manage patient records.

They also are part of quality measurement including accreditation.

Operational Definitions

Health information technology (HIT) assists the exchange of health information through electronic systems.

HIT is used extensively in health care.

Privacy and security are important. HIT issues.

Operational Definitions

WHO defines the functions of HIT as data generation, compilation, analysis, synthesis, and communication.

 

Introduction

Health care is making progress in addressing DV.

Guidelines for treatment now exist.

Initiatives include awareness, guidelines, and strategies for response.

The ACA requires screening and counseling.

Introduction

Practitioners need to increase their awareness of diagnoses concerning DV.

They also must confront their own feelings and beliefs about domestic violence and its victims.

Ethical Dilemmas

Protection of privacy is a major ethical dilemma in HIM.

Access to medical records must balance privacy and equity.

Violation of privacy personal gain is a serious concern for health care.

Ethical Dilemmas

Conspiracy to commit PHI fraud for personal gain is both a legal and ethical issue.

These crimes harm individuals, organizations, and taxpayers.

Ethical Dilemmas

Failures to communicate about computers and their appropriate, use exists across generations.

Computers enable people to assume a different personality.

Computers also let people disregard their ethics foundations.

Ethical Dilemmas

Ethics professional societies encourage the development and use of codes of ethics.

However, those without a moral compass forget about ethics in their eat actions.

Individuals make decisions about their conduct in the cyber community.

Ethical Dilemmas

Examples of theft can also relate to the ethics and the Internet.

Ransomware is a type of computer software (malware) that infects computers, servers, and systems.

Ransomware makes files unreadable.

Ethical Dilemmas

Cyber attackers use extortion to receive a ransom for returning access to information.

Computer should not be in an environment for criminal attack.

Protection of information systems requires action including making it difficult for hackers to have access.

Smart Phone Networks

Smart phones collect and store large amounts of personal data.

From an ethics view, users agreed to this collection of data through apps.

The U.S. government does not vet health applications.

Many issues exist for the protection of privacy and health apps.

Ethics Decision-Making Models

The “3 rules of thumb” model is a foundation for decision-making.

Weber suggests that individual rights should be a priority.

The next consideration should be the good of the community and its interests.

Ethics Decision-Making Models

The Weber model than considers the good of the organization and its interests.

Lastly, individual good, and interests should be considered.

The Weber model helps to establish priorities in ethics decision-making.

Ethics Decision-Making Models

The “grandmother test” is also useful as a guide. Can you tell your grandmother about your decision?

Would she approve of this decision?

Decision-making models need to be part of education and healthcare organization ethics resources.

In Summary…

19

IOM Report

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1 the impact of IOM on nursing education. 2 the impact of the IOM report practice, particularly in primary care, and how you would change your practice to meet the goals of IOM report. 3 the impact of the IOM report on the nurse′s role as a leade

1 the impact of IOM on nursing education. 2 the impact of the IOM report practice, particularly in primary care, and how you would change your practice to meet the goals of IOM report. 3 the impact of the IOM report on the nurse′s role as a leade

Which assessments do you need to perform on Ms. Cohen while she is restrained?

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Scenario 1:

Your patient C.S is 78 years old. Admitted to the nursing home you work at, with a diagnosis of dehydration. C.S., has been ordered to increase her oral fluid intake to 2500cc per day. When offering her a glass of water, she pushes away your hand and says “I hate water and I don’t drink it much”. You note that after one and a half days she has dry mucous membranes and poor skin turgor.

Questions:

  1. What should your assessment be on this patient? Explain in detail.
  2. After completing your assessment, what should your next step be? Be specific.
  3. Write 3 complete nursing diagnosis from above information. Include all 3 sections (NANDA, Related to (R/T) & Evidence based practice (EBP) & include 2 nursing interventions for each nursing diagnosis.

Scenario 2:

Ms. Cohen is hospitalized for repair of a fractured hip after a fall at home. She requires intravenous (IV) antibiotics after surgery. Shortly after the first dose she became restless and started picking at her IV line and frequently tried to get out of bed. Several restraint alternatives were attempted; but, because of her restlessness, she was successful at pulling out her IV line and getting out of bed. It becomes necessary to restrain Ms. Cohen.

Questions:

1. You know that a health care provider’s order is required for the restraint. What are essential components of the restraint order?

