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• Identify what emotions are evoked as you consider the Colorado Board of Nursing case stated above?

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Criminal Prosecution for Nursing Practice
Read the following case study and submit a 1- to 2-page essay in a Microsoft Word document using APA 6th edition in response to the questions.
CASE STUDY:
Until recently, the risk of criminal prosecution for nursing practice was nonexistent unless nursing action rose to the level of criminal intent, such as the case of euthanasia leading to murder charges. However, in April 1997, three nurses at the Centura St. Anthony Hospital, outside of Denver, were indicted by a Colorado grand jury for criminally negligent homicide in the death of a newborn. Public records show that one nurse was assigned to care for the baby. A second nurse offered to assist her colleague in caring for the baby. A third nurse was a nurse practitioner in the hospital nursery. Because the baby was at risk for congenital syphilis, the physician ordered that the nurses give 150,000 units of intramuscular penicillin, which would have required five separate injections.
In relation to other problems the same day, the baby was subjected to a lumbar puncture, which required six painful attempts. To avoid inflicting further pain, nurse two asked the nurse practitioner whether there was another route available for the administration of the penicillin. Nurse two and the nurse practitioner searched recognized pharmacology references and determined that intravenous administration would be acceptable. The nurse practitioner had the authority to change the route and directed nurse two to administer the medication intravenously rather than intramuscularly. Unrecognized by the nurses, the pharmacy erroneously delivered the medication, prepared and ready to administer, in a dose ten times greater than was ordered—1.5 million units. As nurse two was administering the medication intravenously, the baby died. The Colorado Board of Nursing initiated disciplinary proceedings against nurse two and the nurse practitioner, but not against nurse one. The grand jury indicted all three nurses on charges of criminally negligent homicide but did not indict the pharmacist (Calfee & Plum, 1997).
Respond to the following:
• Identify what emotions are evoked as you consider the Colorado Board of Nursing case stated above?
• Should the courts take into consideration the fact that the nurses’ error occurred because they wanted to avoid causing the baby unnecessary pain? Discuss your thinking.
• Can you think of other occupations in which the consequences of unintentional errors have greater legal implications? Discuss your answer.
• How should the nursing profession respond to this frightening new legal threat?
• Which sections of the State Nurse Practice Act did the nurses violate?

 

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Select one public agency and one private agency and differentiate their roles and major activities in addressing cost and quality in health care.

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Paper, Order, or Assignment Requirements In a paper of 500-1,000 words, describe the relationship between health care cost and quality. Address the following: 1. Select one public agency and one private agency and differentiate their roles and major activities in addressing cost and quality in health care. See Topic 4 readings for sources regarding health care agencies. 2. Analyze current and projected initiatives to improve quality while simultaneously controlling costs. Describe any unintended consequences. 3. Synthesize implications for staff nurses and advanced practice nurses, including evidence-based practice, relative to cost and quality.

 

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How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

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Use the chart you completed and the questions you answered in Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment. Answer the following questions about a patient’s spiritual needs in light of the Christian worldview. 1. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean disrespect of a patient’s autonomy? Explain your rationale. 2. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and non-maleficence in James’s care? 3. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

 

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Describe the number and types of articles that were available for consideration.

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A. Write a brief summary (suggested length of 2–3 pages) of the significance and background of a healthcare problem by doing the following:
1. Describe a healthcare problem.

Note: A healthcare problem can be broad in nature or focused.

2. Explain the significance of the problem.
3. Describe the current practice related to the problem.
4. Discuss how the problem impacts the organization and/or patient’s cultural background (i.e., values, health behavior, and preferences).

B. Complete the attached “PICO Table Template” by identifying all the elements of the PICO.
1. Develop the PICO question.

C. Describe the search strategy (suggested length of 1–2 pages) you used to conduct the literature review by doing the following:
1. Identify the keywords used for the search.
2. Describe the number and types of articles that were available for consideration.
a. Discuss two research evidence and two non-research evidence sources that were considered (levels I–V).

Note: Be sure to upload a copy of the full text of the aritcles with your submission

D. Complete the attached “Evidence Matrix” to list five research evidence sources (levels I–III) from scholarly journal sources you locate in major medical databases.

Note: Four different authors should be used for research evidence. Research evidence must not be more than five years old.

Note: You may submit your completed matrix as a separate attachment to the task or you may include the matrix within your paper, aligned to APA standards.

Note: Be sure to upload a copy of the full text of the articles with your submission.

E. Explain a recommended practice change (suggested length of 1–3 pages) that addresses the PICO question within the framework of the evidence collected and used in the attached “Evidence Matrix.”

F. Describe a process for implementing the recommendation from part E (suggested length of 2–3 pages) in which you do the following:
1. Explain how you would involve three key stakeholders in the decision to implement the recommendation.
2. Describe the specific barriers you may encounter in applying evidence to practice changes in the nursing practice setting.
3. Identify two strategies that could be used to overcome the barriers discussed in F2.
4. Identify one indicator to measure the outcome related to the recommendation.

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

 

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