Consider the “Four Topics Approach” (or Four Box method) to ethical decision-making on page 61, Table 2.1 in Butts (below). Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.
In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision-making in any way? Does this seem like a valid process for you to apply in your practice? Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.
Review the rubric for further information on how your assignment will be graded.
TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics Cases
Medical Indications: The Principles of Beneficence and Nonmaleficence
1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?
2. What are the goals of treatment?
3. In what circumstances are medical treatments not indicated?
4. What are the probabilities of success of various treatment options?
5. In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?
Patient Preferences: The Principle of Respect for Autonomy
1. Has the patient been informed of benefits and risks, understood this information, and given consent?
2. Is the patient mentally capable and legally competent, and is there evidence of incapacity?
3. If mentally capable, what preferences about treatment is the patient stating?
4. If incapacitated, has the patient expressed prior preferences?
5. Who is the appropriate surrogate to make decisions for the incapacitated patient?
6. Is the patient unwilling or unable to cooperate with medical treatment? If so, why?
Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy
1. What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?
2. On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?
3. Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?
4. What ethical issues arise concerning improving or enhancing a patient’s quality of life?
5. Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?
6. What are plans and rationale to forgo life-sustaining treatment?
7. What is the legal and ethical status of suicide?
Contextual Features: The Principles of Justice and Fairness
1. Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?
2. Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?
3. What are the limits imposed on patient confidentiality by the legitimate interests of third parties?
4. Are there financial factors that create conflicts of interest in clinical decisions?
5. Are there problems of allocation of scarce health resources that might affect clinical decisions?
6. Are there religious issues that might influence clinical decisions?
7. What are the legal issues that might affect clinical decisions?
8. Are there considerations of clinical research and education that might affect clinical decisions?
9. Are there issues of public health and safety that affect clinical decisions?
10. Are there conflicts of interest within institutions and organizations (e.g., hospitals) that may affect clinical decisions and patient welfare?
Source: Jonsen et al., 2010
Rubric
NURS_521_DE – Paper/Essay Rubric (1)
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeContent
20 to >17.2 ptsProficient
The writer clearly and effectively responds to the assignment.
17.2 to >15.0 ptsApproaches Proficiency
The response to the assignment is generally adequate, but may not be thorough.
15 to >0 ptsDoes Not Meet Expectations
The writer does not respond to the assignment.
20 pts
This criterion is linked to a Learning OutcomeFocus and Detail
18 to >15.48 ptsProficient
There is one clear, well-focused topic. Main ideas are clear and are well supported by detailed and accurate information.
15.48 to >13.5 ptsApproaches Proficiency
There is one clear, well-focused topic. Main ideas are clear but are not well supported by detailed information.
13.5 to >0 ptsDoes Not Meet Expectations
The topic and main ideas are not clear.
18 pts
This criterion is linked to a Learning OutcomeOrganization
14 to >12.04 ptsProficient
The introduction is inviting, states the main topic, and provides an overview of the paper. Information is relevant and presented in a logical order. The conclusion is strong.
12.04 to >10.5 ptsApproaches Proficiency
The introduction states the main topic and provides an overview of the paper. A conclusion is included.
10.5 to >0 ptsDoes Not Meet Expectations
There is no clear introduction, structure, or conclusion.
14 pts
This criterion is linked to a Learning OutcomeMechanics and APA
8 to >6.88 ptsProficient
The assignment consistently follows current APA format and is free from errors in formatting, citation, and references. No grammatical, spelling, or punctuation errors. All sources are cited and referenced correctly.
6.88 to >6.0 ptsApproaches Proficiency
The assignment consistently follows current APA format with only isolated and inconsistent mistakes and/or has a few grammatical, spelling, or punctuation errors. Most sources are cited and referenced correctly.
6 to >0 ptsDoes Not Meet Expectations
The assignment does not follow current APA format and/or has many grammatical, spelling, or punctuation errors. Many sources are cited and referenced incorrectly, or citations and references are missing.
8 pts
Total Points: 60
Blog
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Consider the “Four Topics Approach” (or Four Box method) to ethical decision-mak
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Changing Factors & S.M.A.R.T. Discuss examples of internal and external fact
Changing Factors & S.M.A.R.T.