2. Which assessments do you need to perform on Ms. Cohen while she is restrained?

3. The physician orders a belt restraint. Your assessment of Ms. Cohen the next day reveals that during the day she is alert and pleasantly confused but not attempting to get out of bed. Do you continue use of the restraint? Explain.

Training Session For Policy Implementation

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Develop a training plan for one of the role groups in the organization that will be responsible for implementing practice guidelines under the new organizational policy you presented in Assessment 3. Prepare an agenda for a two-hour workshop, and summarize your strategies for working with this group, the expected outcomes of the training, and why you chose this group to pilot the change.

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

Training and educating those within an organization who will be responsible for implementing and working with changes in organizational policy is a critical step in ensuring that prescribed changes have their intended benefit. A leader in a health care profession needs to be able to apply effective leadership, management, and educational strategies to ensure that colleagues and subordinates will be prepared to do the work that is asked of them.

As a master’s-level health care practitioner, you may be asked to design training sessions to help ensure the smooth implementation of any number of initiatives in your health care setting. The ability to create an agenda that will ensure your training goals will be met, and will fit into the time you are allotted, is a valuable skill for preparing colleagues to be successful in their practice. This assessment offers you an opportunity to develop and implement such strategies.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 2: Analyze relevant health care laws and regulations and their applications and effects on processes within a health care team or organization.
    • Explain an institutional policy or practice guidelines that will be implemented.
  • Competency 3: Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.
    • Justify the importance of an institutional policy or practice guidelines to improve the quality of care or outcomes related to a specific group.
    • Develop materials that support learning and skill development to enable a group to be successful in applying a policy or practice guidelines to its work.
  • Competency 5: Develop strategies to work collaboratively with policy makers, stakeholders, and colleagues to address environmental (governmental and regulatory) forces.
    • Develop strategies for engaging with a specific group to ensure buy in, support, and preparedness to implement changes in policy and practice guidelines.
    • Advocate for the importance of the role a specific group will play in implementing changes in policy and practice guidelines.
  • Competency 6: Apply various methods of communicating with policy makers, stakeholders, colleagues, and patients to ensure that communication in a given situation is professional, clear, efficient, and effective.
    • Interpret complex policy considerations or practice guidelines for a specific group with respect and clarity.
    • Write clearly and logically, with correct use of grammar, punctuation, and spelling.
    • Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

Preparation

Your policy proposal presentation secured buy in and support from the stakeholder group you addressed. They are enthusiastic about implementing your proposed policy and practice guidelines. In an effort to help ensure a smooth rollout and implementation of your proposal, senior leaders have asked you to create and lead a training session for one of the role groups in the organization that will be responsible for enacting the new policy and practices.

In addition, senior leaders have asked you to develop and submit a training plan for review and approval before conducting the requested training session. They have also requested that you cite 2–4 credible sources that support your proposed training strategies, your intended approach to generating buy in and support from the group, and your plans for working with the group to facilitate implementation of the policy and practice changes.

As outcomes of this training session, participants are expected to:

  • Understand the organizational policy and practice guidelines to be implemented.
  • Understand the importance of the policy to improving health care quality or outcomes.
  • Understand that, as a group, they are key to successful implementation.
  • Possess the necessary knowledge and skills for successful implementation.

It may also be useful to have worked through the Organizational Ethics Decision-Making Process in Health Care | Transcript activity. It may give you some ideas about strategies for ensuring your policy and implementation ideas are incorporating ethical considerations.

You may also find it useful to have checked your knowledge in the Training Session Best Practices activity before completing your assessment.

Instructions

Before conducting your training session, you have been asked to submit two items:

  • The first is a brief summary that lays out your strategies for working with your chosen trainee group, how this training session will help prepare that group to succeed in implementing your proposed institutional policy and practice guidelines, and why you chose this group to pilot your proposal.
  • The second is an annotated agenda and training plan for a two-hour workshop for your chosen group.
Part 1: Brief of Strategies

For this part, create an approximately 1 page brief that lays out the strategies you will employ throughout the training session to ensure your audience’s buy in and preparedness.

Your brief should address the following:

  • Develop strategies for engaging with the selected role group to ensure the group’s buy in, support, and preparedness to implement the changes in policy and practice guidelines. In a brief summary:
    • Describe your evidence-based strategies for engaging with the group during the training session.
    • Explain how you will ensure the group’s buy in, support, and preparedness.
    • Explain why you chose this group to pilot your proposal.
Part 2: Training Agenda

For this part you develop an annotated training agenda for your chosen target group. This agenda should layout the activities and information that will be delivered over a two-hour session. It should also include notes regarding best practices, literature support, or other important justifications for specific training strategies and the likelihood of achieving desired outcomes.

