Category: Nursing

  • Potential natural or man-made disaster that could happen in your community

    Potential natural or man-made disaster that could happen in your community

    Select a potential natural or man-made disaster that could happen in your community. Then, write a 3- to 4-page paper about the disaster from the community nurse’s perspective.

    Section 1: The Disaster, Man-Made or Natural

    What disasters may strike your community and why? For example, do you live in “Tornado Alley,” or has climate change resulted in unusual cold weather snaps or blizzards in your community? Are you located in a flood plain? Include possible diseases that may result from a natural disaster, such as tetanus or cholera.
    Section 2: The Nursing Response

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    Formulate responses to the disaster, considering systems and community levels of intervention.
    Review websites where a disaster plan may be available for the public, or if one is not currently available, call public health department to see if a disaster plan exists for your community and what the plan contains.
    In addition to reviewing websites for information about your local disaster plan, you will need to locate best practice/evidence-based practice guidelines in professional literature to determine whether your community’s disaster plan is as sound as it might be or if there is room for improvement.
    Section 3: Is My Community Prepared for a Disaster?

    What conclusions can you draw about your community’s preparedness plan from having completed this evaluation?
    For this Assignment, review the following:

    AWE Checklist (Level 4000)
    BSN Program Top Ten Citations and References
    Walden paper template (no abstract or running head required)
    The Week 5 Assignment Rubric

    Potential natural or man-made disaster that could happen in your community

  • HCR 561 – Mental Health Promotion – IRB Case Presentation Analysis

    Instructions: Remove any text in italics.

     
    Introduction:

    State your stance on the case study here. The four criteria listed below will then take you through the process to look at the ethical impact the decision will have. HCR 561 – Mental Health Promotion – IRB Case Presentation Analysis

    Issues and Points of Conflict
    (Submit as many issues as needed to cover the given case study – one page required.)

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    Issue One:
    Name the issue and describe the nature of the moral conflict

     
    Issue Two:
    Name the issue and describe the nature of the moral conflict

     
    Issue Three:
    Name the issue and describe the nature of the moral conflict

     
    Issue Four:
    Name the issue and describe the nature of the moral conflict

    HCR 561 – Mental Health Promotion – IRB Case Presentation Analysis

    Interested Parties
    (Name as many as possible– one page required.)

    Name of interested party #1
    has:

    interested party’s legitimate/reasonable expectations are considered here

     
    Name of interested party #2
    has:

    interested party’s legitimate/reasonable expectations are considered here

    Name of interested party #3
    has:

    interested party’s legitimate/reasonable expectations are considered here

     
    Name of interested party #4
    has:HCR 561 – Mental Health Promotion – IRB Case Presentation Analysis

    interested party’s legitimate/reasonable expectations are considered here

    Name of interested party #5
    has:

    interested party’s legitimate/reasonable expectations are considered here

    Consequences

    Submit the consequences here for any action or inaction on the expectations noted above for the interested parties.

    Obligations

    Submit the IRB obligations here and the ethical principles that support the position you have taken on whether or not Amazing IRB should approve the consent (as stated in Introduction).

    Submit a 
    four (4) page
     analysis of the case that is outlined below. Spelling and grammar count, so be sure to check/review your paper prior to submission. Use APA formatting for citations and references (at least 3) to support your arguments. The reference page is not included in the page count.HCR 561 – Mental Health Promotion – IRB Case Presentation Analysis

    In the introduction paragraph, include your position on whether or not the IRB should approve the study.

    1.  What are the ethical issues and points of conflict in this case? (
    one full page,
     double spaced, and bulleted)

    2.  Who are the interested parties affected by the issues/conflicts and what are their reasonable expectations? (
    one full page,
     double spaced, and bulleted). HCR 561 – Mental Health Promotion – IRB Case Presentation Analysis

    3.  If the interested parties acted on their expectations what would be the probable consequences? REMEMBER: Consequences can be multifaceted. (
    one full page,
     double spaced, and bulleted)

    4.  What are the obligations of the Amazing IRB? (
    one full page,
     double spaced, and bulleted). HCR 561 – Mental Health Promotion – IRB Case Presentation Analysis

  • HCR561: Sample Case Presentation Analysis Essay Paper- Ethical principles in the decision making process

    HCR561: Sample Case Presentation Analysis Essay Paper- Ethical principles in the decision making process

    HCR561 – Sample Case Presentation Analysis

    As you read through the following case, it is important to restate that the learning outcomes in

    HCR561 is the acquired ability to objectively utilize ethical principles in the decision making

    process. Do not feel intimidated by the comprehensive ethical deliberations outlined by Bebeau

    (Bebeau, Pimple, Muskavitch, Borden, & Smith, 1995). Your case presentations will be focused

    on the specific concepts that are presented in your assigned reading and will not cover all of the

    issues outlined in this particular case presentation. Refer to your textbook for related issues to

    provide you with guidance.

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    Jessica Banks, a Ph.D. student in Professor Brian Hayward’s lab, has recently defended her dissertation

    and is now ready to file it and leave for her new job. During her second year, when starting research in

    Hayward’s lab, Banks divided her time among three projects. Then in her third year, after consultation

    with Hayward, she decided to continue and expand upon one of the three lines of investigation for her

    dissertation research. This was also the project most closely related to Hayward’s grant at the time. Later,

    Banks’s experimental plan and early results were included in Hayward’s grant renewal. The other two

    promising lines of research were left incomplete. HCR561: Sample Case Presentation Analysis Essay Paper- Ethical principles in the decision making process

    Banks’s new job is a tenure-track position in a mid-sized western liberal arts college. Shortly before

    leaving for her job, she comes into the lab to pick up her notebooks. Although her new faculty position will

    place a heavy emphasis on teaching, she is looking forward to continuing to do some research as well. In

    particular, she is eager to pick up where she left off with the two uncompleted projects she worked on

    before. HCR561: Sample Case Presentation Analysis Essay Paper- Ethical principles in the decision making process

    Professor Hayward meets Banks on her way into the lab, and their genial conversation abruptly changes

    when she mentions she has come to take her notebooks.

    Hayward exclaims, “You can’t take those notebooks away — they belong to the lab!”

    Banks is confused. “But I did the work, and I wanted to follow up on it. I can’t do that without the

    notebooks.”HCR561: Sample Case Presentation Analysis Essay Paper- Ethical principles in the decision making process.

    Professor Hayward is adamant. “I’m sorry, but you should understand this. This lab is a joint enterprise,

    and all the work you did was funded by money I brought in via grants. The notebooks don’t belong to you,

    nor to me; they belong to the lab, and the work will be continued in this lab.

    I’ve already talked to one of the new students about working on those projects this fall.”

    Banks, seeing her plans fall apart around her, protests, but Hayward is implacable. After a few minutes,

    she stalks away, without the notebooks.

    Later that afternoon, Banks gets together with her classmate Paul Larson, and during their conversation,

    she tells him about her run-in with Hayward. HCR561: Sample Case Presentation Analysis Essay Paper- Ethical principles in the decision making process.

    “Look,” says Larson. “Hayward has no right to deny you access to the information in the notebooks. Even

    if the books should remain in the lab, you did the work that generated all the data.”

    “I know!” says Banks. “But Hayward wouldn’t listen to that argument when I made it.”

    “Here’s my suggestion,” says Larson after some reflection. “Just stop by the lab and photocopy the books

    some time during the weekend. I happen to know Hayward will be out of town, so he’ll never know. That’s

    the fair thing to do: He gets to keep the notebooks in his lab, and you get a copy of the data you

    collected.” HCR561: Sample Case Presentation Analysis Essay Paper- Ethical principles in the decision making process.

    Banks seems uncertain, but says she’ll think about Larson’s suggestion and decide before the weekend.

    The question that you are asked to consider: Should Banks photocopy the notebooks? Why or why

    not?

    HCR561: Sample Case Presentation Analysis

    We will look at this particular case using the four steps that have already been introduced to you by Bebeau and outlined in the

    document. HCR561: Sample Case Presentation Analysis Essay Paper- Ethical principles in the decision making process.