Discuss examples of internal and external factors that impact an organization and its ability to change
Describe the characteristics of S.M.A.R.T. goals
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. -
Rubric Name: Individual SWOT/Reflection Assignment Print CriteriaSignificant Imp
Rubric Name: Individual SWOT/Reflection Assignment
Print
CriteriaSignificant Improvement NeededDeveloping
Pass
Accomplished
Exceptional
Criterion Score
Changes/Growth Over the Duration of the Course
1 point
Changes in the SWOT over the duration of the course is missing/inadequate and is not linked to course concepts.
2 points
Changes in the SWOT over the duration of the course is not well described nor linked to course concepts.
3 points
The description of changes in the SWOT over the duration of the course could be improved with further depth and clarity and/or linkage to less than 3 course concepts is provided.
4 points
A detailed description of changes in the SWOT over the duration of the course is provided with linkage to 3 course concepts.
5 points
An exceptional description of changes in the SWOT over the duration of the course is provided with linkage to 3 or more course concepts.
Score of Changes/Growth Over the Duration of the Course,
/ 5
Plan to remain current & up-to-date as a healthcare leader
1 point
The description of how you plan to remain current and up-to-date as a healthcare leader is missing/inadequate.
2 points
The description of how you plan to remain current and up-to-date as a healthcare leader is not well described.
3 points
The description of how you plan to remain current and up-to-date as a healthcare leader could be improved with further depth and clarity.
4 points
A full and detailed description of how you plan to remain current and up-to-date as a healthcare leader is provided.
5 points
An exceptional description of how you plan to remain current and up-to-date as a healthcare leader is provided.
Score of Plan to remain current & up-to-date as a healthcare leader,
/ 5
Strengths & Opportunities
1 point
The list and description of strengths and opportunities is missing and/or inadequate.
2 points
The list and description provided of strengths and opportunities is minimal.
3 points
The list and description of your professional strengths and opportunities could be improved with clarity and depth.
4 points
A full list and comprehensive description of your professional strengths and opportunities has been provided.
5 points
An exceptional list and description of your professional strengths and opportunities has been provided.
Score of Strengths & Opportunities,
/ 5
Weaknesses & Threats
1 point
The list and description of weaknesses and threats is missing and/or inadequate, and there is no plan to address them.
2 points
The list and description provided of weaknesses and threats is minimal, without a plan to address them.
3 points
The list and description of your professional weaknesses and threats and your plan to address them could be improved with clarity and depth.
4 points
A full list and comprehensive description of your professional weaknesses and threats has been provided with a plan to address them.
5 points
An exceptional list and description of your professional weaknesses and threats has been provided with a plan to address them.
Score of Weaknesses & Threats,
/ 5
Formatting, grammar, punctuation and spelling, APA
1 point
Grammar, punctuation and spelling is poor. APA formatting is not used correctly. Page length, font and spacing requirements have not been met.
2 points
Paper has many spelling and grammatical errors. Paper is challenging to understand. APA format is inconsistent. Page length, font and spacing requirements are inconsistent.
3 points
Paper is mostly free of spelling and grammatical errors. Paper is relatively clear and easy to understand. APA format is properly used, in most instances.
4 points
Only very minor spelling and grammatical errors. Paper is clear and easy to understand. APA format is properly used.
5 points
No grammar, punctuation, spelling or APA formatting errors. Paper fully meets page length, font and spacing requirements.
Score of Formatting, grammar, punctuation and spelling, APA,
/ 5
TotalScore of Individual SWOT/Reflection Assignment,
/ 25Overall Score
Significant Improvement Needed0 points minimum
Developing8 points minimum
Pass14 points minimum
Accomplished19 points minimum
Exceptional22 points minimum -
Financing healthcare is one of the greatest priorities for the healthcare system
Financing healthcare is one of the greatest priorities for the healthcare system in Saudi Arabia. While policymakers agree that more Saudi nationals need health insurance coverage, the debate often revolves around how it should be financed. Identify a healthcare professional who works primarily in the area of finance (e.g., Chief Financial Officer, Controller, etc.) and a specific policy that addresses the financial aspect of delivering healthcare. Contact the individual to conduct an interview about the policy.
