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WEEK 2 ETHICAL FRAMEWORKS ESSAY
Week 2 Ethical Frameworks Essay Consider the “Four Topics Approach” (or Four Box method) to ethical decision making o …
WEEK 2 ETHICAL FRAMEWORKS ESSAY
Week 2 Ethical Frameworks Essay Consider the “Four Topics Approach” (or Four Box method) to ethical decision making on page 61, Table 2.1 in Butts (below). Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way? Does this seem like a valid process for you to apply in your practice? Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.Review the rubric for further information on how your assignment will be graded.Optional: You may download this pdf, complete it using correct grammar and APA, and submit it as your assignment in lieu of writing a paper. *You will need Adobe Acrobat in order to utilize this fillable .pdf form. Points: 60TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics CasesMedical Indications: The Principles of Beneficence and Nonmaleficence1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?2. What are the goals of treatment?3. In what circumstances are medical treatments not indicated?4. What are the probabilities of success of various treatment options?5. In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?Patient Preferences: The Principle of Respect for Autonomy1. Has the patient been informed of benefits and risks, understood this information, and given consent?2. Is the patient mentally capable and legally competent, and is there evidence of incapacity?3. If mentally capable, what preferences about treatment is the patient stating?4. If incapacitated, has the patient expressed prior preferences?5. Who is the appropriate surrogate to make decisions for the incapacitated patient?6. Is the patient unwilling or unable to cooperate with medical treatment? If so, why?Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy1. What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?2. On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?3. Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?4. What ethical issues arise concerning improving or enhancing a patient’s quality of life?5. Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?6. What are plans and rationale to forgo life-sustaining treatment?7. What is the legal and ethical status of suicide?Contextual Features: The Principles of Justice and Fairness1. Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?2. Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?3. What are the limits imposed on patient confidentiality by the legitimate interests of third parties?4. Are there financial factors that create conflicts of interest in clinical decisions?5. Are there problems of allocation of scarce health resources that might affect clinical decisions?6. Are there religious issues that might influence clinical decisions?7. What are the legal issues that might affect clinical decisions?8. Are there considerations of clinical research and education that might affect clinical decisions?9. Are there issues of public health and safety that affect clinical decisions?10. Are there conflicts of interest within institutions and organizations (e.g., hospitals) that may affect clinical decisions and patient welfare?
Research Discussion 5
Please read the Lecture and respond to both discussion, APA format with referenceCharacteristics of Nursing Research Utili …
Research Discussion 5
Please read the Lecture and respond to both discussion, APA format with referenceCharacteristics of Nursing Research Utilization and Evidence-Based PracticeIntroductionResearch utilization and evidence-based practice (EBP) are regularly used within the nursing profession in developing positive changes for patient outcomes. Although both research methods provide results beneficial to the nursing community, each method approaches nursing research in a different manner. Research utilization focuses on implementation of the results after a study is conducted whereas EBP incorporates the research directly into the clinical decision-making process (Polit & Beck, 2006).Characteristics of Research UtilizationIn the previous lessons, the focus has been on the language and components of research. In this lesson, the focus is on how to apply research findings to improve patient outcomes. Over the past 40 years, the concept of research utilization has been described in the literature. In the nursing community, the long-held tradition has been to utilize research, through findings, to impact health changes within the profession. In order for this process to be successfully implemented into application, the research analysis would be compounded upon multiple studies within a specific nursing area. Furthermore, through the presentation of correlated findings and possibly similar results, health care professionals will have an accurate knowledge in order to influence patient and system outcomes.Over time, issues have been raised about research utilization being affected. The key to research utilization is not only the acknowledgment and review of the findings but the implementation of those results into practice. In order for this to occur, nurses need to be active participants in evaluating current research and utilizing the results within their normal practice (Polit & Beck, 2006).The majority of nurses in the United States are initially educated at the Associate Degree level. In these programs, the concepts of nursing research are often not discussed. Similarly, most registered nurses are not taught how to evaluate advanced nursing science, or how such advances will improve outcomes. Research utilization and evidenced-based practice principles put emphasis on these skills.Evidence-Based PracticeRecently, a movement has been made toward evidence-based practice (EBP) research. The purpose behind this method is to implement a solution to an evidence-based problem. To accomplish this goal, registered nurses must become experts in not only reading research articles, but also in collecting relevant research findings to help them make clinical decisions. After the fundamental information is collected about a health care topic, the researcher can utilize it in creating the design and framework for the necessary research. In essence, the search for the best possible information from top-quality research, which is integrated with clinical expertise, available resources, and the needs and desires of the patient, is the basis for EBP in nursing.The skills associated with EBP research place emphasis on diagnosis, therapy, etiology, prognosis, or prevention. EBP has been developed to provide a method for practicing nurses to understand research in a way that allows them to incorporate it into improved patient care. One skill that is helpful is the PICO method, which allows practitioners to formulate research questions. By formulating a PICO question, nurses are making the first step in preparing for their capstone project.PICOPICO is a mnemonic used to describe the four elements of a good clinical foreground question: (P) patient, (I) intervention, (C) comparison, and (O) outcome (see Table 5.1). The purpose of the PICO format is to assist clinicians in formulating clinical questions. This beginning process can be a challenge, but using the PICO format allows researchers to critically consider all of the components their research will address.PICOExample 1Example 2Example 3Example 4P (Patient or problem) Describe, as accurately as possible, the patient or group of patients of interest.In patients with acute bronchitis,In children with cancer,Among family members of patients undergoing diagnostic procedures,For pain in post operative patients,I (Intervention/Issue of Interest or cause, prognosis)What is the main intervention or therapy you wish to consider, including an exposure to disease, a diagnostic test, a prognostic factor, a treatment, a patient perception, a risk factor, etc.?do antibioticswhat are the current treatmentsdoes standard care−do relaxation and deep breathing accompanied by music therapyC (Comparison Intervention or Comparison Group)Is there an alternative treatment to compare, including no disease, placebo, a different prognostic factor, absence of risk factor, etc.?nonenonelistening to tranquil music, or audiotaped comedy routines−noneO (Outcome)What is the clinical outcome, including a time horizon, if relevant?reduce sputum production, cough, or days off?in the management of fever and infection?make a difference in the reduction of reported anxiety?change patient reported pain score by 4-5 points?Table 5.1. Example PICO QuestionsAdapted from Evidence-Based Practice: Asking the Clinical Question (Cushing/Whitney Memorial Library, n.d.).When developing a PICO question, researchers must take the time to carefully formulate it. They need to make it a topic about which they are passionate, and one that has a body of literature to support the intended outcome.ConclusionNurses’ responsibilities lie in being observant and curious, participating in quality-management activities of their units, and supporting research activities developed by others. Using expertise and professional judgment, along with quality research evidence, is essential in developing quality care and outcomes for patients.ReferencesCushing/Whitney Memorial Library. (n.d.). Evidence-based practice: Asking the clinical question. Yale University. Retrieved October 4, 2011, from http://www.med.yale.edu/library/nursing/education/…Polit, D. F., & Beck, C. T. (2006). Essentials of nursing research: Methods, appraisal, and utilization (6th ed.). Philadelphia: Lippincott.Discussion 1The theoretical foundations of qualitative and quantitative methods are very different, but many researchers believe both methods should be used in the research study to increase validity and reliability. What advantages or disadvantages do you see in using both types of methods in a nursing study? Support your answer with current evidence-based literature.Discussion 2According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interaction with clients. How do you see this being applied in your workplace?
FNP treatment plan for insomnia and fatigue
Mildred is a 45-y.o. married female with three children. She presents to you with complaints of fatigue and difficulties s …
FNP treatment plan for insomnia and fatigue
Mildred is a 45-y.o. married female with three children. She presents to you with complaints of fatigue and difficulties sleeping. She states she wants to get a good night’s sleep and is requesting a prescription to help her sleep. Mildred tells you she is awake off and on during the night, frequently thinking about her husband’s recent layoff from construction work and the effect this is having on the family. She lies down often during the day and has been so fatigued that she took some time off from work during the last 2 weeks. She is tearful at times during the visit and looks sad and anxious. On further discussion, she says she feels overwhelmed, helpless, and anxious. She tells you about an episode where she felt her heart beating rapidly, had difficulty catching her breath, felt she was going to have a heart attack, and became frightened until her husband was able to help calm her down. She is not eating as much as usual, and when she reads the newspaper, she doesn’t remember what she has read.There are a multitude of questions to answer. I ask that if you give a treatment plan in your discussion that you also include why you chose it, and why you didn’t chose a different plan. What would your focused clinical assessment include?What are your initial differential diagnoses?What major psychological question needs to be addressed?What testing would you order to rule out any medical problems?What is your plan of care?What are the mainstays of treatment?What is your initial follow up plan?What education would you provide to your patient?Post an initial substantive response of to each questions as an FNP. Use Diagnostic Reasoning to answer each question.Please be sure to validate your opinions and ideas with in text citations and references in APA format. 250 words minimum.References and citations should conform to the APA 6th edition.
Phy4060CBE Vlog Presentation
InstructionsUsing any slide share or movie making software, you can utilize information gathered throughout the course to …
Phy4060CBE Vlog Presentation
InstructionsUsing any slide share or movie making software, you can utilize information gathered throughout the course to create a visual travel log. This multi-media presentation will include images, video, and voice over dialogue consisting of a mix of research and original content that demonstrates your analysis of course concepts. The movie will be accompanied by a paper that supplies the dialogue for the visuals of your film.You may use examples of physics principles in use in everyday life that you previously gave as examples in Modules 01-06, but you cannot reuse the same wording as used in previous modules. For example, if you had mentioned using glasses for Module 03, you can once again bring up that concept here, but you cannot read from your Module 03 submission paper.RequirementsThree-minute video in MPEG-4 format.Original voice over (written) dialogue and accompanying paper.Images that help “tell your story.”30 seconds of original video connecting your experience to your topic.Narrative conceptImagine you are a writer for Physics Today (or insert whatever physics pop journal you wish), and you are to create a travel vlog for your an overseas trip. In your presentation, your editor wants you to include all relative physics concepts that you encounter in your journey.For the heart of the presentation, your editor has deemed it essential to address the following core issues and questions:Identify physics principles in various real-world examples.Identify the use of the scientific method in a modern physical problem.Identify the use of classical physics principles in relation to a real life situation.Identify physics principles in various real-world examples, and connect to your own experience.Identify physics principles in various real-world examples and modern technology.Identify a technology that uses quantum mechanics, and connect to your own experience.
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