What is the Tuskegee study and why is it important? T

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Respond in an essay of roughly 250-500 words to the following prompt: What is the Tuskegee study and why is it important? Talk about its social significance as well as the impact it has had on the field of medical ethics. Use specific examples and details to support any claims you make. As always, make sure you cite all sources.

attached is the articles , “do as much as you can” situation. You’ll notice that there are sections in each of these books that have the same article, or similar ones referencing the same events or themes. Obviously, you don’t need to read the same things twice. I’m just giving you the extra stuff in case you want it. Enjoy!

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Discuss how the assumptions of the Theory of Humanbecoming can be applied to your daily practice as a registered nurse

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WEEK 7

Discuss how the assumptions of the Theory of Humanbecoming can be applied to your daily practice as a registered nurse. Also discuss if and how you anticipate applying the theory to your practice may change, once you enter advanced practice as either a family nurse practitioner or a nursing leader. Please identify 2-3 specific assumptions related to the theory as outlined in your textbook.

** Students are to write their name and the appropriate discussion number/discussion title in the title bar for each discussion. For example Discussion 1: Micheal Cabrera or Discussion 3: Sheila Smith. This is important in identifying that students are submitting original posts as well as response posts as required. Students must submit their discussions directly onto Blackboard Discussion Board. Attachments submitted as discussion board posts will not be graded. Students may include attachments in their posts as needed but must always write their discussions directly on Blackboard where everyone can see their posts without having to open another application like MS Word or Pages.** As a reminder, all discussion posts must be minimum 250 words, references must be cited in APA format, and must include minimum of 2 scholarly resources published within the past 5-7 years. Please be sure to cite your reference(s) in APA format, at the end of your posting. Students must respond at least to 1 classmate and response posts must be minimum 100 words.

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What components of this policy make it effective?

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Identify three major policy issues that affect the current state of health care delivery and population health equity in the United States. What impact do these population health policies and initiatives have on advanced nursing practice? at least 250 words with one reference no older than 5 years old and intext citation.

DQ2:

Select an effective current health policy that focuses on or affects population health. What components of this policy make it effective? Conduct research on its history and the factors that influenced its development. at least 250 words with one reference no older than 5 years old and intext citation.

What sorts of values and considerations would each religion focus on in deliberating about whether or not George should opt for euthanasia?

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PLEASE FOLLOW EVERY INSTRUCTION. YOU HAVE TO USE THE GRADING RUBRICS TO RESPOND THE ASSIGMENT.. HAS TO BE FREE OF PLAGIARISM.

Details:

The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and acceptance of a diversity of faith expressions.

The purpose of this paper is to complete a comparative ethical analysis of George’s situation and decision from the perspective of two worldviews or religions: Christianity and a second religion of your choosing. For the second faith, choose a faith that is unfamiliar to you. Examples of faiths to choose from include Sikh, Baha’i, Buddhism, Shintoism, etc.

In your comparative analysis, address all of the worldview questions in detail for Christianity and your selected faith. Refer to Chapter 2 of Called to Care for the list of questions. Once you have outlined the worldview of each religion, begin your ethical analysis from each perspective.

In a minimum of 1,500-2,000 words, provide an ethical analysis based upon the different belief systems, reinforcing major themes with insights gained from your research, and answering the following questions based on the research:

How would each religion interpret the nature of George’s malady and suffering? Is there a “why” to his disease and suffering? (i.e., is there a reason for why George is ill, beyond the reality of physical malady?)
In George’s analysis of his own life, how would each religion think about the value of his life as a person, and value of his life with ALS?
What sorts of values and considerations would each religion focus on in deliberating about whether or not George should opt for euthanasia?
Given the above, what options would be morally justified under each religion for George and why?
Finally, present and defend your own view.
Support your position by referencing at least three academic resources (preferably from the GCU Library) in addition to the course readings, lectures, the Bible, and the textbooks for each religion. Each religion must have a primary source included. A total of six references are required according to the specifications listed above. Incorporate the research into your writing in an appropriate, scholarly manner.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Grading Rubrics

How will you use evidence to further improve your nursing informatics knowledge during the next two years of practice?

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Prior to posting, complete the Week 8 AACN Essentials Self-Assessment located in Course Resources. Compare your scores from Week 1 to Week 8. How far have you come? How will you use evidence to further improve your nursing informatics knowledge during the next two years of practice?

What can you do to assist the patient and family during this difficult time?

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Ethical Dilemma Case Stuy – A Jehovah’s Witness refuses a blood transfusion
Submit Assignment
Due Friday by 11:59pm

Points 50

Submitting a file upload

Objective

Demonstrate understanding of professional and ethical responsibility
Demonstrate critical thinking in the application of ethical principles to ethical decision making when presented with an ethical dilemma.