    A. Whether the response addresses each of the issues and points of ethical conflict presented in the case or problem;

    B. Whether each interested party’s legitimate expectations are considered;

    C. Whether the consequences of acting are recognized, specifically described (not just generally mentioned), and

    incorporated into the decision; and

    D. Whether each of the duties or obligations of the protagonist (in this case it is Jessica Banks) are described and

    grounded in moral considerations.HCR561: Sample Case Presentation Analysis Essay Paper- Ethical principles in the decision making process.

    Researcher’s value being able to pursue any line of inquiry and maintain control over their ideas and data

    until they are ready for publication. At the same time collaboration and sharing of research materials is

    also valued within the scientific community. There is an expectation especially by those agencies

    providing grants that collaborative efforts are made between various researchers. Thus we see in this

    case competing values, but at the heart of the case is the priority of discovery. As with all intellectual

    property the question of ownership can become clouded when there are a number of collaborators

    involved whether they be individual researchers, academic institutions or funding agencies. Bebeau

    states that “Banks can be viewed as appealing to cooperation in her desire to take the notebooks with the

    preliminary data — but so can Hayward when he essentially asks Banks to respect his prior claim to a

    project he wants to continue. Then again, in saying that she plans to continue the project, Banks is

    appealing to independence of inquiry, as is Hayward when he refuses her request in order to maintain

    control over the data.” The following is a summary of Bebeau’s discussion of the case.

    1. Issues and Points of Conflict

    To provide a convincing ethical analysis, you will want to move beyond naming the issue (e.g., data ownership and

    access, plagiarism, etc.) to describing the nature of the moral conflict. What constitutes an ethical conflict? A dilemma, by

    definition, is a situation in which rights or obligations of interested parties’ conflict. Real-life dilemmas often present

    choices between equally unfavorable or disagreeable alternatives. Consider the case of the researcher considering data

    enhancement of preliminary findings to assure continued funding for his research lab. He sees a conflict between his

    obligation to report his data honestly and his obligation to secure enough funds to keep his lab technicians employed. You

    might reason that honesty is a more important consideration than maintaining jobs for lab technicians, but such practical considerations can influence professional judgment. Note that identifying the points of ethical conflict is often one of the hardest jobs in ethical analysis. Most people find it easier to begin by considering interested parties, consequences, and obligations before trying to describe the issues more fully.

     Issue #1: Banks’s (perceived) right to the notebooks vs. Hayward’s (asserted) right to

    keep the notebooks in his lab. There are misperceptions about ownership of research data

    and ownership and control of intellectual property (i.e., plans, ideas, and projects not yet

    brought to fruition). Banks’s believes that she could take the notebooks, and her

    understanding of the conversation with Hayward reveal a lack of understanding about the

    legal issues (which are not open to debate) surrounding ownership of the products of

    research. Hayward correctly asserts that the notebooks belong to the lab. When Banks gives

    reasons for wanting the notebooks — to continue a line of research she began earlier —

    Hayward asserts a proprietary interest in the lines of research initiated in the lab (and

    supported by his grants) and his intentions to continue the projects with the help of new

    students. Banks’s concludes that Hayward not only intends to deny her access to the

    notebooks, but also to the continuation of projects she worked on earlier. Banks and her

    classmate believe that she has a right to access to the data in the notebooks as well as to

    continue projects she started in Hayward’s lab after she moves on to her new job. Although

    Hayward did not explicitly state that she could not have copies of the notebooks, Banks and

    Larson seem to assume this. However, ownership and access are not synonymous. Banks

    and Larson not only have an unclear understanding of data ownership and access issues, but

    seem unaware of the terms of their “employment” as students and faculty. The legal “works

    HCR561: Sample Case Presentation Analysis

    for hire” principle states that an institution, not its employees, owns the rights to its

    employees’ written products or other forms of expression, including primary research data.

     Issue #2: Banks’s (perceived) right to pursue the research she worked on earlier vs.

    Hayward’s (implicitly asserted) right to control those lines of research. This case raises

    the issue of who has the stronger claim to the lines of research the data represent. To what

    extent is Hayward justified in preventing Banks from pursuing a line of research begun in his

    lab? Even if Banks is granted access to the data, what right would she have to use the data

    without attribution to Hayward? Does he have a legal or moral claim to an incomplete line of

    research? What are the institutional policies regarding the questions of whether investigators

    or institutions own projects in progress? Whereas the ownership of material objects, such as

    data sets, is fairly well-prescribed by institutional policies and laws, ideas and/or intellectual

    property are not easily controlled. Whether Banks has a claim to the ideas that were initiated

    by Hayward’s grant depends, in part, on the nature of her contributions and their shared

    perception of her contributions. Did she simply carry out a research plan designed by

    Hayward, or was she a partner in the design? HCR561: Sample Case Presentation Analysis Essay Paper- Ethical principles in the decision making process.

     Issue #3: Banks’s interest in establishing her independence (by continuing projects

    she began in Hayward’s lab) vs. her interest in maintaining collegiality and personal

    integrity. Banks is eager to get a start on her career by continuing lines of research she

    began earlier as a graduate student. The fact that she is tempted to secretly copy the lab

    notebooks implies that she thinks she can continue this research without Hayward’s help or

    cooperation. However, even if she no longer needs advice from Hayward, she will still need

    his good will because he most probably will be asked to write letters supporting her

    subsequent promotions. Aside from the issues raised above concerning Banks’s right to the

    notebooks, the data, and the lines of research, an important question for Banks is whether

    she has established sufficient competence to function without the mentoring and support of

    Hayward. Her need for maintaining collegiality may be greater than she realizes. Students

    often begin their research careers by working on projects initiated by faculty. As their

    research abilities develop, they are expected to develop their own research interests and

    gradually establish their independence. One criterion for awarding advanced degrees is the

    ability to complete a research project (thesis or dissertation) that represents an original

    contribution to the literature. Because students work under the supervision of a mentor, there

    is the potential for differences of opinion as to the origin of ideas in the final product. It is not

    uncommon for disagreements to arise about the ownership of ideas in students’ work. One of

    the common ethical dilemmas that arises in research is the claim by students that their

    mentors published or otherwise used the students’ work without appropriate attribution. Since

    work proceeds collaboratively, sometimes students undervalue the contributions of the

    mentor. It is easy to undervalue the kind of sharpening and editing that often makes the

    difference between acceptance for publication and rejection. This is not to suggest that

    students’ ideas have never been used without consent, but many problems may arise from

    misunderstandings of the conventions of science that could be corrected by better mentoring

    and by students’ taking responsibility for educating themselves about policies.

     Issue #4: Banks’s obligation to treat her mentor and the institution with respect vs. her

    obligation to warn other students about conditions of employment and mentoring that

    she perceives as an infringement on students’ rights to their data, their ideas, and their

    ability to establish independence. It is impossible to tell from the case as written whether

    Hayward has clear policies on ownership of products and ideas, and whether he made a

    reasonable effort to inform his students of his and the institution’s policies. We also don’t

    know how he credits students’ ideas and how he plans to help students establish their

    HCR561: Sample Case Presentation Analysis

    independence. Good mentoring would require all of these. Both the institution and Hayward

    have an interest in the clear communication of policies. But whether Hayward made his

    policies clear or not, Banks has both an obligation to and an interest in making sure she is

    informed about lab policies. It is impossible to tell which of the two parties is at fault for the

    misunderstanding, or to what degree the responsibility for this apparent confusion is shared.

    This said, it cannot be concluded that just because a lab director has a policy and

    communicates it effectively, her or his students will (or should) adhere to that policy under all

    circumstances. Policies can be unjust, wrong, and even illegal. Setting policies and

    communicating them are issues of concern to Hayward, the institution, and students. One

    problem Banks is facing is her conflicting obligations to Hayward and the institution vs. her

    duty to right (what she takes to be) an injustice and help other students avoid the problems

    she has encountered. HCR561: Sample Case Presentation Analysis Essay Paper- Ethical principles in the decision making process

    2. Interested Parties

    (Name as many as possible) Skills in perspective-taking are called for by this criterion. Other parties, besides those

    directly mentioned in the case, may have a stake in the protagonist’s decision. You might think of interested parties in

    progressively larger groupings, from the person facing the ethical problem, to the person(s) immediately affected (such as

    that person’s students, teachers, or research subjects), to the people in the relevant institution (the laboratory or

    university), to the scientific community and society in general. Consider the reasonable expectations (rights) of each

    interested party. Frequently, consideration of the interested parties will bring more issues to mind.

