WEEK 6 MSN 5300

 Mixed methods research designs combine quantitative and qualitative research methods to answer research questions requiring both perspectives. Describe the pros and cons of a mixed method research design. Please include 400 words in your initial post with two scholarly references.

Attached you can find the rubric to following

annual wellness check up

in a maximun of 500words describe why an annual wellness check out is an important way of preventive care and why screenings tests are performed. Base on the united states preventive care task force specify which tests are ordered on a wellness visit for a 55 years old male who has not have an check up since the last 10 years, what education and recommendations would you provide. Use APA 7 format and support with scholarly references no older than 5 years old.

W2 D see attachment

Chamberlain



NR506NP-63763



Modules




Week 1

Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study

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: 

1. What are the potential ethical and legal implications for each of the following practice members? 

· Medical assistant

· Nurse Practitioner

· Medical Director

· Practice

2. What strategies would you implement to prevent further episodes of potentially illegal behavior? 

3. What leadership qualities would you apply to effect a positive change in the practice?  Be thinking about the culture of the practice.

4. A scholarly resource must be used for EACH discussion question each week.

An Advocate campaign

 

To Prepare:

  • Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.

Resources:

 

 The Assignment: (1- to 2-page Legislation Grid; 1-page Legislation Testimony/Advocacy Statement)Be sure to add a title page, an introduction, purpose statement, and a conclusion. This is an APA paper.Part 1: Legislation GridBased on the health-related bill (proposed, not enacted) you selected, complete the Legislation Grid Template. Be sure to address the following:

  • Determine the legislative intent of the bill you have reviewed.
  • Identify the proponents/opponents of the bill.
  • Identify the target populations addressed by the bill.
  • Where in the process is the bill currently? Is it in hearings or committees?

Part 2: Legislation Testimony/Advocacy StatementBased on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:

  • Advocate a position for the bill you selected and write testimony in support of your position.
  • Explain how the social determinants of income, age, education, or gender affect this legislation.
  • Describe how you would address the opponent to your position. Be specific and provide examples.
  • At least 2 outside resources and 2-3 course specific resources are used.

 

Case 1 and 2- 5600

Students must review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

Case Study 1 & 2 topics change every semester. Topics will be determined at due time for this semester

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use a past students work as all files submitted in this course are registered and saved in turn it in program.

Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy-paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

All answers to case studies must-have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study

***On case study one I need the anemia to be classified as well as the cause of the anemia.

Replies 5600L

 Replies these works with 200 each ones  Please include scholarly reference.  

1.The far-reaching consequences can be the results of unethical behaviors both in a nursing master’s program and in the nursing practice. This applies both to the involved individuals and the healthcare system as a whole. This discussion aims at comparing and examining the consequences of unethical behavior with one example for each case (setting).

Unethical Behavior in a Nursing Master’s Program

Example: Plagiarism in a Nursing Research Assignment

Consequences

Impact on Future Nursing Practice: In a Master’s program, if unethical behavior goes undetected, it can lead to long-lasting consequences on the future practice of a nurse. There is an expectation of nurses to provide evidence-based care and uphold high ethical standards. Amal et al. (2022), state that in case a nurse has not learned how important it is to observe ethical conduct during their education, they may jeopardize the safety of patients because of ethical violations in their clinical practice.

Loss of Profession and Trust: Trust among faculty members and peers is eroded by ethical lapses like plagiarism (Amal et al., 2022). In the field of nursing where nurses collaborate closely with colleagues, trust is paramount. This is because they depend on accurate information to make providence of effective and safe patient care. Professional relationships may be impacted by loss of trust in an educational setting, hindering the networking opportunities.

Academic Consequences: According to Amal et al. (2022), in any educational setting, plagiarism is a severe ethical breach, including nursing Master’s programs. The integrity of a student’s education is undermined when the student engages in plagiarism. Academic penalties like failing assignments or expulsion from the program can be the results of plagiarism in many institutions. The academic reputation of a student can be damaged as well as the progress.

Unethical Behavior in Nursing Practice

Example: Medication Theft by a Registered Nurse

Consequences

Ethical and Legal Repercussions: Severe legal consequences can be the results of engaging in unethical behavior in nursing practice, like theft. According to Ahtisham et al. (2020), the nurses who are found guilty of such actions can face civil lawsuits, loss of their nursing license, and face criminal charges. The difficulty in finding future employment in the healthcare field can be the lasting professional and personal consequences that these legal and ethical repercussions can have (Ahtisham et al., 2020).