Instructions

Answer the questions at the end of this case study. Write a paper that is 3 to 6 pages in length, created using APA format. Use 1-inch margins, double spaced text, 12-point font, and Times New Roma font. Include a reference page with a minimum of 3 relevant citations or quotations. Create a cover page with student name, title of the course, title of assignment, date, and name/title of instructor.

Submit your paper response to the assignment box on or before the due date. Late responses will not be accepted.

Refer to the grading rubric provided for this assignment

Case Study

“Juana” (fictitious name) a 20-year-old, Black Hispanic female, 32 weeks pregnant, was brought to the emergency department (ED) by the paramedics. She arrived in the ED immobilized on a flat board with a hard cervical collar in place. Juana was the driver of a sedan involved in a single-vehicle collision. She stated she was driving at approximately 60 miles per hour on the highway and suddenly lost control of the vehicle and crashed into a light pole. She also stated her head hit the windshield and shattered the glass. She denied loss of consciousness. Upon her arrival in the ED, Juana was alert and oriented to person, place, and time and had a Glasgow Coma Scale of 15/15. Her initial complaints were lightheadedness, weakness, left shoulder pain, and severe abdominal cramping that started immediately following the car accident. She had a past medical history of sickle cell disease and no previous pregnancies. Her lungs were clear bilaterally. Juana’s heart rate was 90 beats per minute (bpm), her respiratory rate was 28, and her initial blood pressure (BP) was 130/80, and fetal pulse rate was 90. Once the cervical spine films were taken and the flat board was removed, her BP reflected orthostatic changes of 100/60 and pulse of 120 bpm.

Juana was placed on a 100% nonrebreather mask. Peripheral intravenous lines were started bilaterally to replace fluid loss that was indicated by the change in vital signs. It was suspected that she was bleeding internally into her thoracic or abdominal cavity. Blood specimens were drawn and sent to the laboratory. A hemoglobin of 6 g/dl and hematocrit of 21% indicated internal bleeding. Ultrasound showed blood in the amniotic cavity and Doppler confirmed a fetal heart rate of 90 bpm indicating fetal distress. The patient was informed by the medical team of the critical nature of her condition.

The plan of care for her was an immediate blood transfusion and an emergency cesarean section. Matters became complicated when Juana informed the medical team that she was a Jehovah’s Witness and refused the proposed plan of care. The physician then recommended the use of alternative blood products. Juana insisted that this was also against her religion and she refused the alternative treatments being offered. The medical team advised her that Jehovah’s Witnesses could choose certain blood byproducts, such as albumin, cryoprecipitate, and globulin (Watchtower Bible and Tract Society, 2004).

According to Juana and her husband, both believed that if she accepted the blood transfusion or blood products she would no longer be a Jehovah’s Witness and would be condemned to hell. The husband then presented the physician with Juana’s blood card, created by the Watchtower Bible and Tract Society, the governing organization of Jehovah’s Witnesses. The card stated her advance directives, including the prohibition of blood and blood products.

Juana’s condition worsened within 2 hours of admission to the ED. She went into labor and delivered a stillborn baby boy. She was immediately transferred to the intensive care unit where, despite continued aggressive attempts to stabilize her, she went into cardiac arrest and died.

Questions

What is the ethical/legal dilemma presented in this case?
Do you support/oppose Juana’s decision to refuse the blood transfusion?
What ethical principles are involved in this case?
What are the obligations or duties involved in this case?
What are the consequences of each possible action?
What are the proper ethical actions? Support your arguments.
What can you do to assist the patient and family during this difficult time?

Rubric
Ethical Dilemma Jehovah’s Witness refuses blood transfusion
Ethical Dilemma Jehovah’s Witness refuses blood transfusion
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeDefines the ethical dilemma
Excellent
20.0 pts
Good
16.0 pts
Needs improvement
12.0 pts
Unacceptable
0.0 pts
20.0 pts
This criterion is linked to a Learning OutcomeIdentifies stakeholders
Excellent
10.0 pts
Good
6.0 pts
Needs improvement
4.0 pts
Unacceptable
0.0 pts
10.0 pts
This criterion is linked to a Learning OutcomeIdentifies solutions or alternatives
Excellent
25.0 pts
Good
15.0 pts
Needs improvement
10.0 pts
Unacceptable
0.0 pts
25.0 pts
This criterion is linked to a Learning OutcomeCompares and evaluates the ethical arguments
Excellent
20.0 pts
Good
12.0 pts
Needs improvement
8.0 pts
Unacceptable
0.0 pts
20.0 pts
This criterion is linked to a Learning OutcomeProblem solving, critical thining
Excellent
20.0 pts
Good
12.0 pts
Needs improvement
8.0 pts
Unacceptable
0.0 pts
20.0 pts
This criterion is linked to a L

Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care.

