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BSN FP4006 Policy, Law, Ethics, and Regulations

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BSN FP4006 Policy, Law, Ethics, and Regulations Investigate your organization’s compliance rate with one specific core measure of your choice and write a 2-3-page (maximum) executive summary analyzing the financial and regulatory impact of organizational compliance with your chosen measure. Include recommendations for improving performance on the measure.
In order to promote safe, caring, patient-centered environments, nurse leaders must both conceptually understand and be proficient at performing a wide variety of leadership skills. Effective nursing leaders develop and maintain awareness of issues that emerge at many levels within and outside of their organizations. In addition to developing self-assessing competencies necessary for their roles, nurse leaders must also acquire organizational and systems leadership skill sets.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
• Competency 4: Policy, Finance, and Regulations – Understand the scope and role of policy, finance, and regulatory environments in relationship to individual and population outcomes.
o Compare the compliance rates of a specific measure for different organizations.
o Identify the financial implications associated with compliance.
o Explain the importance of compliance in terms of policy, regulation, and finance.
• Competency 5: Communication – Communicate effectively with all members of the health care team, including interdepartmental and interdisciplinary collaboration for quality outcomes.
o Write coherently to support a central idea in appropriate APA format, with correct grammar, usage, and mechanics as expected of a nursing professional.
• Competency 6: Organizational and Systems Management – Apply knowledge of organizational behavior, nursing theory, and systems (micro- and macro-) as appropriate for the scope and role of one’s own practice.
o Identify the people affected by changes to a specific compliance measure.
o Outline a plan to implement changes to a specific compliance measure.
o Identify organizational barriers to change.
o Explain strategies to overcome organizational barriers to change.
• Competency 9: Professional Role – Incorporate the qualities, skills, behaviors, and knowledge required to function as a patient advocate, practice high-quality care, assess and evaluate patient outcomes, and provide leadership in improving care.
o Describe changes that would improve compliance of a specific measure.

Assessment Instructions
For this assessment, write an executive summary analyzing the financial and regulatory impact of organizational compliance with a specific core measure of your choice. The summary must include recommendations for improving performance on the measure.
You must be able to explain the financial implications associated with the measure, as well as its importance in terms of policy, regulation, and finance. This is another good opportunity to consult with a key stakeholder within the organization. Talking to someone who works closely with the organization’s finances can help you develop a deeper understanding of the financial aspects of compliance. You also need to suggest ways your organization can improve compliance and how you would implement changes and overcome obstacles.
This may seem like an enormous undertaking, but you should approach it as if you were to present this information to your supervisor or manager. Keeping in mind that people in these positions do not have time to read a 10-12-page report, you would typically give them only an executive summary of your analyses and recommendations. That means that you will need to be very clear and very concise with the information you choose to include in the executive summary. Say as much as possible with as few words as possible.
Directions
Select a core measure and investigate your organization’s compliance rate with the measure. In your executive summary, address the following:

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  1. Compare the compliance rates of your organization with those of other organizations.
  2. Identify the financial implications associated with the measure.
  3. Explain why the measure is important in terms of policy, regulation, and finance.
  4. Describe changes that could be made that would improve compliance with the measure.
  5. Identify the people who would be affected by the changes.
  6. Outline a plan to implement the changes within the organization.
  7. Identify obstacles you would expect to encounter.
  8. Explain your strategies for overcoming obstacles.
    Additional Requirements
    • Format: Include a title page and references page. As this is an executive summary, do not use APA style and formatting. To determine the appropriate format, it may be helpful for you to review the documents used in your organization. How do they look? What kind of language is used in memos? These can help guide your development of this executive summary. Certainly, feel free to use bullet points as appropriate.
    • Length: Write a 2-3-page (maximum) summary of your information, not including the title page and references page.
    • References: You must still reference scholarly resources to support your work. Use at least three current scholarly or professional resources.
    • Font: Use 12-point, Times New Roman font.

