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The United States Supreme Court is the highest federal judicial system with ultimate appellate jurisdiction over federal court cases. Once the supreme court makes its final judgment, no other body can overturn it. The number of cases taken to the Supreme Court is limited because it deals with the most sensitive matters (Greenberg et al., 2020). Dobbs v. Jackson Women’s Health Organization is among the recent cases handled by the Supreme Court. Supreme Court rejected the previous court decision and gave states the power to regulate abortion after arguing that there is no federal right to abortion in the American Constitution (Lambert et al., 2023). This case was appealed severally before it reached the Supreme Court. Supreme Court judges revised the decisions made before by lower courts. This law presented national implications since the American states were given the power to enact their regulations regarding the same since abortion rights are not protected by the federal constitution. After the Supreme Court decision, many states have established new laws prohibiting abortion.

As a medical professional, I do not support this decision because I believe it was influenced by the political environment rather than findings from clinical studies and scientific facts. Once a supreme court decides, the likelihood of overturning the decision is minimal. Women can seek medical abortion due to many personal matters, and as we respect the patient’s autonomy, women’s decisions should be respected. Our constitution protects the right to privacy under the 14th Amendment. Thus, any woman's decision to seek an abortion should be treated like a privacy right and not be exposed without consent or permission. Therefore, it would be better if the supreme court revised and reversed this decision.

References

Greenberg, E.S., Page, B.I., Doherty, D. Minkoff, S.L., & Ryan, J. M. (2020). 
The struggle for democracy. (2018 elections and updates ed.). Pearson.

Lambert, S. J., Horvath, S. K., & Casas, R. S. (2023). Impact of the Dobbs decision on medical education and training in abortion care. 
Women's Health Issues.

identify at least 3 key concepts from the selected part of the textbook and provide clear and correct explanations. Writing shows a clear logical link between those concepts. Synthesize information from multiple sources (lectures, readings, activities) and derive a conclusion in your own words. The terminology used is clearly defined. 

suggesti an additional perspective on what it means to be a nurse with a practice doctorate, offer support to the expectations with obtaining the degree that your colleague posted, or expand upon your colleague’s post. Use 2 references 

The Doctor of Nursing Practice (DNP) degree has only been available to nursing scholars since 2004.  It was deemed necessary by the American Association of Colleges of Nursing (AACN) because “changing demands of this nation’s complex healthcare environment require the highest level of scientific knowledge and practice expertise to assure quality patient outcomes” (American Association of Colleges of Nursing, 2023).  Because the degree is relatively new, the significance of the DNP is not yet widely understood.  A recent study determined that “DNP-prepared nurses typically function as APRNs in clinical care or as health care system leaders, while there is a low number of DNPs in clinical practice settings” (Beeber et al., 2019).  That being said, there is a great opportunity here for the DNP-prepared nurses of the future.  Tussing (2018) identified that there is “great potential for innovation around new care delivery models, interdisciplinary projects, and community involvement for a healthier society” if healthcare leaders consider the potential of redesigning or creating new roles for the DNP-prepared nurse.

Expectations of Doctor of Nursing Practice versus Doctor of Philosophy in Nursing

            The DNP degree is founded in nursing practice whereas a Ph.D. in nursing is rooted in research and teaching.  I chose to pursue the DNP because I believe it will allow me to effect social change on a larger scale and I enjoy the clinical side of nursing.  As a DNP-prepared nurse, I will “hold a broad foundation of knowledge from nursing, ethics, psychosocial and biophysical sciences, as well as from organizational and change theories” (Hartjes et al., 2019).  My professional goal is to serve as a Healthcare organization’s Chief Nursing Officer (CNO).  Nurses who hold a Ph.D. tend to pursue research opportunities or serve as professors at Universities.  Obtaining my DNP aligned with my professional goal of becoming a CNO.  Additionally, Walden University offers an executive nursing track which will set me up for success.

                                        Addressing a Gap in Practice

            As a nurse executive, it will be my role to identify and address gaps in practice.  At my current organization, one gap I will address is the workflow of admitting patients.  I work at an inpatient psychiatric hospital.  The current practice is that patients arrive to the hospital via ambulance and are rolled directly onto the unit.  There is minimal communication between the intake department, which accepts the patient, and the nurses who receive the patient on the floor.  I aim to create an admissions unit that will house the intake department.  This will help facilitate communication and create a better experience for the patient. 

                                                  References

American Association of Colleges of Nursing. (2023). Fact sheet: The Doctor of Nursing Practice (DNP). https://www.aacnnursing.org/Portals/0/PDFs/Fact-Sheets/DNP-Fact-Sheet.pdfLinks to an external site.

      Beeber, A. S., Palmer, C., Waldrop, J., Lynn, M. R., & Jones, C. B. (2019). The role of Doctor of Nursing Practice-prepared nurses in practice settings. Nursing Outlook, 67(4), 354–364. https://doi.org/10.1016/j.outlook.2019.02.006Links to an external site.

Hartjes, T. M., Lester, D., Arasi-Ruddock, L., McFadden Bradley, S., Munro, S., & Cowan, L. (2019). Answering the question: Is the Doctor of Philosophy or Doctor of Nursing Practice right for me? Journal of the American Association of Nurse Practitioners, 31(8), 439–442.               https://doi.org/10.1097/JXX.0000000000000273

Tussing, T., Brinkman, B., Francis, D., Hixon, B., Labardee, R., & Chipps, E. (2018). The impact of the Doctorate of Nursing practice nurse in a hospital setting. The Journal of Nursing Administration, 48(12), 600–602. https://doi.org/10.1097/NNA.0000000000000688

PLEASE RESPOND TO THE FOLLOWING IN 50 WORDS OR MORE:

My thoughts on trends in nursing have shifted a bit since week 1. A topic I addressed was nurse-to-patient ratios and how they are incompatible with providing the best care to patients. Although that issue still proves to be a problem, I feel more informed on the causes and effects of this trend. I’ve learned about legislative and environmental factors that come into play. Funding for institutions is limited and in order to address this issue properly, we must be informed and have background knowledge of the people we are appointing who make the decisions to allocate health care funds. Also, being more inclusive when giving positions in higher departments would be helpful. Nurses should have access to take on more leadership roles to be able to be involved in decision making. Nurses have first hand knowledge on what is needed on the floor. They understand the resources needed and they also can advocate for nurses who come from different backgrounds or have different levels of expertise. All in all, I have a better understanding of why this problem exists and also the ways in which we could actively rectify the situation.