     Banks has:

    i. a right to be informed of lab policies, such as on the disposition of lab notebooks

    ii. a right to have her own ideas and creative contributions respected

    iii. an interest in continuing/furthering her scientific career from a solid base

    iv. an interest in keeping a good working relationship with her mentor

    v. an interest in protecting her integrity and her reputation

     Hayward has:

    i. a right to have access to notebooks and data produced at his lab, funded by grants

    he wrote

    ii. a right to control access to notebooks and data produced at his lab

    iii. an interest in developing the talent of students and in respecting their ideas

    iv. an interest in continuing research started at his lab

    v. an interest in providing good projects for his new students

    vi. an interest in maintaining good relationships with his former students

     Hayward’s students and postdoctoral students have an interest in knowing his

    policies. HCR561: Sample Case Presentation Analysis Essay Paper- Ethical principles in the decision making process

     Hayward’s university has:

    i. an interest in his maintaining a productive lab

    ii. an interest in seeing that students are treated fairly

     Banks’s new college has an interest in her ability to do her job well.

     Hayward’s funding institution has an interest in having data produced with their funds

    adequately safeguarded and reasonably accessible.

     Science as a whole has:

    i. an interest in fostering reasonably open access to data

    ii. an interest in maintaining and fostering cooperation in science and research

    independence

    3. Consequences

    For each action considered, there are often several possible outcomes. The challenge in identifying consequences is not toidentify every remote consequence, but to identify those that have a good probability of occurring, or those that would have very serious consequences even if the probability of occurrence is not particularly high. For example, the possibility that

    HCR561: Sample Case Presentation Analysis

    someone might die due to the release of a small amount of a toxic substance during an experimental procedure may be

    relatively remote, but the consequences would be so devastating that the potential benefit may not even be worth a remote

    risk. When considering consequences, be sure to consider, in turn, each of the interested parties and the probable

    consequences of the proposed action on those parties. When considering consequences to the protagonist, keep in mind that

    consequences may be multifaceted. On the one hand, he or she might get caught in an unethical act and face a lawsuit, loss of

    funding, loss of reputation, or other serious negative consequences. On the other hand, he or she may get away with an

    unethical act and get a publication or grant more easily and quickly than if he or she had acted ethically. But whether or not the

    act is detected, engaging in actions we believe are wrong undermines our sense of integrity. The effects of an action on a

    person’s character may appear to be minor in the short run, but often have a cumulative and debilitating effect on one’s selfconfidence,

    self-esteem, and habits — each time we reap the benefits of questionable acts and successful avoidance of the

    negative consequences, we enhance the probability that these acts will be repeated.

     There are several possible consequences to Banks, most notably to her relationship with

    Hayward, to her career, and to her self-esteem.

    i. If Banks copies the notebooks, she may be caught, have her relationship with

    Hayward damaged or ruined, and get a reputation as a troublemaker, plagiarist, or

    thief. If she ever publishes anything based on these experiments without Hayward’s

    assent, Hayward is sure to find out (they work in the same field, after all), and he is

    likely to guess that she copied the notebooks. Of course, she may not be caught, in

    which case she will have a faster start on her career. But whether she is caught or

    not, her self-esteem and integrity may be damaged and (depending on how she

    justifies the action to herself) she may have this duplicitous act on her conscience.

    ii. If Banks does not copy the notebooks, she may get a slower start to her career, but

    she may be able to salvage a working relationship with Hayward. This is important to

    her because she will need Hayward’s support (i.e., letters of recommendation, etc.)

    as her career advances. She may also still have a chance to get Hayward to take a

    position closer to her own — e.g., sharing the data, collaborating on one or both of

    the projects, etc. If she can do this, it will be a good investment in the future of her

    career.

    iii. There are also possible consequences to Hayward. Whatever Banks does,

    Hayward’s reputation may suffer if his lab policies are so vague that they lead to ill

    will among his students and post docs, or possibly to lost data or other unfortunate

    consequences.

    4. Banks’s Obligations

    For each case, consider primarily the obligations of the protagonist toward the various interested parties. It is sometimes

    tempting to dismiss the obligation of the protagonist when some other person fails to live up to his/her moral obligation One

    party’s failure to live up to his/her moral obligations can have an impact on another party’s moral obligations, but this kind of

    reasoning often amounts to nothing more than a rationalization — an excuse to do whatever one wanted to do in the first place

    — without real regard to the moral questions at hand. When writing about the obligations of professionals such as scientists, it

    is not enough to say that someone has a duty to do “x.” You must say why the professional has that duty. That is, you should

    refer to the moral justification in terms of values, principles, character, or outcomes. When describing ethical obligations,

    consider the various responsibilities of scientists.

     To conduct herself with integrity. Honesty is an essential value for the conduct of science,

    and science is furthered through supportive and collegial relationships.

     To treat Hayward and his decision with respect, even if it is wrong. When Banks was

    accepted into the program, she surrendered some of her autonomy in order to gain the

    education and assistance she needed to complete her degree. Although it is true that

    Hayward should have made her aware of the conditions under which she was working, she

    did consent to work for him, benefited from the education, from his recommendations and,

    probably with his help, secured a job. While she has a right not to be taken advantage of, she

    also has a responsibility to follow acceptable procedures to raise any issues.

    HCR561: Sample Case Presentation Analysis

     To establish her independence as a researcher. Banks has an obligation to herself and to

    her new employer to develop an independent program of research that will allow her to meet

    the conditions for advancement. Her ability to accomplish this will depend on collegiality with

    Hayward and/or with other researchers. By engaging in critical self-assessment and peer

    review, including a frank assessment of her competence from her mentor, she will better be

    able to set goals for her future.

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     To inform herself on data sharing policies and lab policies. Before Banks discusses

    anything with Hayward, she ought to inform herself about the policies of funding agencies.

    She might discuss a full range of issues with other researchers at her institution, or familiarize

    herself with references on the subject. Banks is about to move from the role of student to

    professor. She needs to be able to view the situation from the perspective of the professor

    and grants manager, both for her own benefit and to prepare herself to discuss the issues

    with Hayward.

     To seek clarification of Hayward’s policies. Banks seems to assume that Hayward’s

    prohibition of her taking the lab notebooks would also extend to having copies of the

    notebook pages. Banks needs to think through an approach to Hayward that is collegial and

    avoids a counterproductive confrontation that further alienates him. She needs to know how

    inquiries about her dissertation data should be handled. Unless he wants all inquires to be

    addressed to him, she would need copies of the lab notebooks.

     To foster scientific collegiality and cooperation. All scientists have this responsibility.

     To empower students to pursue the issues of lab policies if her efforts are

    unsuccessful. As someone who has advanced from student to graduate, Banks has a

    responsibility to mentor her younger colleagues, and a responsibility to think about how she

    best helps them — by undermining their trust in the institution and their mentor, or by

    empowering them to take responsibility for their learning.

    References

    Bebeau, M. (2010). Developing a Well-Reasoned Response to a Moral Problem in Scientific Research.

