NR 599 Week 2 Discussion: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study
NR 599 Week 2 Discussion: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study
Hi Class,
Week 2
Welcome to week two!
In week one you had the opportunity to identify barriers to practice in your state as well as specific information on the law makers, interest groups and how you might influence change to barriers to practice. This is a great way to begin to understand the political climate in your state and the impact on independent practice.
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In week two, we move away from healthcare policy for a bit and take a look at organizational change and ethical-legal influences in advanced practice nursing. The case study discussion offers a clinical scenario where unethical and potentially illegal behaviors are identified from one member of the healthcare team. Through the readings and your interactions with peers and faculty, you explore the following:
Potential ethical and legal implications for each of the following practice members as a result of unethical and illegal behaviors
· Medical assistant
· Medical Director
· Practice
Strategies to implement to prevent further episodes of potentially illegal behavior.
Leadership qualities to apply to effect a positive change in the practice, especially the culture of the practice.
Your initial response is due by Wednesday of week two by 11:59 PM MST. In addition, two other posts to peers and / or faculty are required and must be posted by Sunday of week two by 11:59PM MST. Please refer to the syllabus for complete details on posting requirements and late assignment policies.
Please make sure for the discussion posts, you use a resource to support each part of the rubric criteria for full points.
Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study
Discussion
Purpose
The purpose of this discussion is to discuss organizational changes and ethical-legal influences in a clinical scenario at an out-patient family practice. Students will explore potential effects on patient outcomes and ethical and legal implications for members of the heath care team as a result of illegal behaviors. Students will develop strategies that result in prevention of untoward outcomes that result in a positive practice culture.
Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:
Demonstrate effective leadership styles in the management of organizational change (CO3)
Interpret various forms of ethical theories and application into practice (CO4)
Discuss practice guidelines and malpractice prevention (CO2)
Due Date: Wednesday by 11:59 pm MST of Week 2
Initial responses to the discussion topic must be posted by Wednesday 11:59 pm MT. Two additional posts to peers and/or faculty are due by Sunday at 11:59 pm MT. Students are expected to submit assignments by the time they are due.
A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday of week 2, regardless of the number of days late. NOTHING will be accepted after 11:59 pm MT on Sunday (i.e. student will receive an automatic 0).
Total Points Possible: 100
Preparing the Discussion
You are a family nurse practitioner employed in a busy primary care office. The providers in the group include one physician and three nurse practitioners. The back office staff includes eight medical assistants who assist with patient care as well as filing, answering calls from patients, processing laboratory results and taking prescription renewal requests from patients and pharmacies. Stephanie, a medical assistant, has worked in the practice for 10 years and is very proficient at her job. She knows almost every patient in the practice, and has an excellent rapport with all of the providers.
Mrs. Smith was seen today in the office for an annual physical. Her last appointment was a year ago for the same reason. During this visit, Mrs. Smith brought an empty bottle of amoxicillin with her and asked if she could have a refill. You noted the patient’s name on the label, and the date on the bottle was 1 week ago. You also noted your name printed on the label as the prescriber. The patient admitted that she called last week concerned about her cough and spoke to Stephanie. You do not recall having discussed this patient with Stephanie nor do the other providers in the practice.
Case Study Questions:
What are the potential ethical and legal implications for each of the following practice members?
Medical assistant
Nurse Practitioner
Medical Director
Practice
What strategies would you implement to prevent further episodes of potentially illegal behavior?
What leadership qualities would you apply to effect a positive change in the practice?  Be thinking about the culture of the practice.
A scholarly resource must be used for EACH discussion question each week.
Category Points % Description
DISCUSSION CONTENT
Potential ethical & legal implications for healthcare team members 30 30% Provides relevant evidence of scholarly inquiry of the potential ethical and legal implications for each of the practice members. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
Strategies to prevent further conflict 30 30% Provides relevant evidence of scholarly inquiry of strategies to implement to prevent further episodes of potentially illegal behavior. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
Leadership qualities to effect positive change 15 15% Provides relevant evidence of scholarly inquiry of leadership qualities to apply to effect a positive change in the practice. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
75 75%
Total CONTENT Points= 75 pts
DISCUSSION FORMAT
Interactive Dialogue 20 20%
4 Required Elements:
Responds a minimum of two other posts to peers and/or faculty in the threaded discussion;
Responses to peer/faculty are substantive (adds importance, depth, and meaningfulness to the discussion)
Responds to all direct questions from faculty (if no question asked directly, student responded to questions posed to the entire class)
Summarizes what was learned from the lesson, readings, and other student posts for the week. The summary could be included in one of the three minimum posts.
Grammar, Syntax, Spelling, Punctuation 5 5% Grammar, syntax, spelling, and punctuation are accurate.
25 25%
Total FORMAT Points = 25 pts
100 100%
DISCUSSION TOTAL = 100 pts
NR506NP WK 2 Org Change Discussion_MAR20
NR506NP WK 2 Org Change Discussion_MAR20
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeAnalysis of Case Study
Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based upon the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members:
• Medical assistant
• Nurse Practitioner
• Practice
30 pts
Excellent
Provides relevant evidence of scholarly inquiry of the potential ethical and legal implications for each of the practice members. Uses valid, relevant, and reliable outside scholarly sources to contribute to the threaded discussion.