Based on what you learned this week, be sure to include the following information in your interview:
Identify the interviewee, including their job title, place of employment, location, and how long they have been in the area of finance.
The goals and objectives of your interview.
Description of the finance policy.
What were some of the benefits of the policy?
What are the challenges of meeting the requirements outlined in the policy?
What can be done to improve the effectiveness of the policy?
Here are some suggested questions:
What are the mission and vision statements for your organization?
How do these mission and vision statements assist in helping your organization focus on healthy living promotions?
How are the daily operations for your organization meeting policy? What are some of the areas that may lead to improvement regarding any policy updates?
What are some of the challenges that you are currently experiencing with your policy revisions?
What are some of the benefits your policy is providing to patients or clients?
What are some of the recommendations that you may have regarding policy improvement both internally and externally?
Your report should meet the following structural requirements:
Be five to six pages in length, not including the cover or reference pages.
Be formatted according to APA 7th edition and Saudi Electronic University writing guidelines.
Provide support for your statements with in-text citations from a minimum of three scholarly articles. The Saudi Digital Library is an excellent source for scholarly research. One of these sources may be from the class readings, textbook, or lectures.
You are strongly encouraged to submit all assignments to the Turnitin Originality Check prior to submitting them to your instructor for grading. If you are unsure how to submit an assignment to the Originality Check tool, review the Turnitin Originality Check Student Guide. -
What trend or pattern do you see when you compare reliability coefficients a
What trend or pattern do you see when you compare reliability coefficients and SEMs on Table 9? To answer this question think about what the reliability score means, what the standard error of measurement means, and why the two are related.
Why does this trend/pattern exist, or how do you explain it?
This shouldn’t take more than a paragraph to answer, but to answer it correctly requires understanding reliability and SEM. -
Assessment Descriiption This assignment requires your collaboration with the cou
Assessment Descriiption
This assignment requires your collaboration with the course faculty and practicum preceptor early on to establish goals for successful completion of your practicum requirements.
Develop a 250-500-word narrative for completing your practice hours and how objectives will be met. Include the following in your narrative:
Five practicum goals that relate to course objectives, course deliverables, and your personal and professional development needs in your practicum setting.
A proposed schedule to meet your goals and the 50 required practicum hours you must accumulate during this course.
A descriiption of any challenges you expect to encounter and strategies to help you overcome these challenges.***Course Objectives: Analyze the teaching role expectations and competencies that define the scholarly nurse educator role.
Explain the role of NLN competencies in the nurse educator role.
Formulate practicum goals to meet identified learning needs.***PLEASE USE WEB SOURCES ONLY AS REFERENCES, NO BOOKS PLEASE!!!***PLEASE INCLUDE URL***REFERENCES MUST BE WITHIN THE LAST FIVE YEARS***
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. -
Growth And Development “Gordon’s functional health patterns” provide a thorou
Growth And Development
“Gordon’s functional health patterns” provide a thorough framework for examining the growth as well as developmental patterns of two children of distinct ages. This strategy includes many elements that may be used with toddlers and sheds insight into their general health and well-being. Let’s investigate these elements in relation to the two young children.
The first part is called “Health Perception-Health Management.” Around 12-month-old toddlers may have a poor awareness of health. They largely depend on their careers to manage their health, including scheduling routine checkups and immunizations. A child, on the other hand, starts to get a basic sense of health when they are around 36 months old. They may reveal dietary preferences or demonstrate independence in simple self-care tasks like cleaning their teeth . The second part, “Nutritional-Metabolic,” is concerned with the toddlers’ eating habits. A toddler who is 12 months old often switches from breast milk or formula to solid meals as they experience fast development and a rise in their nutritional requirements. In order to provide a balanced diet, parents or other caregivers must introduce a range of foods while keeping an eye out for allergies. Toddlers continue to develop their eating habits around 36 months, and they may start to show preferences for certain foods. They could begin demonstrating their independence by using cutlery, tasting various foods, and experimenting with flavors and textures (Cameron & Schell, 2021; Edelman & Kudzma, 2021).