    Retrieved February 23, 2012, from The Poynter Center for the Study of Ethics:

    http://poynter.indiana.edu/mr/mr-developing.pdf

    Bebeau, M. J., Pimple, K. D., Muskavitch, K. M., Borden, S. L., & Smith, D. H. (1995, December). Moral

    Reasoning in Scientific Research: Cases for Teaching and Assessment. Retrieved February 22, 2012,

    from Poynter Center for the Study of Ethics and American Institutions:

    http://poynter.indiana.edu/mr/mr.pdf

    HCR561: Sample Case Presentation Analysis Essay Paper- Ethical principles in the decision making process

  • NRS-490 Individual Success Plan

    NRS-490 Individual Success Plan

    REQUIRED PRACTICE HOURS: 100

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    Complete Contact Information

    Student Information

    GCU

    Name:

    XXX

    E-mail:

    taxxx@gmail.com

    Phone Number:

    0086-269-100

    Course Faculty Information

    ORDER A CUSTOM-WRITTEN PAPER NOW

    Name:

    MXXX

    E-mail:

    Mexxxx.x@my.gcu.edu

    Phone Number:

    Practicum Mentor Information

    Practice Setting

    Name:

    XXXX

    E-mail:

    xxxxa@hotmail.com

    Phone Number:

    00-300-5100

    MOU signed & uploaded to Instructor in LoudCloud via Individual Forum

    Yes ► ☒

    No ► ☐

    If no, is an existing Affiliation Agreement on file?
    _____

     

    ISP Instructions

    Use this form to develop your Individual Success Plan (ISP) for NRS-490, the Professional Capstone and Practicum course. An individual success plan maps out what you, the RN-to-BSN student, needs to accomplish in order to be successful as you work through this course and complete your overall program of study. You will also share this with your mentor at the beginning and end of this course so that he or she will know what you need to accomplish.

    ORDER A CUSTOM-WRITTEN PAPER

    Application-based learning assignments are listed in the course syllabus with a
    Practice Portfolio Statement
    requirement element noted within the assignment itself. In order for you to successfully complete and graduate from the RN-to-BSN Program you must meet the following programmatic requirements: (1) completion of 100 practice immersion hours, and (2) completion of work associated with all program competencies.

    In this ISP, you will identify all of the objectives, tasks, and/or assignments relating to the 100 practice immersion hours you need to complete by the end of this course. Specify the dates by which you will complete each tasks and/or assignments. Your plan should include a self-assessment of how you met all applicable GCU RN-to-BSN Domains & Competencies (see Appendix A).  NRS-490 Individual Success Plan

    ALL course assignments listing a “Practice Hours Portfolio” statement must be included in the ISP and are worth and recorded here as approximately 10 hours each.
    Actual clock hours must be recorded on this time log
    .

    General Requirements

    Use the following information to ensure successful completion of each assignment as it pertains to deliverables due in this course:

    Use the Individual Success Plan
    to develop a personal plan for completing your practice immersion hours and self-assess how you will meet the GCU RN-to-BSN University Mission Critical Competencies
    and
    the Programmatic Domains & Competencies (Appendix A) related to that course.

    Show all of the major deliverables in the course, the topic/course objectives that apply to each deliverable, and lastly, align each deliverable to the applicable University Mission Critical Competencies and the course-specific Domains and Competencies (Appendix A).

    Completing your ISP does not earn practice hours, nor does telephone conference time, or time spent with your mentor.

    Within the Individual Success Plan,
    ensure you identify all course assignments which may include the following: Memorandums of Understanding (MOU)(if Affiliation Agreement is not required); comprehensive log of practice immersion hours applied to baccalaureate level learning outcomes; evaluations from faculty and mentors; your evaluations of your mentor; scholarly activity report; competency self-assessment (part of your ISP); reflective journal (Submitted in Week 10 but covering all weeks in the course); course goals and plan for how competencies and practice immersion hours will be met; and both faculty and mentor approvals of course goals and documented practice immersion hours.

     

    Application-based Learning Course Assignments

    List of Current Course Objectives

    Number of Clock Hours Associated with Each Assignment

     

    Assignment

    Date Due

    Self-Assessment:

    GCU RN-to-BSN

    University Mission Critical Competencies and

    Programmatic Domains & Competencies

    (see Appendix A)

    Date

    Assignment

    Completed

    Week One

    Professional Capstone and Practicum Documentation

     

    Individual Success Plan

     

    Professional Capstone and Practicum Reflective Journal and Scholarly Activities

     1. Identify problems, issues, and opportunities to improve patient care, patient outcomes, and organizational procedures within a clinical practice setting.

    2. Examine a health care clinical problem or an organization issue and its implications to nursing practice.

    3. Determine evidence-based solutions that address patient-care or clinical practice quality problems or issues.

    4. Analyze health care clinical problems and organizational issues utilizing the PICO(T) process

    5. Demonstrate values consistent with the role of a nursing professional through fundamental knowledge and advanced skills.

     

    10 hours

     

     

     

     

     

    November 19, 2017. NRS-490 Individual Success Plan

     

     

     

     

    MC1:
    Effective Communication:
    Therapeutic communication is central to baccalaureate nursing practice. Students gain an understanding of their ethical responsibility and how verbal and written communication affects others intellectually and emotionally. Students begin to use nursing terminology and taxonomies within the practice of professional and therapeutic communication. Courses require students to write scholarly papers, prepare presentations, develop persuasive arguments, and engage in discussion that is clear, assertive, and respectful

     

    November 19, 2017

    Week Two

    Capstone Project Topic Selection and Approval

     

    Topic 2 Practice Hours Completion Statement

    1. Identify problems, issues, and opportunities to improve patient care, patient outcomes, and organizational procedures within a clinical practice setting.

    2. Examine a health care clinical problem or an organization issue and its implications to nursing practice.

    3. Determine evidence-based solutions that address patient-care or clinical practice quality problems or issues.

    4. Analyze health care clinical problems and organizational issues utilizing the PICO(T) process

    5. Demonstrate values consistent with the role of a nursing professional through fundamental knowledge and advanced skills.

     

    10 hours

     

     

    NRS-490 Individual Success Plan

     

    November 26, 2017

     

     

     

    MC2: Critical Thinking:
    Courses require students to use critical thinking skills by analyzing, synthesizing, and evaluating scientific evidence needed to improve patient outcomes and professional practice

     

    MC4:

    Global Awareness, Perspectives, and Ethics:
    The concept of global citizenship is introduced to baccalaureate students in the foundational curriculum. Some courses will focus on the human experience across the world health continuum. The World Health Organization (WHO) definitions of health, health disparities, and determinants of health are foundational to nursing practice

     

    Domain 1: Professional Role

    Graduates of Grand Canyon University’s RN-BSN program will be able to incorporate professional values to advance the nursing profession through leadership skills, political involvement, and life-long learning.

    Competencies:

    1.1:
          Exemplify professionalism in diverse health care settings.

    1.2:
          Manage patient care within the changing environment of the health care system.

    1.3:
          Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.

    1.4:
          Participate in health care policy development to influence nursing practice and health care.

    1.5:
          Advocate for autonomy and social justice for individuals and diverse populations.

     

    Domain 5: Holistic Patient Care

    Graduates of Grand Canyon University’s RN-BSN program will be able to provide holistic individualized care that is sensitive to cultural and spiritual aspects of the human experience.

    Competencies:

    5.1:
          Understand the human experience across the health-illness continuum.

    5.2:
          Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

    5.3:
          Provide culturally sensitive care.

    5.4:
          Preserve the integrity and human dignity in the care of all patients.

     

     

     

     

     

    November 26, 2017

    Week Three

    PICOT Statement Paper

    Topic 3 Practice Hours Completion Statement

    1. Evaluate evidence-based research and other appropriate resources to inform the development of a change plan.

    2. Identify strategies for logistical implementation of proposed solutions.

    3. Demonstrate the ability to evaluate levels of evidence into a concise format.

    4. Integrate evidence, clinical judgment, interprofessional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care.

     

    10 hours

     

    December 3, 2017. NRS-490 Individual Success Plan

    MC2: Critical Thinking:
    Courses require students to use critical thinking skills by analyzing, synthesizing, and evaluating scientific evidence needed to improve patient outcomes and professional practice

    Domain 2: Theoretical Foundations of Nursing Practice

    Graduates of Grand Canyon University’s RN-BSN program will have acquired a body of nursing knowledge built on a theoretical foundation of liberal arts, science, and nursing concepts that will guide professional practice.

    Competencies:

    2.1:
          Incorporate liberal arts and science studies into nursing knowledge.

    2.2:
          Comprehend nursing concepts and health theories.

    2.3:
          Understand and value the processes of critical thinking, ethical reasoning, and decision making.