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After completing this week’s Practicum Experience, reflect on a patient with a known history of a cardiovascular disorder such as a blood clot or arrhythmia. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. If you did not evaluate a patient with this background during the last four weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences

Explain potential predisposing genetic and environmental factors associated with asthma.

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After completing this week’s Practicum Experience, reflect on a patient with a known history of asthma. Explain potential predisposing genetic and environmental factors associated with asthma. If you did not evaluate a patient with this background during the last 5 weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.

What assets and/or perspectives would each of these stakeholders offer to the process?

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Stakeholders can facilitate the success, or failure, of a strategic plan.

Identifying internal and external stakeholders and building productive relationships should be an intentional and well-conceived part of the strategic planning process. As a nurse leader-manager involved in strategic planning, it is important that you consider who could be impacted by a proposed change and how the change may affect individuals’ roles, responsibilities, and relationships. It is also essential to think about which stakeholders may be able to offer expertise, capital, and/or sway to help exercise the strategic plan and generate buy-in.

In this Discussion, you identify stakeholders who can assist with carrying forward a strategic plan.

Your Instructor has assigned you to a small group for this Discussion. Craft your stakeholder description independently; through the collegial exchange that follows, you will offer each other suggestions for refinement. As in Weeks 2 and 3, use this small group Discussion to delve deeply into the concepts being presented as they are foundational to this course.

To prepare:

Reflect on a planned change effort you have experienced.

Consider the following questions:

How do you think stakeholder involvement may have impacted the outcome of this planned change?
Were the right stakeholders involved? Did the stakeholders help to carry out the plan as needed?
Should other stakeholders have been engaged? If so, how could relationships with additional stakeholders have been cultivated to better support the plan?
How does reflecting on this instance of planned change inform your perspective on what is needed to engage stakeholders to successfully promote other strategic changes?
Review the Mountain View Health Center case study, and reflect on the focus of your postings in the Week 2 Discussion 2 and the Week 3 Discussion.

Conduct additional research as necessary to strengthen your understanding of the process of involving stakeholders in strategic planning and to deepen your thinking about the organization. For instance, you may research organizations with similarities to Mountain View, and examine information related to stakeholder involvement.

Consider the following questions:

Which internal and external stakeholders should be involved in strategic planning related to this case study?
What assets and/or perspectives would each of these stakeholders offer to the process?
What role would each potential stakeholder play in helping to move forward a strategic plan?
When and how should the stakeholders become involved?
How would you cultivate relationships with these stakeholders to produce the best possible results?
How would the appropriate selection of stakeholders and their involvement promote the likelihood of successful adoption and implementation of a strategic plan?
Post a description of internal and external stakeholders who should be involved in strategic planning at Mountain View Health Center. Propose strategies for cultivating relationships with these stakeholders. Explain how their involvement would promote the likelihood of success for the strategic plan.

Read a selection of your colleagues’ responses.

Respond to at least two of your colleagues on two different days by analyzing the selection of stakeholders and the strategies outlined for engagement.

Required Readings

Sare, M. V., & Ogilvie, L. (2010). Strategic planning for nurses: Change management in health care. Sudbury, MA: Jones and Bartlett.

Chapter 6, “Strategic Planning: Why It’s Not Just for the Boardroom Anymore” (pp. 105–115)

Chapter 11, “Eight Cautionary Tales of Strategic Planning” (pp. 215–226)

Note: You are only required to read the “Hail, Hail, the Gang Is Not All Here” section of the chapter this week.

These chapters address stakeholder involvement in strategic planning.

Galunic, C., & Hermreck, I. (2012). How to help employees ‘get’ strategy. Harvard Business Review, 90(12), 24.

Retrieved from the Walden Library databases.

This article addresses the influence of senior management/leadership on employees’ understanding of and commitment to organizational strategy.

Harmon, R. B., Fontaine, D., Plews-Ogan, M., & Williams, A. (2012). Achieving transformational change: Using appreciative inquiry for strategic planning in a school of nursing. Journal of Professional Nursing, 28(2), 119–124.

Retrieved from the Walden Library databases.

The authors discuss stakeholder involvement and other aspects of the strategic planning process engaged in by the University of Virginia School of Nursing.

Murphy-Hoefer, R., Andrade, M. S., Maines, D. E., & Martin, M. (2011). Stakeholder input in establishing an evaluation plan for tobacco counter-marketing campaigns. American Journal of Health Education, 42(2), 66–73.

Retrieved from the Walden Library databases.

As you read this article, consider how stakeholder involvement may contribute to successful strategic planning.

Required Media

Laureate Education (Producer). (2013b). Case study: Mountain View Health Center [Interactive media]. Retrieved from CDN database. (NURS 6241)

This interactive multimedia piece presents a case study of an organization, with information about the types of activities performed there, organizational structure, strategic priorities, and financial allocations. You will use this as a resource for this week’s Discussion

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