Discussion: Patient Preferences and Decision Making

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Discussion: Patient Preferences and Decision Making Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or consider

Discussion: Patient Preferences and Decision Making

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.

What has your experience been with patient involvement in treatment or healthcare decisions?

Being that I have not been a nurse long I have not really had any really experience with this. The only encounter I had was a patient who was dying and had no family and he refuse to go on hospice care. I tried once to talk him into hospice because he was termanially ill and dying of cancer but he still refused and eventually ended up passing away a week later. Can I get assistance with writing a post/discussion per the requirements below

In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.

  • Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/.
    • Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic

Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.

3 reference are required with post

Applying an Ethical Decision-Making Model

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Question Description

This assignment reinforces the importance of ethical decision-making in nursing. You will apply an ethical decision making model from this week’s readings to an ethical issue.

Review “An Integrated Ethical-Decision-Making Model for Nurses” from this week’s Electronic Reserve Readings.

Apply the ethical decision-making model in the article to access to care or an ethical issue of your choice.

Note: If you have questions about your chosen topic, contact your faculty member to ensure it is appropriate.

Follow the steps provided in the model, including the following:

  • State the ethical issue and its relevance for nursing practice.
  • Collect and analyze additional information:
    • What populations does this serve?
    • Who are the key stakeholders?
    • What information is needed to overcome the problem?
    • After looking at additional information, decide whether the initial problem was correctly stated.
  • Develop alternatives and compare them:
    • What alternative programs address the issues?
  • Justify the decision:
    • Explain why this is important, needed, or beneficial for vulnerable populations.
  • Find strategies to implement the plan:
    • What ethical arguments could you use to dissuade someone who disagrees with the program?

Format your assignment as one of the following:

  • 18- to 20-slide presentation
  • 15- to 20-minute oral presentation
  • 875-word paper
  • Another format approved by your instructor

Cite at least 3 evidence-based, peer-reviewed sources published within the last 5 years to support your position(s).

Include an APA-formatted reference list.

Describe a nursing error that may occur in a clinical practice (e.g., clinical setting, skills lab, or simulation).

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The purpose of this task is to develop a working knowledge of nursing theory, nursing ethics, and professional accountability and apply these concepts to your professional clinical practice. You will

The purpose of this task is to develop a working knowledge of nursing theory, nursing ethics, and professional accountability and apply these concepts to your professional clinical practice. You will be required to think about real-life scenarios and how they relate to nursing codes in your professional practice.

Requirements:

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course. 

A.  Identify a nursing theory that has influenced your values and goals.

1.  Explain how nurses apply the identified theory from part A to implement excellent nursing practices.

2.  Discuss how the identified theory from part A fits your professional practice. 

B.  Identify the contributions of two historical nursing figures in the nineteenth or twentieth century.

1.  Compare the differences in contributions of the two historical figures identified in part B.

2.  Describe how the contributions of the two historical figures influence your professional nursing practice. 

C.  Explain the functional differences between the State Board of Nursing and the American Nurses Association (ANA).

1.  Define the roles of these two organizations.

2.  Explain how these two organizations influence your nursing practice.

3.  Explain the requirements for professional license renewal in your state.

a.  Discuss the consequences of failure to maintain license requirements in your state.

4.  Compare the differences between registered nursing license requirements in a compact state versus a non-compact state. 

D.  Discuss the functional differences between the Food and Drug Administration and the Center for Medicare and Medicaid Services (see the web links below).

1.  Discuss how the two regulatory agencies influence your professional nursing practice.

a.  Describe your role as a patient advocate in promoting safety when a patient has requested to use an alternative therapy. 

E.  Discuss the purposes of the Nurse Practice Act in your state and its impact on your professional practice.

1.  Discuss the scope of practice for a RN in your state.

2.  Discuss how your state defines delegation for the RN. 

F.  Apply each of the following roles to your professional practice:

•   a scientist

•   a detective

•   a manager of the healing environment 

G.  Identify two provisions from the American Nurses Association (ANA) Code of Ethics (see web link below).

1.  Analyze how the two provisions identified in part G influence your professional nursing practice.

2.  Describe a nursing error that may occur in a clinical practice (e.g., clinical setting, skills lab, or simulation).

a.  Explain how the ANA provisions identified in part G can be applied to the error discussed in part G2. 

H.  Identify four leadership qualities or traits that represent excellence in nursing.

1.  Discuss the significance of the four leadership qualities identified in part H in the nurse’s role as each of the following:

•   a leader at the bedside

•   within a nursing team or interdisciplinary team

2.  Identify how your work environment impacts the following:

•   nursing leadership

•   decision making

•   professional development 

I.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized. 

J.  Demonstrate professional communication in the content and presentation of your submission.

RUBRIC:       

A. https://lrps.wgu.edu/provision/124909813

A nursing theory that has influenced the candidate’s values and goals   is identified.