Your training agenda should address:

  • Identify the training activities and materials needed support learning and skill development and to prepare the group to successfully apply the new policy or practice guidelines to their work.
    • Create an annotated agenda and outline for a two-hour training workshop.
    • Explain how each proposed activity and individual item of training material in your workshop will support learning and skill development.
  • Describe the policy and practice guidelines changes to be implemented.
    • How will these changes affect the group’s daily work routines and responsibilities?
    • What examples, activities, or materials could you provide to help illustrate or clarify the nature and scope of the changes in policy and practice guidelines?
  • Justify the importance of the changes in policy or practice guidelines to improving the quality of care or outcomes that are related to this role group.
    • Why are these changes important?
    • How will these changes help improve the quality of care or outcomes?
    • How could you help to illustrate the importance of improved quality of care or outcomes for the role group you will be training?
  • Advocate for the importance of the role the group will play in implementing the changes in policy and practice guidelines.
    • Why is the group’s buy in and support important in implementing the changes?
    • Why is this group’s work important in implementing the changes?
    • How could you help the group feel empowered by their involvement in implementing the changes?
  • Interpret complex policy considerations or practice guidelines for the role group with respect and clarity.
    • Does your training plan clearly lay out the expected outcomes of training for this role group?

Address Throughout Assessment

Please be sure to address the following scoring guide criteria related to the quality and format of you communication throughout your assessment:

  • Communicate your strategies for engaging and training the role group in a professional and persuasive manner.
    • Write clearly and logically, using correct grammar, punctuation, and mechanics.
  • Integrate relevant sources to support your arguments, correctly formatting source citations and references using current APA style.
    • Did you cite an additional 2–4 credible sources to support your strategies for engaging and training the role group?

Additional Requirements

  • Length of submission: 2–5 double-spaced, typed pages. Your brief and agenda should be succinct yet substantive.
    • Please include a title page and a reference list in addition to your 2–5 page submission.
    • Please ensure that your submission clearly identifies your Brief of Strategies and your Training Agenda.
  • Number of references: Cite a minimum of 2–4 sources of scholarly, professional, or policy evidence to support your plans and strategies.
  • APA formatting: Resources and citations are formatted according to current APA style.
    • You may wish to refer to the following APA resources to help with your structure, formatting, and style:
      • APA Style and Format.
      • APA Paper Tutorial.
      • APA Paper Templa

Grading Rubric

1.  Develop strategies for working with a specific group to ensure buy in and preparedness to implement a policy and apply practice guidelines.

Passing Grade:  Develops strategies for working with a specific group to ensure buy in and preparedness to implement a policy and apply practice guidelines; suggests early indicators to measure success of strategies.

2.  Explain an institutional policy or practice guidelines that will be implemented.

Passing Grade:  Explains an institutional policy or practice guidelines that will be implemented; anticipates and addresses possible objections that might be raised by the specific group.

3.  Justify the importance of an institutional policy or practice guidelines to improve the quality of care or outcomes that are related to a specific group

Passing Grade:  Justifies the importance an institutional policy or practice guidelines to improve the quality of care or outcomes that are related to a specific group, and includes details that will appeal to the specific group.

4.   Advocate for the importance of the role a group will play in implementing an institutional policy or practice guidelines.

Passing Grade:  Advocates for the importance of the role a group will play in implementing an institutional policy or practice guidelines, and suggests a future vision highlighting the positive contribution of the group.

5.  Develop materials that support learning and skill development to enable a group to be successful in applying a policy or practice guidelines to its work.

Passing Grade:  Develops materials that support learning and skill development to enable a group to be successful in applying a policy or practice guidelines to its work, showing insight to the work of the role group and the needed changes.

6.  Interpret complex policy considerations or practice guidelines for a specific audience with respect and clarity.

Passing Grade:  Interprets complex policy considerations or practice guidelines for a specific audience with respect and clarity; identifies assumptions on which the proposed changes are based.

7.  Write content clearly and logically, with correct use of grammar, punctuation, and spelling.

Passing Grade:  Writes content clearly, logically, and persuasively; grammar, punctuation, and spelling are without errors.

8.  Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

Passing Grade:  Integrates relevant sources to support arguments, correctly formatting citations and references using current APA style. Citations are free from all errors.