References:

Capella Resources
Click the links provided to view the following resources:
• APA Citation: Citing a Journal Article.
• APA Citation: Citing a Book.
• APA Citation: Citing a Website.
• APA Paper Template.
• APA Paper Tutorial.
Capella Multimedia
Click the link provided below to view the following multimedia piece:
• Guidelines for Effective PowerPoint Presentations | Transcript.
Library Resources
The following e-books or articles from the Capella University Library are linked directly in this course:
• Selekman, J. (2013). School nursing: A comprehensive text (2nd ed.). Philadelphia, PA: F. A. Davis.
• Taylor, J. F., Williams, R. L., & Blythe, M. J. (2015). Healthcare reform, EHRs, and adolescent confidentiality. Contemporary OB/GYN, 60(8), 34–37.
• Wartenberg, D., & Thompson, W. D. (2010). Privacy versus public health: The impact of current confidentiality rules. American Journal of Public Health, 100(3), 407–412.
• Smith, M. K., & Stepanov, N. (2014). School-based youth health nurses and adolescent decision-making concerning reproductive and sexual health advice: How can the law guide healthcare practitioners in this context? Contemporary Nurse: A Journal for the Australian Nursing Profession, 47(1/2), 42–50.
• Brewin, D., Koren, A., Morgan, B., Shipley, S., & Hardy, R. L. (2014). Behind closed doors: School nurses and sexual education. The Journal of School Nursing, 30(1), 31–41.
• O’Connor, S. (2012). School nursing: Promoting self-esteem in adolescents. Community Practitioner, 85(1), 34–36.
• Smart, K. A., Parker, R. S., Lampert, J., & Sulo, S. (2012). Speaking up: Teens voice their health information needs. The Journal of School Nursing, 28(5), 379–388.
• Larsson, M., Bj?rk, M., Ekebergh, M., & Sundler, A. J. (2014). Striving to make a positive difference: School nurses’ experiences of promoting the health and well-being of adolescent girls. The Journal of School Nursing, 30(5), 358–365.
• Ramos, M. M., Greenberg, C., Sapien, R., Bauer-Creegan, J., Hine, B., & Geary, C. (2013). Behavioral health emergencies managed by school nurses working with adolescents. Journal of School Health, 83(10), 712–717.
• Suydam, L., & Garcia, A. (2010). School nurses connect schools and parents from home to homeroom to prevent teen medicine abuse. NASN School Nurse, 25(4), 170–171.
Course Library Guide
A Capella University library guide has been created specifically for your use in this course. You are encouraged to refer to the resources in the BSN-FP4006 – Policy, Law, Ethics, and Regulations Library Guide to help direct your research.
Internet Resources
Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.
• U.S. Department of Education. (n.d.). FERPA general guidelines for students. Retrieved from http://www2.ed.gov/policy/gen/guid/fpco/ferpa/students.html
• U.S. Department of Health & Human Services. (n.d.). Does the HIPAA Privacy Rule allow parents the right to see their children’s medical records? Retrieved from http://www.hhs.gov/ocr/privacy/hipaa/faq/right_to_access_medical_records/227.html
• U.S. Department of Health & Human Services. (n.d.). Understaffing health information privacy. Retrieved from http://www.hhs.gov/ocr/privacy/hipaa/understanding/index.html

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Write an article for a community newsletter for a local retirement village that explains the laws, policies, and choices surrounding end-of-life health care decisions.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

SHOW LESS
Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.
Identify the primary policies that define current health care practices in regard to end-of-life health care decisions.
Explain the legislation that generated end-of-life health care policies.
Competency 2: Explain the effect of regulatory environments and controls on health care delivery and patient outcomes.
Explain the effect of end-of-life regulations and controls on patient outcomes.
Competency 3: Apply professional nursing ethical standards and principles to the decision-making process.
Describe the role of the nurse in end-of-life decision making with patients and their families.
Describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions.
Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.
Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
Correctly format citations and references using APA style.
Competency Map
CHECK YOUR PROGRESS
Use this online tool to track your performance and progress through your course.
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Context
Nurses are at the bedside during the dying process; they spend entire shifts with patients and families; they develop trusting relationships; and they are competent to assess patient and family needs. Nurses gain a unique perspective that allows them to become aware when a patient is not responding to treatment. This perspective places nurses in a position to facilitate end-of-life decision making. (Adams, Bailey. Anderson, & Docherty, 2011, para. 4)

Reference
Adams, J. A., Bailey, D. E., Jr., Anderson, R. A., & Docherty, S. L. (2011). Nursing roles and strategies in end-of-life decision making in acute care: A systematic review of the literature. Nursing Research and Practice, 2011.