     

     

    December 3, 2107

    Week Four

    Literature Evaluation Table

    Topic 4 Practice Hours Completion Statement

    1. Evaluate evidence-based research and other appropriate resources to inform the development of a change plan.

    2. Identify strategies for logistical implementation of proposed solutions.

    3. Demonstrate the ability to evaluate levels of evidence into a concise format.

    4. Integrate evidence, clinical judgment, interprofessional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care.

    NRS-490 Individual Success Plan

    10 hours

     

     

     

    December10, 2017

     

     

    MC2: Critical Thinking:
    Courses require students to use critical thinking skills by analyzing, synthesizing, and evaluating scientific evidence needed to improve patient outcomes and professional practice.

     

    Domain 2: Theoretical Foundations of Nursing Practice

    Graduates of Grand Canyon University’s RN-BSN program will have acquired a body of nursing knowledge built on a theoretical foundation of liberal arts, science, and nursing concepts that will guide professional practice.

    Competencies:

    2.1:
          Incorporate liberal arts and science studies into nursing knowledge.

    2.2:
          Comprehend nursing concepts and health theories.

    2.3:
          Understand and value the processes of critical thinking, ethical reasoning, and decision making.

     

     

     

     

     

     

    December 10, 2017

    Week Five

    Topic 5 Practice Hours Completion Statement

    1. Identify objectives, strategy, and measurable outcomes of the evidence-based practice proposal.

    2. List steps needed to implement each strategy in a change proposal.

    3. Outline the resources needed to develop and implement a change proposal.

    4. Describe methods for obtaining necessary support from key stakeholders.

    5. Develop a plan to evaluate the effectiveness of the change proposal project. NRS-490 Individual Success Plan

    6. Evaluate the role of information sources and technologies impacting the delivery of care within an adequate environment of care.

    7. Develop appropriate change plans that promote health and prevent disease.

     

    10 hours

     

     

     

     

    December 17, 2017

     

     

     

    MC2: Critical Thinking:
    Courses require students to use critical thinking skills by analyzing, synthesizing, and evaluating scientific evidence needed to improve patient outcomes and professional practice.

     

    MC4:

    Global Awareness, Perspectives, and Ethics:
    The concept of global citizenship is introduced to baccalaureate students in the foundational curriculum. Some courses will focus on the human experience across the world health continuum. The World Health Organization (WHO) definitions of health, health disparities, and determinants of health are foundational to nursing practice

     

    Domain 3: Nursing Practice

    Graduates of Grand Canyon University’s RN-BSN program will be able to utilize the nursing process to provide safe quality care based on nursing best practices.

    Competencies:

    3.1:
          Utilize the nursing process to provide safe and effective care for patients across the health-illness continuum: promoting, maintaining, and restoring health; preventing disease; and facilitating a peaceful death.

    3.2:
          Implement patient care decisions based on evidence-based practice.

    3.3:
          Provide individualized education to diverse patient populations in a variety of health care settings.

    3.4:
          Demonstrate professional standards of practice. NRS-490 Individual Success Plan

     

     

     

     

     

     

     

    December 17, 2017

    Week Six

    Literature Review

    Topic 6 Practice Hours Completion Statement

    1. Identify objectives, strategy, and measurable outcomes of the evidence-based practice proposal.

    2. List steps needed to implement each strategy in a change proposal.

    3. Outline the resources needed to develop and implement a change proposal.

    4. Describe methods for obtaining necessary support from key stakeholders.

    5. Develop a plan to evaluate the effectiveness of the change proposal project.

    6. Evaluate the role of information sources and technologies impacting the delivery of care within an adequate environment of care.

    7. Develop appropriate change plans that promote health and prevent disease. NRS-490 Individual Success Plan

     

    10 hours

     

     

    NRS-490 Individual Success Plan

     

    December 24, 2017

     

     

    MC2: Critical Thinking:
    Courses require students to use critical thinking skills by analyzing, synthesizing, and evaluating scientific evidence needed to improve patient outcomes and professional practice.

     

     

    MC4:

    Global Awareness, Perspectives, and Ethics:
    The concept of global citizenship is introduced to baccalaureate students in the foundational curriculum. Some courses will focus on the human experience across the world health continuum. The World Health Organization (WHO) definitions of health, health disparities, and determinants of health are foundational to nursing practice. NRS-490 Individual Success Plan

     

    Domain 3: Nursing Practice

    Graduates of Grand Canyon University’s RN-BSN program will be able to utilize the nursing process to provide safe quality care based on nursing best practices.

    Competencies:

    3.1:
          Utilize the nursing process to provide safe and effective care for patients across the health-illness continuum: promoting, maintaining, and restoring health; preventing disease; and facilitating a peaceful death.

    3.2:
          Implement patient care decisions based on evidence-based practice.

    3.3:
          Provide individualized education to diverse patient populations in a variety of health care settings.

    3.4:
          Demonstrate professional standards of practice.

    Domain 4: Communication/Informatics

    Graduates of Grand Canyon University’s RN-BSN program will be able to manage information and technology to provide safe quality care in a variety of settings. In addition, graduates will be able to communicate therapeutically and professionally to produce positive working relationships with patients and health care team members.

    Competencies:

    4.1:
          Utilize patient care technology and information management systems.

    4.2:
          Communicate therapeutically with patients.

    4.3:
          Professionally communicate and collaborate with the interdisciplinary health care teams to provide safe and effective care.

     

     

     

     

    December 24, 2017

    Week Seven

    Topic 7 Practice Hours Completion Statement

    1. Identify methods to evaluate a proposed solution.

    2. Describe variables and outcomes to be assessed pre- and post-project implementation.

    3. Utilize appropriate tools such as basic statistics to evaluate project outcomes.

    4. Summarize plans for disseminating evidence.

    5. Use communication and collaboration skills to deliver high-quality, evidence-based, patient-centered care.

     

    10 hours

     

     

     

     

    January 14, 2018

     

     

     

     

     

     

    MC1: Effective Communication:
    Therapeutic communication is central to baccalaureate nursing practice. Students gain an understanding of their ethical responsibility and how verbal and written communication affects others intellectually and emotionally. Students begin to use nursing terminology and taxonomies within the practice of professional and therapeutic communication. Courses require students to write scholarly papers, prepare presentations, develop persuasive arguments, and engage in discussion that is clear, assertive, and respectful.

     

    Domain 4: Communication/Informatics

    Graduates of Grand Canyon University’s RN-BSN program will be able to manage information and technology to provide safe quality care in a variety of settings. In addition, graduates will be able to communicate therapeutically and professionally to produce positive working relationships with patients and health care team members.

    Competencies:

    4.1:
          Utilize patient care technology and information management systems.

    4.2:
          Communicate therapeutically with patients.

    4.3:
          Professionally communicate and collaborate with the interdisciplinary health care teams to provide safe and effective care

     

    January 14, 2018

    Week Eight

    Topic 8 Practice Hours Completion Statement. NRS-490 Individual Success Plan

    1. Identify methods to evaluate a proposed solution.

    2. Describe variables and outcomes to be assessed pre- and post-project implementation.

    3. Utilize appropriate tools such as basic statistics to evaluate project outcomes.

    4. Summarize plans for disseminating evidence.

    5. Use communication and collaboration skills to deliver high-quality, evidence-based, patient-centered care.

     

    10 hours

     

     

     

     

    January 21, 2018

     

     

     

     

    MC1: Effective Communication:
    Therapeutic communication is central to baccalaureate nursing practice. Students gain an understanding of their ethical responsibility and how verbal and written communication affects others intellectually and emotionally. Students begin to use nursing terminology and taxonomies within the practice of professional and therapeutic communication. Courses require students to write scholarly papers, prepare presentations, develop persuasive arguments, and engage in discussion that is clear, assertive, and respectful.

     

    Domain 4: Communication/Informatics

    Graduates of Grand Canyon University’s RN-BSN program will be able to manage information and technology to provide safe quality care in a variety of settings. In addition, graduates will be able to communicate therapeutically and professionally to produce positive working relationships with patients and health care team members.

