Advanced registered nurse practitioners
Welcome to Samples pAdvanced registered nurse practitioners (ARNPs) have to consider a broad range of factors when prescribing medicines. For instance, professionals in this area have to consider federal and state laws that regulate their practices. The focus on controlled substances is particularly important because registered nurses have a responsibility to prevent fraud and diversion (Klein, 2016). ARNPs have the authority to prescribe Schedule II, Schedule III, and Schedule IV drugs if they pass certification (Florida Board of Nursing, 2016). It is imperative to prevent tampering to prevent abuse and negative health effects when prescribing such substances. Similarly, nurses have to identify behavioral red flags and demonstrate outstanding communication skills when dealing with scammers (Klein, 2016).
Advanced practice nurses have to deal with a set of barriers that limit their ability to prescribe medicines. First of all, ARNPs have to consider such factors as state licensure and regulations. The situation has improved over the years, and such organizations as the American Association of Nurse Practitioners (AANP) seek to improve the prescriptive authority of nurse practitioners. Nevertheless, nurse practitioners have to deal with such issues as supervision and delegation. It is also noted that physician professional organizations believe that it is necessary to limit the scope of nursing practice because of such factors as the overall quality and safety of care (Hain & Fleck, 2014). Available research indicates that most of the concerns voiced by the opponents of unrestricted prescriptive authority are unreasonable. It is also suggested that payer policies affect the ability of registered nurses to prescribe medicines because of low reimbursement rates (Hain & Fleck, 2014). The situation is challenging because both public and private payers often prevent nurse practitioners from practicing independently. It may be beneficial to cooperate with policymakers to address the problem and eliminate the barriers that have an adverse effect on advanced practice nurse prescribers.
References
Florida Board of Nursing. (2016). Important legislative update regarding HB 423. Retrieved from https://floridasnursing.gov/new-legislation-impacting-your-profession/
Hain, D., & Fleck, L. M. (2014). Barriers to nurse practitioner practice that impact healthcare redesign. OJIN: The Online Journal of Issues in Nursing, 19(2). DOI: 10.3912/OJIN.Vol19No02Man02
Klein, T. (2016). Legal and professional issues in prescribing. In T. M. Woo, & M. Robinson (Eds.), Pharmacotherapeutics for advanced practice nurse prescribers (4th ed.) (37-50). Philadelphia, PA: F. A. Davis Company.
Advanced Practice Nurses (APRNs) as health professionals, are tasked with the responsibility to care for and safeguard the health and safety of patients. One duty of care owed by APRNs is on ethical and legal prescribing of medication. APRNs are expected to adhere to strict standards of prescribing, which serve the needs of the patient, minimize medical errors as well as maintain high levels of professionalism and accountability (Mitchell & Oliphant, 2016). In 2007, the World health Organization (WHO), outlined 7 guidelines which were meant to serve as a universal regulatory framework for ethical prescribing for all health practitioners, including APRNs. They are as follows: (1)Evaluate and define the patient’s problem; (2) Determine the therapeutic objective of the drug therapy; (3) Select an appropriate medication; (4) Provide patients with information, warnings and instructions; (5) Monitor the patient regularly; (6) Consider drug costs when prescribing and (7) Use appropriate tools, such as prescribing software and electronic drug references, to reduce prescription errors.
While the role of APRNs has been extended to include drug prescription, the independence to do so is not absolute. The primary barrier to APRN prescribing involves state practice and licensure (Hain & Fleck, 2014). Only 22 states so far have given full independence to APRNS to prescribe to patients. In the majority of states, including Florida, APRNs can only prescribe with the supervision or collaboration of a qualified physician. Another major barrier lies in the lack of physician cooperation and goodwill. The American Medical Association for instance, is yet to accept and support APRNs as capable of handling independent practice (Hain & Fleck, 2014). Thirdly, APRNs grapple with a physician-biased insurance system that discriminates against nurse practice. Several payer policies and reimbursement models in various states fail to recognize nurse practitioners as primary care providers, thereby affecting the extent of APRN practice including prescription (Altman et al.,2016).