Patient Safety: Medication theft, which is an unethical behavior in nursing practice, can endanger patient safety in a direct manner. Medication errors, delayed treatment, and incorrect dosages can be the results when a nurse steals medications meant for patients (Ahtisham et al., 2020). These errors can lead to patient harm, including worsening conditions, adverse reactions, or even death.

Damage to the Nursing Profession: The entire nursing profession of a nurse is negatively reflected by unethical behavior. The reputation of the profession as a whole can be tarnished alongside loss of trust in nurses by patients and their families. The end result of this can be reduced willingness by people to follow medical advice or seek healthcare services, which has societal implications that are broader for public health – Ahtisham et al. (2020).

Conclusion

In summary, serious consequences can be the results of unethical behavior in both nursing practice and nursing Master’s programs. In the educational setting, it can damage future professional success and hinder academic progress. In the clinical setting, it directly impacts the overall reputation of the nursing profession, legal standing, and patient safety. Therefore, for the well-being of both students and patients, it is essential to address and prevent unethical behavior since ethical conduct and integrity are fundamental to nursing.

2. Ethics is an essential element of nursing education. In most cases, ethical standards in nursing ensure that nursing faculties are guided by provided clinical and accreditation standards and regulations to guarantee quality education for nursing students in line with nursing practice competency. In practice, nurses also rely on ethical guidelines to make difficult decisions and decide on dilemmas.

In the nursing Master’s program, one unethical behavior can be the falsification of research data. Falsification of research data refers to the action of making up false data to be used in a student’s research project (Bassey & Owan, 2019). In most cases, student’s research projects are based on real research scenarios and can be used in nursing practice. This implies that the research should be conducted with utmost honesty using real data from real clinical scenarios. However, when such data is fake, the integrity and results of the project are undermined. This creates room for inaccurate results, which also undermines the credibility of the master’s program. Also, suppose the project is published, its application in the health sector can be quite detrimental to public health and to the research community’s goal of safe care for all. Thus, it is crucial for nursing programs to keenly monitor students to engage them in a practical manner whereby they can see the essence of conducting credible research and not using falsified data.

In nursing practice, one unethical behavior can be a situation where nurses’ personal beliefs interfere with their ability to care for their patients (Kwame & Petrucka, 2021). Although nurses can decline to take part in the care of patients when their religious beliefs are conflicted, they cannot refuse to care for such patients from discrimination. For example, when presented with patients who abuse drugs or alcohol, some nurses can feel morally upset, but this should not be the grounds for declining to care for such patients. In most cases, nurses who feel affected may object to such care. However, they can always make arrangements with their supervisors and coworkers to ensure such patients receive the care they need. The most significant consequence of this is that the patients may not receive the necessary care, and this may compromise their ability to recover from the illness. In other cases, the conflict of beliefs may also compromise patient education, whereby the nurse will provide inadequate information regarding personal care and the recovery process for the patient, thus ensuring misinformation on the patient’s side.

In conclusion, ethics is essential in nursing programs and practice since it provides guidelines and standards of practice to ensure patient care is effective. However, without regard to ethical standards, the care of patients may be gravely compromised. Nursing programs should monitor students to ensure they follow acceptable standards as this will provide room for better clinical practice.

Prioritize

You have been assigned 4 patients on an Intermediate Medical Care Unit. Two of the patients are post myocardial infarctions at various stages of their infarctions with multiple types of arrhythmias, the third patient is having drastic blood sugar fluctuations 218 down to 50 within minutes and its rebounds back up with changes in mentation and the fourth is reported to be having frequent TIA’s. One of the MI patients is having some dizziness and your TIA patient is presenting signs of impending stroke.

How would you prioritize your assessments and activities? How would you describe your critical thinking process and how do you organize and prioritize implementation of care?

At least one full page with proper APA formatting

Article Review

Article Review on two nursing articles, I already picked them. In APA format, provide a summary/paraphrase of both articles and a review/evaluation and opinion on both articles. Provides minimum of 150-250 words with word count noted following annotated bib notation for each of the provided
articles.

Assigment .Apa seven . All instructions attached.

  

Addiction/Screening and Assessment (Case Presentation).         

Using the *Biopsychosocial Addiction Assessment* create  a case presentation to share with your classmates. Please use a  narrative form that lines up with the same way that you use to document  your patient’s visits in your clinical rotations.