A1. https://lrps.wgu.edu/provision/124909813

The explanation of how nurses apply the selected theory in part A to   plan excellent nursing practices is logical.

A2. https://lrps.wgu.edu/provision/124909813

The discussion of how the theory from part A fits the candidate’s   professional practice is relevant, and it accurately addresses the identified   theory.

B. https://lrps.wgu.edu/provision/124909185

The contributions of 2 historical nursing figures in the nineteenth or   twentieth century is identified.

B1. https://lrps.wgu.edu/provision/124909185

The comparison accurately addresses the differences in the   contributions of the 2 historical figures identified in part B and is logical   and well supported.

B2. https://lrps.wgu.edu/provision/124909269

The description of how the contributions of the 2 historical nursing   figures have influenced the candidate’s nursing practice is accurate.

C. https://lrps.wgu.edu/provision/124909391

The explanation of the functional differences between the State Board   of Nursing and the ANA is accurate and well supported.

C1. https://lrps.wgu.edu/provision/124909391

The definition of the roles of the State Board of Nursing and the ANA   is provided and supported.

C2. https://lrps.wgu.edu/provision/124910128

The explanation of how the State Board of Nursing and the ANA   influence the candidate’s nursing practice is accurate and relevant.

C3. https://lrps.wgu.edu/provision/124910128

The explanation of the requirements for professional license renewal   in the candidate’s state is accurate and well supported.

C3a. https://lrps.wgu.edu/provision/124910128

The discussion of the consequences of failure to maintain license in   the candidate’s state is accurate.

C4. https://lrps.wgu.edu/provision/124909391

The comparison accurately addresses the differences between registered   nursing license requirements in a compact state versus a non-compact state   and is well supported.

D. https://lrps.wgu.edu/provision/124914320

The discussion of the functional differences between the given   agencies is accurate and well supported.

D1. https://lrps.wgu.edu/provision/124914320

The discussion of how the regulatory agencies influence the   candidate’s professional nursing practice is relevant.

D1a. https://lrps.wgu.edu/provision/124914320

The discussion of the candidate’s role as a patient advocate in   promoting safety when the patient has selected an alternative treatment is   relevant.

E. https://lrps.wgu.edu/provision/124909391

The discussion of the purposes of the Nurse Practice Act and its   influence on the candidate’s professional practice is accurate and well   supported.

E1. https://lrps.wgu.edu/provision/124909391

The discussion of the scope of practice for an RN in the candidate’s   state is logical and well supported.

E2. https://lrps.wgu.edu/provision/124909391

The discussion of how the candidate’s state defines delegation for the   RN is logical and well supported.

F. https://drive.google.com/file/d/0B2zUu4WEvTZ4eWsxa0Zia1JMeDg/edit

The discussion of the application of each nursing role to the candidate’s professional practice is   relevant.

G. https://lrps.wgu.edu/provision/124910272

2 provisions from the American Nurses Association (ANA) Code of Ethics   are accurately identified.

G1. https://lrps.wgu.edu/provision/124910272

The analysis accurately addresses how the 2 provisions identified in   part G influence the candidate’s professional nursing practice and the   analysis is reasoned.

G2. https://lrps.wgu.edu/provision/124910530

The description of a nursing error in a clinical practice example is   relevant.

G2a. https://lrps.wgu.edu/provision/124910272

The explanation of how the ANA provisions in part G can be applied to   the error from part G2 is relevant.

H. https://lrps.wgu.edu/provision/124913469

4 leadership qualities or traits that represent excellence in nursing   are identified, and are appropriate for a nursing practice.

H1. https://lrps.wgu.edu/provision/124913469

The discussion of how the nurse uses the identified leadership   qualities or traits in part H includes each   of the 4 traits, includes each of   the given roles, and it is relevant.

H2. https://lrps.wgu.edu/provision/124913469

The submission identifies of how the work environment is impacted, and   provides relevant details and examples of how each given point is impacted.

I. https://lrps.wgu.edu/provision/71484321

The submission includes in-text citations and references for content   that is quoted, paraphrased, or summarized and demonstrates a consistent   application of APA style.

J. https://lrps.wgu.edu/provision/27641407

Content reflects attention to detail, is organized, and focuses on the   main ideas as prescribed in the task or chosen by the candidate. Terminology   is pertinent, is used correctly, and effectively conveys the intended   meaning. Mechanics, usage, and grammar promote accurate interpretation and   understanding.

Write a 175-word summary explaining the definitions in your own words and give an example of applying each term to a leadership situation.