References
Altman, S. H., Butler, A. S., Shern, L., & National Academies of Sciences, Engineering, and Medicine. (2016). Removing Barriers to Practice and Care. In Assessing Progress on the Institute of Medicine Report the Future of Nursing. National Academies Press (US).
Hain, D., & Fleck, L. (2014). Barriers to nurse practitioner practice that impact healthcare redesign. OJIN: The Online Journal of Issues in Nursing, 19(2).
Mitchell, A., & Oliphant, C. M. (2016). Responsibility for Ethical Prescribing. The Journal for Nurse Practitioners, 12(3), A20age
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The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.
Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.
In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored
Include the following in your presentation:
Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.
Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.
Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.
Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center
Servant Leadership
Create a graphic representation to illustrate the similarities and differences between the servant leadership principles of Greenleaf and those in the Bible passages.
Write at least 750-word summary of how both Greenleaf and the Bible call people to serve, and discuss how one feels when called to serve as a leader. In your summary, include discussion of the following:
Similarities and differences between Greenleaf's servant leadership and the Bible passages.
Describe how this will impact your personal approach to leadership.
The idea that power comes from giving it away and putting oneself in the position to serve others. Using Matthew 20:20-28 and Greenleaf's principles of servant leadership as a basis, explain how taking the role of a servant can make one a leader.
Provide specific examples from scripture and supporting citations from the readings related to Greenleaf's principles of servant leadership to strengthen your ideas and claims.
Submit your graphic representation and written response as a single Word document, not as a PDF.
End of Life Decisions
George is a successful attorney in his mid-fifties. He is also a legal scholar, holding a teaching post at the local university law school in Oregon. George is also actively involved in his teenage son’s basketball league, coaching regularly for their team. Recently, George has experienced muscle weakness and unresponsive muscle coordination. He was forced to seek medical attention after he fell and injured his hip. After an examination at the local hospital following his fall, the attending physician suspected that George may be showing early symptoms for amyotrophic lateral sclerosis (ALS), a degenerative disease affecting the nerve cells in the brain and spinal cord. The week following the initial examination, further testing revealed a positive diagnosis of ALS. ALS is progressive and gradually causes motor neuron deterioration and muscle atrophy to the point of complete muscle control loss. There is currently no cure for ALS, and the median life expectancy is between 3 and 4 years, though it is not uncommon for some to live 10 or more years. The progressive muscle atrophy and deterioration of motor neurons leads to the loss of the ability to speak, move, eat, and breathe. However, sight, touch, hearing, taste, and smell are not affected. Patients will be wheelchair bound and eventually need permanent ventilator support to assist with breathing. George and his family are devastated by the diagnosis. George knows that treatment options only attempt to slow down the degeneration, but the symptoms will eventually come. He will eventually be wheelchair bound and be unable to move, eat, speak, or even breathe on his own. In contemplating his future life with ALS, George begins to dread the prospect of losing his mobility and even speech. He imagines his life in complete dependence upon others for basic everyday functions and perceives the possibility of eventually degenerating to the point at which he is a prisoner in his own body. Would he be willing to undergo such torture, such loss of his own dignity and power? George thus begins inquiring about the possibility of voluntary euthanasia.
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 understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview.
Based on ""Case Study: End of Life Decisions,"" the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George's situation and his decision from the perspective of the Christian worldview.
Provide a 1,500-2,000-word ethical analysis while answering the following questions:
How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world?
How would George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection?
As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person?
What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?
Based on the values and considerations above, what options would be morally justified in the Christian worldview for George and why?
Based on your worldview, what decision would you make if you were in George's situation?
Remember to support your responses with the topic study materials.
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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Culture in Nursing Week
,"Please present an essay discussing the Purnell model its framework, assumptions which the model is based and how this model helps us to provide cultural competence health care.
You must present a minimum of two evidence-based references no older than 5 years to sustained your essay. A minimum of 2 replies to any of your peers sustained with the proper references are required and a minimum of 500 words excluding the first and reference page.
plagiarism free
APA style
public speaking
You are planning to deliver a speech to a group of college freshmen on the topic of how to stick to a budget. Identify the type of introductory and concluding techniques that would be the most effective for this speech, and explain your reasoning
: Community Health Nursing in Context Community Assessment and Population Health Problems
Read chapters 1, 2 & 6 of the class textbook and review the attached PowerPoint presentations once done, answer the following questions.