    Competencies:

    4.1:
          Utilize patient care technology and information management systems.

    4.2:
          Communicate therapeutically with patients.

    4.3:
          Professionally communicate and collaborate with the interdisciplinary health care teams to provide safe and effective care.

     

     

     

     

    January 21, 2018

    Week Nine

    Benchmark-Capstone Project Change Proposal

     

    Topic 9 Practice Hours Completion Statement

    1. Produce a comprehensive and professional change initiative presentation.

    2. Integrate acquired knowledge and skills into professional practice.

    3. Examine the implementation of evidence-based research in nursing practice.

    4. Analyze research findings for the enhancement of evidence-based practice in the clinical setting.

    5. Apply leadership concepts, skills, and decision making in the provision of high-quality nursing care in a collaborative interprofessional setting.

    6. Analyze the impact of organizational and environmental factors on health care delivery and practice.

    7. Demonstrate leadership and communication skills to effectively implement change initiatives for nursing practice.

     

    10 hours

     

     

     

     

     

     

    January 28, 2018

    NRS-490 Individual Success Plan

     

     

     

     

    MC5: Leadership:
    Students will apply a Christian worldview within a global society and examine ethical issues from the framework of a clearly articulated system of professional values. Students will engage in discussion of values-based decisions made from a Christian perspective

     

    Domain 1: Professional Role

    Graduates of Grand Canyon University’s RN-BSN program will be able to incorporate professional values to advance the nursing profession through leadership skills, political involvement, and life-long learning.

    Competencies:

    1.1:
          Exemplify professionalism in diverse health care settings.

    1.2:
          Manage patient care within the changing environment of the health care system.

    1.3:
          Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.

    1.4:
          Participate in health care policy development to influence nursing practice and health care.

    1.5:
          Advocate for autonomy and social justice for individuals and diverse populations.

     

     

     

     

     

     

     

     

     

    January 28, 2018

    Week Ten

    Benchmark-Professional Capstone and Practicum Reflective Journal

     

    Scholarly Activities

    1. Produce a comprehensive and professional change initiative presentation.

    2. Integrate acquired knowledge and skills into professional practice.

    3. Examine the implementation of evidence-based research in nursing practice.

    4. Analyze research findings for the enhancement of evidence-based practice in the clinical setting.

    5. Apply leadership concepts, skills, and decision making in the provision of high-quality nursing care in a collaborative interprofessional setting.

    6. Analyze the impact of organizational and environmental factors on health care delivery and practice.

    7. Demonstrate leadership and communication skills to effectively implement change initiatives for nursing practice.

     

    10 hours

     

     

     

     

     

    February 4, 2018

     

     

     

     

    MC5: Leadership:
    Students will apply a Christian worldview within a global society and examine ethical issues from the framework of a clearly articulated system of professional values. Students will engage in discussion of values-based decisions made from a Christian perspective.

     

    Domain 1: Professional Role

    Graduates of Grand Canyon University’s RN-BSN program will be able to incorporate professional values to advance the nursing profession through leadership skills, political involvement, and life-long learning.

    Competencies:

    1.1:
          Exemplify professionalism in diverse health care settings.

    1.2:
          Manage patient care within the changing environment of the health care system.

    1.3:
          Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.

    1.4:
          Participate in health care policy development to influence nursing practice and health care.

    1.5:
          Advocate for autonomy and social justice for individuals and diverse populations.

     

     

     

     

     

     

    February 4, 2018

    By typing in his/her signature below, the student agrees to have read, understood, and be accountable for the instructions, assignments, and hours shown above and that all questions have been satisfactorily answered by the faculty and/or program director. NRS-490 Individual Success Plan

    Mentors will sign upon initial receipt and at the end of the course to confirm that assignments have been complete with your guidance.

     

    Student Signature

    Name:xxx

    xx

    Date:

    Mentor Signature [Upon Initiation of Course]

    Name:

    Lourdes Aleman

    Date:0000

    00

    Mentor Signature [Upon Completion of Course]

    Name:

    Date:

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    APPENDIX A:

    GCU RN-to-BSN Domains & Competencies

    University’s Mission Critical Competencies

    How does this Individual Success Plan support the GCU Mission?

    MC1: Effective Communication:
    Therapeutic communication is central to baccalaureate nursing practice. Students gain an understanding of their ethical responsibility and how verbal and written communication affects others intellectually and emotionally. Students begin to use nursing terminology and taxonomies within the practice of professional and therapeutic communication. Courses require students to write scholarly papers, prepare presentations, develop persuasive arguments, and engage in discussion that is clear, assertive, and respectful.

    MC2: Critical Thinking:
    Courses require students to use critical thinking skills by analyzing, synthesizing, and evaluating scientific evidence needed to improve patient outcomes and professional practice. NRS-490 Individual Success Plan

    MC3: Christian Worldview:
    Students will apply a Christian worldview within a global society and examine ethical issues from the framework of a clearly articulated system of professional values. Students will engage in discussion of values-based decisions made from a Christian perspective.

    MC4:

    Global Awareness, Perspectives, and Ethics:
    The concept of global citizenship is introduced to baccalaureate students in the foundational curriculum. Some courses will focus on the human experience across the world health continuum. The World Health Organization (WHO) definitions of health, health disparities, and determinants of health are foundational to nursing practice.

    MC5: Leadership:
    Students will apply a Christian worldview within a global society and examine ethical issues from the framework of a clearly articulated system of professional values. Students will engage in discussion of values-based decisions made from a Christian perspective.

     

    Domains and Competencies

    How does this Individual Success Plan support the Program Domains and Competencies?

    Domain 1: Professional Role

    Graduates of Grand Canyon University’s RN-BSN program will be able to incorporate professional values to advance the nursing profession through leadership skills, political involvement, and life-long learning. NRS-490 Individual Success Plan

    Competencies:

    1.1:
          Exemplify professionalism in diverse health care settings.

    1.2:
          Manage patient care within the changing environment of the health care system.

    1.3:
          Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.

    1.4:
          Participate in health care policy development to influence nursing practice and health care.

    1.5:
          Advocate for autonomy and social justice for individuals and diverse populations.

     

    Domain 2: Theoretical Foundations of Nursing Practice

    Graduates of Grand Canyon University’s RN-BSN program will have acquired a body of nursing knowledge built on a theoretical foundation of liberal arts, science, and nursing concepts that will guide professional practice.

    Competencies:

    2.1:
          Incorporate liberal arts and science studies into nursing knowledge.

    2.2:
          Comprehend nursing concepts and health theories.

    2.3:
          Understand and value the processes of critical thinking, ethical reasoning, and decision making.

    Domain 3: Nursing Practice

    Graduates of Grand Canyon University’s RN-BSN program will be able to utilize the nursing process to provide safe quality care based on nursing best practices.

    Competencies:

    3.1:
          Utilize the nursing process to provide safe and effective care for patients across the health-illness continuum: promoting, maintaining, and restoring health; preventing disease; and facilitating a peaceful death.

    3.2:
          Implement patient care decisions based on evidence-based practice.

    3.3:
          Provide individualized education to diverse patient populations in a variety of health care settings.

    3.4:
          Demonstrate professional standards of practice. NRS-490 Individual Success Plan

    Domain 4: Communication/Informatics

    Graduates of Grand Canyon University’s RN-BSN program will be able to manage information and technology to provide safe quality care in a variety of settings. In addition, graduates will be able to communicate therapeutically and professionally to produce positive working relationships with patients and health care team members.

    Competencies:

    4.1:
          Utilize patient care technology and information management systems.

    4.2:
          Communicate therapeutically with patients.

    4.3:
          Professionally communicate and collaborate with the interdisciplinary health care teams to provide safe and effective care. NRS-490 Individual Success Plan.

    Domain 5: Holistic Patient Care

    Graduates of Grand Canyon University’s RN-BSN program will be able to provide holistic individualized care that is sensitive to cultural and spiritual aspects of the human experience.

    Competencies:

    5.1:
          Understand the human experience across the health-illness continuum. NRS-490 Individual Success Plan

    5.2:
          Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

    5.3:
          Provide culturally sensitive care.

    5.4:
          Preserve the integrity and human dignity in the care of all patients. NRS-490 Individual Success Plan

  • Human Biological Sample Ethics Essay

    Human Biological Sample Ethics Essay

    Upon review of “Ethical issues in the export, storage and reuse of human biological samples in biomedical research: perspectives of key stakeholders in Ghana and Kenya,” there are several key issues identified in the trial in regards to bio-specimens (Tindana, P., Molyneux C., Bull, S., & Parker, M., 2014). The first being the ability to understanding the collection process and the purpose for the collected samples. There were many misconceptions to how blood samples were transported and if it was safe to be collected. Human Biological Sample Ethics Essay. The second issue identified was the determination of consenting to biological samples being used for future use and what the potential impact of the future studies have on a the research subjects and/or community. The third issue was the ownership of samples once collected and is the work of collecting the samples acknowledged in future research and publications. The cultural negative associations with blood complicated these issues and the consenting process. Although suggestions to aid in the protection of subjects and their biological samples were provided, like the IRB deciding future use acceptability, the intertwining of all of the issues was clearly depicted indicating the complexity of a solution (Tinda et al., 2014). Human Biological Sample Ethics Essay.

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    The study, “The debate over research on stored biological samples: what do the sources think” supports the complexity of bio-specimen collection and processing, even with the subject population being in the United States of America (Wendler & Emanuel, 2002). The debate included samples that were personably identifiable versus “anoymized” and the difference in future research for the disease the sample was originally collected for versus new indications. Human Biological Sample Ethics Essay. The idea to consent subjects at the start of the trial for future research, so re-consenting difficulties to “lost” subjects can be minimalized, adds the issue of how subjects can consent to future research when they do not know the future risks and benefits. The data collected indicated five suggestions to the current process, like “requiring consent the first time the samples are used for research purposes.” (Wendler & Emmanuel, 2002). Human Biological Sample Ethics Essay.

    The complexity of research biological samples is apparent, but I do not believe it always gets the attention it deserves. As someone who has worked in a clinical research laboratory processing research samples, I can attest to the high level of care and detail put forth to process and handle samples correctly, so the proper analysis could be completed. The samples are irreplaceable, which supports the concern for ownership of the samples once collected that the first article described with publications (Tinda et al., 2014). Human Biological Sample Ethics Essay. I have also consented patients to clinical trials and had to explain the different bio-specimen collection parameters outlined in the consent form. From my experience, most patients do not truly understand what will happen to their biological samples, but they understand it could potentially help make new discoveries in science and medicine, so they are more inclined to participate. The idea if subjects consent to future research for their disease then they are open to future research for other diseases (Wendler & Emmanuel, 2002), also holds true when I have personally spoke to patients. It is interesting to me to learn about the perceptions of biological samples collection for different diseases, as almost all of my research experience is in oncology and there is definitely an altruistic component to consenting to research when it is a matter of life and death.  Human Biological Sample Ethics Essay.

    References:

    Tindana, P., Molyneux C., Bull, S., & Parker, M. (2014). 
    Ethical issues in the export, storage and reuse of human biological samples in biomedical research: Perspectives of key stakeholders in Ghana and Kenya. 
    . BMC Medical Ethics. 15(1). Retrieved From https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4210627/

    Wendler D., & Emanuel E. (2002). The debate over research on stored biological samples: what do the sources think? Arch Intern Med, 162. (pp. 1457–1462). Retrieved From http://www.lcg.unam.mx/frontiers/files/frontiers/Wendler%20D.pdf. Human Biological Sample Ethics Essay

  • NRS-490 Scholarly Activity Summary

    NRS-490 Scholarly Activity Summary

    This document describes the scholarly activity elements that should be included in a five paragraph summary. You may use this resource to help guide the preparation of the Scholarly Activities assignment, due in Topic 10.

    Overview

    This section consists of a single paragraph that succinctly describes the scholarly activity that you attended/participated in, the target market for the activity, and the benefit of the activity to you.

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    Problem

    This section consists of either a short narrative or a list of bullet points that concisely identifies the problems the scholarly activity is designed to solve. Educate: What is the current state of the activity topic? Explain why this is a problem, and for whom is it a problem? Inspire: What could a nurse achieve by participating in the scholarly activity? Use declarative sentences with simple words to communicate each point. Less is more.

    Solution

    This section consists of either a short paragraph or a list of bullet points that concisely describes the solution to a proposed practice problem that the scholarly activity addressed and how it addresses the problem outlined in the previous section. NRS-490 Scholarly Activity Summary

    Opportunity

    This section consists of short paragraphs that define the opportunity that the scholarly activity is designed to capture. It is important to cover the objectives and goals that were met. How will attending/participating in this scholarly activity help you grow as a nurse?

    NRS-490-RS-Scholarly Activity Summary

    Program Competencies Addressed

    This section consists of a list of program competencies that were addressed in this scholarly activity. Please use the list from the ISP. NRS-490 Scholarly Activity Summary

  • Reuse of Human/ Biological Specimens for Future Research

    Reuse of Human/ Biological Specimens for Future Research

    Key Issues:

    Research on biological specimens is ever growing. With genetic and unspecified future research becoming more common, there is need for increased regulatory oversight for the use of biological specimens (and PHI). In the article, 
    Ethical issues in the export, storage and reuse of human biological samples in biomedical research: Perspectives of key stakeholders in Ghana and Kenya,
     the authors outline five key issues researchers in Ghana and Kenya face when working with biological samples for research: cultural influences on blood sample collection; broad consent; export of samples; local ethics committees’ concerns; and feasibility of monitoring such future use of specimens. The issues described in this article are applicable to almost any institution that collects and uses biological specimens for future research.Cultural implications and export of samples is underrated. I don’t think this is usually considered by researchers using human specimens for secondary research. Future research may include testing a human blood sample in an animal, and what if that person’s religion or cultural belief was against testing in animals?  Reuse of Human/ Biological Specimens for Future Research

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    How would they be able to redact that consent? They’d likely never be provided with this updated information. This touches on the idea of broad consent which usually has specific limitations (some information on the future research is usually provided). However, researchers may want to keep consent vague as to not limit their opportunities. Lastly, local ethics boards must create a proper reviewing mechanism to ensure original consents are being followed for secondary research. This is often very difficult as some committees are small and lack proper resources. Reuse of Human/ Biological Specimens for Future Research

    Additional Information on the Issues:

    There exists several studies that resulted in poor outcomes due to the issues noted above. For instance, a patient sued his physician after discovering his physician created a cell line from his spleen cells and ultimately filed for a patent (Hakimian & Korn, 2004, p. 2502). However, the only research activities the patient agreed to in the consent form he signed was a splenectomy. There was no mention in the consent of future use of specimens/data for commercial profit. uch misuse led to a lawsuit. Interestingly, the California Supreme Court ruled against the patient’s claimed ownership as it “contradicted the notion that a cell line is the product of invention” (Hakimian & Korn, 2004, p. 2502). This is very similar to Henrietta Lack’s case where the HeLa cell line was created from her cervical cancer cells and are still used today. Reuse of Human/ Biological Specimens for Future Research. Today, consent forms are drafted intentionally vague. Researchers don’t want to limit what they can do with specimens/data they’ve collected. This relates to broad and blanket consent. Blanket consent is essentially consent to future researcher with no specific limitations as to what the researcher can do with the specimens/data (Chandros Hall). It essentially gives the researcher free reign. Broad consent on the other hand is consent with outlined limitations (Chandros Hall). Broad consent is still vague, but it offers more information on what could possibly be done with specimens/data collected. These issues will continue to arise as future research consent is becoming more and more common. Reuse of Human/ Biological Specimens for Future Research.