27 pts
V, Good
Provides some relevant evidence of scholarly inquiry of the potential ethical and legal implications for each of the practice members. Uses some valid, relevant, reliable outside scholarly sources to contribute to the threaded discussion.
25 pts
Satisfactory
Discussions use sparse scholarly inquiry and does not state scholarly inquiry of the potential ethical and legal implications for each of the practice members. Little valid, relevant, or reliable outside scholarly sources are used to contribute to the threaded discussion. Demonstrates little understanding of the topic.
15 pts
Needs Improvement
Discussions do not use scholarly inquiry and does not state scholarly inquiry of the potential ethical and legal implications for each of the practice members. The posting uses information that is not valid, relevant, reliable, or scholarly.
0 pts
Unsatisfactory
Discussion did not include criteria.
30 pts
This criterion is linked to a Learning OutcomeAnalysis of Potential Issues
Following the analysis of the potential issues for members of the healthcare team, develop strategies to prevent further episodes of potentially illegal behavior.
30 pts
Excellent
Provides relevant evidence of scholarly inquiry of strategies to implement to prevent further episodes of potentially illegal behavior. Uses valid, relevant, and reliable outside scholarly sources to contribute to the threaded discussion.
27 pts
V, Good
Provides some relevant evidence of scholarly inquiry of strategies to implement to prevent further episodes of potentially illegal behavior. Uses some valid, relevant, reliable outside scholarly sources to contribute to the threaded discussion.
25 pts
Satisfactory
Discussions use sparse scholarly inquiry and does not state scholarly inquiry of strategies to implement to prevent further episodes of potentially illegal behavior. Little valid, relevant, or reliable outside scholarly sources are used to contribute to the threaded discussion. Demonstrates little understanding of the topic.
15 pts
Needs Improvement
Discussions does not use scholarly inquiry does not state scholarly inquiry of strategies to implement to prevent further episodes of potentially illegal behavior. The posting uses information that is not valid, relevant, reliable, scholarly.
0 pts
Unsatisfactory
Discussion did not include criteria.
30 pts
This criterion is linked to a Learning OutcomeEffective Leadership Qualities
From the required readings for the week, discuss leadership qualities that would be effective to not only result in positive patient outcomes in the scenario but also would prevent further episodes of office conflict. Focus on the culture of the practice.
15 pts
Excellent
Provides relevant evidence of scholarly inquiry of leadership qualities to apply to effect a positive change in the practice. Uses valid, relevant, and reliable outside scholarly sources to contribute to the threaded discussion.
14 pts
V, Good
Provides some relevant evidence of scholarly inquiry of leadership qualities to apply to effect a positive change in the practice. Uses some valid, relevant, reliable outside scholarly sources to contribute to the threaded discussion.
12 pts
Satisfactory
Discussions use sparse scholarly inquiry and does not state how scholarly inquiry of leadership qualities to apply to effect a positive change in the practice. Little valid, relevant, or reliable outside scholarly sources are used to contribute to the threaded discussion. Demonstrates little understanding of the topic.
8 pts
Needs Improvement
Discussions do not use scholarly inquiry and does not state scholarly inquiry of leadership qualities to apply to effect a positive change in the practice. The posting uses information that is not valid, relevant, reliable, or scholarly.
0 pts
Unsatisfactory
Discussion did not include criteria.
15 pts
This criterion is linked to a Learning OutcomeInteractive Dialogue
4 Required Elements:
• Responds a minimum of two other posts to peers and/or faculty in the threaded discussion;
• Responses to peer/faculty are substantive (adds importance, depth, and meaningfulness to the discussion)
• Responds to all direct questions from faculty (if no question asked directly, student responded to questions posed to the entire class)
• Summarizes what was learned from the lesson, readings, and other student posts for the week. The summary could be included in one of the three minimum posts.
20 pts
Excellent
Demonstrated all elements for the Criterion
18 pts
V, Good
Missing 1 element for the Criterion
17 pts
Satisfactory
Missing 2 elements for the Criterion
10 pts
Needs Improvement
Missing 3 elements for the Criterion
0 pts
Unsatisfactory
Missing 4 elements for the Criterion
20 pts
This criterion is linked to a Learning OutcomeGrammar, Syntax, Spelling, & Punctuation
APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.
5 pts
Excellent
0-1 errors in grammar, spelling, syntax, or APA noted.
4 pts
V, Good
2-4 errors in grammar, spelling, syntax, and APA noted.
3 pts
Satisfactory
5-7 errors in grammar, spelling, and syntax noted.
2 pts
Needs Improvement
8-9 errors grammar, spelling, syntax, and APA noted.
0 pts
Unsatisfactory
Post contains 10 or greater errors grammar, spelling, punctuation, and/or APA or repeatedly makes the same errors after faculty feedback.
5 pts
This criterion is linked to a Learning OutcomeParticipation
0 pts
Discussion late penalty deductions
A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday by 11:59PM MST, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0)
0 pts
Total Participation Responses
A 10% penalty will be imposed for not entering the minimum number/type of interactive dialogue posts OR not posting on the minimum required number of days and/or faculty posts. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0)
0 pts
Total Points: 100