1. Compare and contrast the definitions of health from a public health nursing perspective and list and explain the, three levels of prevention and give an example of each one.
2. Mention and discuss community/public health nursing interventions as explained by the intervention Wheel.
3. Describe and explain the process of conducting a community health assessment and identify and discuss the uses for epidemiological data at each step of the nursing process.
4. Compare the application of the public health principles to the nation's major health problems at the turn of the twentieth century (i.e. acute disease) with the beginning of the twenty-first century (i.e. chronic disease) and mention and discuss the major contemporary issues facing community/public health nursing, and trace the historical roots to the present.
As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 1 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard which is a mandatory requirement. A minimum of 2 evidence-based references (besides the class textbook) no older than 5 years must be used. 700 words except first page and reference
Mental Health
Identify three areas to assess when working with a person who has been sexually assaulted.
Formulate two long-term outcomes and two short-term goals for the nursing diagnosis post-trauma syndrome
Cultural Influences of Social Policy
Cultures, regardless of where they are or how long ago they existed, share a few common characteristics. Among these characteristics is a structure to care for their children and to socialize them in the culture. Children are taught, both directly and indirectly, the values of the culture, their role in the culture, and the expectations the culture has for them. Children absorb the rules, dynamics, and values, which they will later pass these on to subsequent generations.
As a social worker, you will deal with families from different cultural backgrounds. Understanding the cultural background of the families you work with will help you to effectively intervene and advocate for policies that support their needs. How prepared are you to identify and advocate for social policies that are just and support families from all cultures?
For this Discussion, review this week’s resources, including the Hernandez Family video case. Consider how cultural considerations might affect child welfare policy. Then, think about what your responsibilities, as a social worker, might be in supporting the Hernandez family in addressing their child welfare needs through the accessibility of services.
Hernandez Family Episode 3 Program Transcript
JUAN HERNANDEZ: Do you have any idea how hard it is for us to get to these classes? ELENA HERNANDEZ: And there's only one class a week. We don't have a choice when to come. FEMALE SPEAKER: That is why we offer the parenting class at night, to make it easier for working families to attend. ELENA HERNANDEZ: That's fine for some people, but that's when Juan gets his overtime. He can't do both. Every time we come here it costs us. We lose money. And the way things are, we can't afford to lose a dime. FEMALE SPEAKER: I understand that missing overtime is having a big impact on you financially. And I understand what you're saying about the class only being offered one night a week. If we could offer it several times a week, that would probably be more helpful. But in the meantime-- JUAN HERNANDEZ: Look, let's stop dancing around what's really wrong here. We appreciate what you're doing. You want to help parents do a better job with their kids. But we're good parents. We love our kids. Yes, they get punished when they need to be punished, just Elena and I when we were growing up. But we don't hit our boys. We don't hurt them. If anything, you hurt them by making us come here when I could be out there making extra money, money that the family needs. Do you hear me? This class this, whole policy is the real problem. That's what needs to change, not us.
By Day 3
Post an explanation of how cultural considerations might affect child welfare policy. Then, explain what your responsibilities, as a social worker, might be in supporting the Hernandez family in addressing their child welfare needs through the accessibility of services.
Professionalism and Social Media
Social media plays a significant role in the lives of nurses in both their professional and personal lives. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field of nursing.
Login to all social media sites in which you engage. Review your profile, pictures and posts. Based on the professional standards of nursing, identify items that would be considered unprofessional and potentially detrimental to your career and that negatively impact the reputation of the nursing field.
In 500-750 words, summarize the findings of your review. Include the following:
Describe the posts or conversations in which you have engaged that might be considered inappropriate based on the professional standards of nursing.
Discuss why nurses have a responsibility to uphold a standard of conduct consistent with the standards governing the profession of nursing at work and in their personal lives. Include discussion of how personal conduct can violate HIPAA or be considered unethical or unprofessional. Provide an example of each to support your answer.
Based on the analysis of your social media, discuss what areas of your social media activity reflect Christian values as they relate to respecting human value and dignity for all individuals. Describe areas of your social media activity that could be improved.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not 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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance