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Week 3 discussion Leading and Managing in Nursing, Ch . 9, 10, 23–25 Read the following from Leading 

Week 3 discussion

Leading and Managing in Nursing, Ch. 9, 10, 23–25

Read the following from Leading and Managing in Nursing:

Ch. 9: Cultural Diversity in Health Care

Ch. 10: Power, Politics, and Influence

Ch. 23: Conflict: The Cutting Edge of Change

Ch. 24: Managing Personal/Personnel Problems

Ch. 25: Workplace Violence and Incivility

Defining Culturalism

Nurse leaders must work with staff to foster respect for varied lifestyles. Showing respect to all patients and colleagues, irrespective of their cultural differences, tells staff that differences are valuable. This exercise is designed to introduce key principles nurse leaders must address in leading and managing diverse groups.

Use Google Scholar™, Leading and Managing in Nursing, or the University Library to define multiculturalism, cross-culturalism, and transculturalism.

Write a 175-word summary explaining the definitions in your own words and give an example of applying each term to a leadership situation. For example, think of a time in your practice when you, as a leader, or your leader used multiculturalism to promote inclusion among colleagues or patients.

Local campus students: Prepare to present and discuss your summary in the next class meeting.

Online students: Post your summary and respond to at least one classmate's post.

Care of Diverse Populations

One way of ensuring respect for all patients and staff is to consider how an individual's point of view, past experiences, and background affect their decisions or how they approach situations. This activity is designed to demonstrate how different organizations operationalize culturally competent care.

Think about the organization where you currently practice or one where you practiced in the past.

Does the organization have programs related to cultural/social diversity, either with relation to patient care or in understanding team dynamics?

What do the programs entail? When were you exposed to them?

If programs do not currently exist, explain why you think that is and suggest ways for your organization to integrate awareness of social and cultural diversity into the culture.

Write a 175-word summary.

Local campus students: Prepare to present and discuss your summary in the next class meeting.

Online students: Post your summary and respond to at least one classmate's post.

Assignment adapted from Leading and Managing in Nursing (Ch. 21), by Patricia S. Yoder-Wise, 2015, St Louis, MI: Elsevier. Copyright 2015 by Elsevier. Adapted with permission.

Ebook Central™ Bookshelf: Critical Conversations

Effective communication is essential to addressing challenges at all levels of an organization. This activity is designed to introduce communication strategies to work through the critical conversations that happen frequently in nursing. This text from Sigma Theta Tau is an item you can add to your leadership toolbox for future use.

Add the following book to the Ebook Central™ bookshelf you created in NSG/302: Professional Contemporary Nursing Role and Practice.

Clancy, C. (2014). Critical conversations in healthcare: Scripts and techniques for effective interprofessional and patient communication. Indianapolis, IN: Sigma Theta Tau.

Note: If you have not created a bookshelf, access the Ebook Central™ website from the Student Resources website and visit the help page to learn how to create your account and use your bookshelf.

Read the Preface, Introduction, and Ch. 1.

Use the Critical Conversations graphic organizer to create a one-page sheet to review when you need to have a critical conversation.

Exercising Power

Nurses use power to influence others in an effort to achieve goals. This activity is designed to encourage you to think about all the different ways you can use power to influence patients and colleagues to improve outcomes and the workplace environment.

Review Theory Box: Sources of Power on page 171 of Leading and Managing in Nursing by clicking the Discussion tab.

Give an example of how a nurse can exercise each kind of power:

Personal

Expert

Position

Perceived

Information

Connections

Write a 175-word summary.

Local campus students: Prepare to present and discuss your summary in the next class meeting.

Online students: Post your summary and respond to at least one classmate's post

Conflict Self-Assessment

Workplace conflict is unavoidable. Although it tends to have a negative connotation, it can be a positive catalyst for change. Conflict can and should be effectively managed by everyone at every level of the organization. This self-assessment is designed to make you more aware of how you could and do handle conflict at work.

Complete the Conflict Self-Assessment from Box 23-2 of Leading and Managing in Nursing by clicking the Exploration tab.

Read boxes 23-3–23-8 to see some of the appropriate uses for each approach. As you read, think about times when you have applied each approach effectively or ineffectively.

Bullying and Lateral Violence

Part of a nurse leader's responsibility is to create an environment that fosters creativity, innovation, and success. This activity is designed to show you some of the resources that are available to leaders looking for information to address and improve bullying and violence in the workplace.

Review the Incivility, Bullying, and Workplace Violence web page from the American Nurses Association website.

Write a 95-word summary in which you:

Explain and summarize two tools or resources.

Explain how you will use the material to address organizational issues or promote positive change at your facility.

Local campus students: Prepare to present and discuss your summary in the next class meeting.

Online students: Post your summary and respond to at least one classmate's post.

FIRST MESSAGE #1

COMMUNICATION

1. We all have a primary style in communicating – one style tends to be more dominant than others. Think about your primary and secondary interactions styles. How do they impact your communication with others – e.g., supervisor, patients, and friends?

FIRST MESSAGE #2

INTERPERSONAL SKILLS

1. Can teams function effectively with nurses who have great clinical skills but very poor interpersonal skills? Explain and support your answer.