The toddlers’ bowel and urine habits are addressed in the third part, “Elimination.” A 12-month-old child is probably making the switch from using diapers to using the toilet. Through assistance and direction from their caretakers, they will be helped to develop regular restroom practices. Most toddlers can use the toilet independently by the time they are 36 months old, however others still have occasional accidents. The fourth element, “Activity-Exercise,” focuses on the physical development and play styles of the children. Gross motor abilities including crawling, standing, and cruising around furniture are being developed in a 12-month-old child. They need plenty of chances to roam about as they playfully investigate their surroundings. Toddlers have better developed gross and fine motor abilities around 36 months old, including the ability to run, jump, and use crayons. They engage in activities that encourage physical coordination and social engagement as their play grows more creative and participatory (Cameron & Schell, 2021; Edelman & Kudzma, 2021).
The final element, “Sleep-Rest,” takes into account the kids’ sleep and rest schedules. A child that is 12 months old normally naps throughout the day and snoozes more soundly at night. For their wellbeing, a regular sleep routine must be established. By the age of 36 months, children often need less sleep during the day and have a more regular sleep schedule at night, which typically entails one nap and a lengthier overnight sleep. The last part, “Cognitive-Perceptual,” looks at the toddlers’ sensory and cognitive development. A 12-month-old child begins to comprehend cause-and-effect linkages as they investigate items via touch, taste, and sound. They solve simple puzzles by putting shapes in the appropriate slots. Toddlers show tremendous cognitive development at 36 months old, including enlarged vocabulary, greater memory, and improved problem-solving skills. They play imaginatively, comprehend fundamental ideas like size and amount, and have a greater interest in reading and storytelling (Cameron & Schell, 2021; Edelman & Kudzma, 2021). -
1. On pp. 71-73 of the course textbook, Freud outlines what he calls an “ego psy
1. On pp. 71-73 of the course textbook, Freud outlines what he calls an “ego psychology.” Briefly summarize what you take to be the main points Freud makes on pp. 71-73. What does Freud say about the ego that compares with, or is similar to, what G.H. Mead says about the self on pp. 100-101 of the textbook?
(In your answer, you MUST provide two brief quotations from pp. 71-73 of the textbook and one brief quotation from pp. 100-101. Each quotation MUST contain at least one COMPLETE sentence.)2. On pp. 83-85 of the course textbook, Freud discusses instinctual drives and the role they play in human psychology and behavior. Summarize what you take to be the main points Freud makes on pp. 83-85. What are two points that William James makes on pp. 38-39 of the course textbook that connect with or relate to Freud’s discussion on pp. 83-85?
(In your answer, you MUST provide two brief quotations from pp. 83-85 of the textbook and two brief quotations from pp. 38-39. Each quotation MUST contain at least one COMPLETE sentence.)3. On p. 87 of the course textbook, Freud writes, “the ego…struggles to master its economic task of bringing about harmony among the forces and influences working in and upon it.” Explain what Freud means by this statement while briefly summarizing the main points he makes on pp. 86-89 of the textbook. What is one point that C.H. Cooley makes on pp. 2-3 of the excerpt from Human nature and the Social Order (in Additional Reading on Blackboard) about the self that, in your view, can be related to what Freud says about the ego on pp. 86-89 of the textbook? Explain.
(In your answer, you MUST provide two brief quotations from pp. 86-89 of the textbook and one brief quotation from pp. 2-3 of the excerpt from Cooley’s Human Nature and the Social Order that is on Blackboard. Each quotation MUST contain at least one COMPLETE sentence.)
Important InfoThe order was placed through a short procedure (customer skipped some order details).
Please clarify some paper details before starting to work on the order.Type of paper and subject
Number of sources and formatting style
Type of service (writing, rewriting, etc) -
Develop a cover letter, resume, philosophy statement, and other professional re
Develop a cover letter, resume, philosophy statement, and other professional resources that meet the requirements outlined in the Career Planner Guide.
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Case Presentation Mental Status Examination MSE includes 10 aspects
Case Presentation Mental Status Examination
MSE includes 10 aspects: appearance, behaviour, speech, mood, affect, thoughts, perception, cognition, insight and judgement and clinical judgement.