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Questions to Consider
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.

How should nurses manage patients whose end-of-life decisions may run contrary to their personal beliefs and values?
How can nurses influence new policies, laws, or legislation regarding end-of life decisions?
What are some of the most difficult decisions patients and families have to make at the end of the patient’s life?
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Resources
Suggested Resources
The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.

Library Resources
The following e-books or articles from the Capella University Library are linked directly in this course:

Norlander, L. (2014). To comfort always: A nurse’s guide to end-of-life care (2nd ed.). Indianapolis, IN: Sigma Theta Tau International.
Hebert, K., Moore, H., & Rooney, J. (2011). The nurse advocate in end-of-life care. The Ochsner Journal, 11(4), 325–329.
Lewis, K. (2013). How nurses can help ease patient transitions to end of life care. Nursing Older People, 25(8), 22–26.
Lund, S., Richardson, A., & May, C. (2015). Barriers to advance care planning at the end of life: An explanatory systematic review of implementation studies. PLoS One, 10(2).
Aoun, S., O’Connor, M., Skett, K., Deas, K., & Smith, J. (2012). Do models of care designed for terminally ill ‘home alone’ people improve their end-of-life experience? A patient perspective. Health & Social Care in the Community, 20(6), 599–606.
Nakano, K., Sato, K., Katayama, H., & Miyashita, M. (2013). Living with pleasure in daily life at the end of life: Recommended care strategy for cancer patients from the perspective of physicians and nurses. Palliative & Supportive Care, 11(5), 405–413.
Adams, J. A., Bailey, D. E., Jr., Anderson, R. A., & Docherty, S. L. (2011). Nursing roles and strategies in end-of-life decision making in acute care: A systematic review of the literature. Nursing Research and Practice, 2011.
Course Library Guide
A Capella University library guide has been created specifically for your use in this course. You are encouraged to refer to the resources in the BSN-FP4006 – Policy, Law, Ethics, and Regulations Library Guide to help direct your research.

Internet Resources
Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.

American Nurses Association. (2010). Position statement: Registered nurses’ roles and responsibilities in providing expert care and counseling at the end-of-life ethics and human rights. Retrieved from http://www.nursingworld.org/MainMenuCategories/EthicsStandards/Ethics-Position-Statements/etpain14426.pdf
Assessment Instructions
Your manager asked you to prepare an article for a community newsletter for a local retirement village. The editor wants you to talk about the laws, policies, and choices surrounding end-of-life health care decisions

Preparation
Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on end-of-life care. You will need at least three articles to use as support for your work on this assessment.

Directions

Write an article of 750–1,000 words (3–4 pages) that discusses the laws, policies, and choices surrounding end-of-life health care decisions. Address the following in your article:

Describe the role of the nurse in end-of-life decision making with patients and their families.
Explain the legislation that generated end-of-life health care policies. Was the legislation an outcome of a specific medical case?
Identify the primary policies regarding current health care practices related to end-of-life health care decisions. How to these policies affect treatment decisions?
Explain the effect of end-of-life regulations and controls on patient outcomes. What effect does this have on the nurse-patient relationship?
Describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions.
Additional Requirements

Your article should meet the following requirements:

Written communication: Written communication should be free of errors that detract from the overall message.
References: Cite a minimum of three resources; a majority of these should be peer-reviewed sources. Your reference list should be appropriate to the body of literature available on this topic that has been published in the past 5 years.
APA format: Resources and citations should be formatted according to current APA style and formatting.
Length: 750–1,000 words or 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
Font and font size: Times New Roman, 12-point.