    Personnel Opinion:

    Having reviewed many research studies, most research that involves future use is medical. And many of those are industry-sponsored projects. The majority of those consent forms reflect a contract—it’s somewhat chilling to imagine an individual with an 8th grade reading level presented with that type of consent form. It’s hard to believe they fully understand the research at hand, but to ask them for permission to keep and use their specimens for future research is even more unimaginable. How do they know what “future research” is? And how do they know their specimens/data will be used in accordance with applicable regulations? The problem is that there really is no way for a subject to truly understand “future research” because even the researchers don’t know what that future research will entail. So how can they agree to it? That’s somewhat like someone asking you for money, but they want your approval to do whatever they want with—buy drugs, invest to make more money, etc.—and they may not tell you right now what they’re going to use it for. Would you be OK with this? Reuse of Human/ Biological Specimens for Future Research.

    References:

    Hakimian, R., & Korn, D. (2004). Ownership and use of tissue specimens in research. 
    JAMA
    , 292(20), 2500-2505.

    Chandros Hall, S. 
    The ethics of genetic research with stored samples and data
     [PowerPoint slides]. Retrieved from
    https://www.bioethics.nih.gov/courses/pdf/2015/session4_hull.pdf
    . Reuse of Human/ Biological Specimens for Future Research

  • Structure of Health Insurance Paper

    Structure of Health Insurance Paper

    The present health care system relies on public and private health  insurance systems. On the basis of your understanding of the health  insurance system, answer the following questions:

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    Explain the basic structure of health insurance and analyze its most  important part. Describe the main purpose of health insurance in your  own words.

    What impact do you think health insurance has on our economy today?

    Explain why managed care was incorporated in the US health care  system long ago? Describe and contrast the three types of managed care  plans—HMOs, PPOs, and POS?.

    Should the same individuals who pay for your health care (managed  care organizations [MCOs]) also make your treatment decisions? Why or  why not?

    Is the fee-for-service (FFS) system more beneficial for the consumer than the current MCO system? Why or why not? Explain. Structure of Health Insurance Paper

  • Children as Research Subjects Essay Paper

    Give a posotive peer response paper to the following Children as Research Subjects Essay Paper;

    John Lantos summarizes the views of three specific researchers regarding the subject of child involvement in clinical research and the level of consent required to participate. Lantos describes that Beecher, a well-respected researcher in the 1960’s and 70’s, was torn on the idea of experimental trials involving minors. Beecher agreed that if the trial was to benefit the patient (even if they were a minor) and had minimal risk involved, that minors should be included in the subject population “as long as informed consent is obtained from the minor’s parents or guardian” (Lantos, p. 96). It was this debate, and many more regarding the conduct of clinical research, that brought about the rules and regulations we have today guiding our experiments and studies. Beecher did not believe in the multitude of codes set forth to dictate how research was conducted, including the strict guidelines on informed consent. He believed that informed consent was never truly accurate, as there are always unforeseeable risks and “no two situations are alike”. He also believed that research should be reviewed by a panel of individuals for ethicality, but these panels should consist of the researchers themselves. Beecher believed we should be able to trust the physicians to conduct trials at the highest standard by using “their own consciences and their experiences as their guide” (Lantos, p. 97). Children as Research Subjects Essay Paper. Lantos highlights the Willowbrook State school study over hepatitis as a prime example for children involved in research. he notes that Beecher disapproved of this trial because although consent was received from the parents, it is likely that these parents did not fully understand the risks involved and if they had, the study would probably not have been conducted as the parents wouldn’t have agreed to participate. Regarding child participation, Lantos brings to light the differing opinions of two other researchers, Ramsey and McCormick. Ramsey argued that even if consent is given, children should never be the subjects of clinical research, unless that research is guaranteed to benefit the child. McCormick argues the opposite side, stating that research in minors may be required if we want to make advances in medical treatment for minors. McCormick concedes that consent must be obtained from the parent or guardian, but does not believe that research cannot be done with children at all, as that poses a risk to our advancing medical knowledge which could lead to more harm than good for children (Lantos, p 99). Beecher posits that although consent may never cover all possible risks, as there are always unknowns when it comes to experimental treatment, it still must be required to conduct research on children. However, Beecher never assumed that there would be such strict guidelines regarding what must be involved in consent and how strictly the researcher would be watched when conducting his research (Lantos, 101-102). Children as Research Subjects Essay Paper.

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     In another article on research involving children as subjects, Ariella Binik notes that one of the biggest ethical questions on this topic is the issue of informed consent (Binik, p. 27). Depending on the age of the minor involved in research, they may not be able to provide consent for themselves at all (i.e., aren’t able to speak yet), and if they are of talking age, most do not have the capacity to fully understand the research being explained to them within the consent form, and therefore cannot provide true consent to participating. Another problem lies in the type of research conducted, and as stated in Binik and Lantos’ articles, Ramsey argued that non-therapeutic research, or research that will not give results that directly benefit the patient, involving children is absolutely unacceptable. Binik explores the idea of “benefit arguments” when justifying children as research participants (Binik, p. 28). Benefit arguments explain that research risks are justified by the benefits they can provide to the patient. This is true when it relates to direct benefits. However, when using these arguments to justify non-therapeutic research, the proponents argue that the benefits can be broader, non-direct, and sometimes not even medical, to justify the research risks (Binik, p. 30). Children as Research Subjects Essay Paper. Do these arguments truly discredit the idea that children cannot truly consent to participating in research? could these arguments go so far as to prove that informed consent for research involving children is not required? This is a scary thought. We cannot justify research and the risks it poses by coming up with intangible and unproven possible benefits. Children as Research Subjects Essay Paper.

    I agree with McCormick on the subject of children in research. how can we expect to further our knowledge of pediatric diseases and treatments if we do not study the population that they effect? I also agree that consent absolutely must be obtained and all known risks must be outlined prior to completing this research. It is clearly better to make subjects and their parents fully aware of what could possibly happen (even if it is not fully inclusive) then to not give them any information at all. As stated in his article, Lantos points out that Beecher “did not conclude from this that consent should not be sought. Instead, he thought of consents as an unattainable goal toward which we should nevertheless strive” (p 103). Much of the article also discusses the fact that there are such strict regulations guiding research conduct, where instead, we could just trust physicians to run clinical trials on their own and believe that they will lead us down the best path for our health. I strongly disagree with this. Not only has history proven this theory wrong, we also cannot blindly follow our clinician’s advice and assume they know best. Although they may be more trained and educated, without regulation, they may no longer have the patient best interest at heart. To agree with everything our doctor tells us and not have the right or capacity to disagree can lead to dangerous results. Children as Research Subjects Essay Paper. Beecher argued that when receiving treatment outside of clinical research, we “trust clinicians themselves to make the decisions about what therapies are appropriate…”, but when the word research is included, a panel of third party members must decide what is appropriate and fair to the subject (Lantos, p 103-104). The biggest part of this statement that stands out to me is that he is referencing non-experimental treatment when arguing that we trust the physician. Children as Research Subjects Essay Paper. We of course trust the physician completely when they are deciding a regular course of treatment that has been proven to work. However, when the treatment is experimental, there can be no harm in having a board of peers review the research to ensure that the patient is getting the respect they deserve. The rules and codes for research and consent forms is not showing distrust in the physician or his opinions and advice, but is instead giving the patient a voice in the situation and ensuring that basic human rights are present. Children as Research Subjects Essay Paper.

    Binik, A. (2018). Does benefit justify research with children?. Bioethics, 32(1), 27-35. doi:10.1111/bioe.12385

    LANTOS, J. (2016). HENRY K. BEECHER AND THE OVERSIGHT OF RESEARCH IN CHILDREN. Perspectives In Biology & Medicine, 59(1), 95-106. Children as Research Subjects Essay Paper

  • Health Insurance and Economy Essay

    Health Insurance and Economy Essay

    When dealing with public health policy and laws, we need to consider  various aspects of the economy. Concepts of efficiency can be utilized  when deciding which goods and services should be produced and who should  receive them.

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    The three types of efficiencies are allocative, production, and  technical. The two types of health economics are positive and normative.  Positive Economics deals with “what is” or the current status that is  linked to a clear standard of measurement. Normative economics deals  with “what ought to be” and is subject to interpretation with the moral  or ethical aspects of a policy. Your lecture has more details.

    Using South University Online Library or the Internet, search the  article, “The Interplay of Public Health Law and Industry  Self-Regulation: The Case of Sugar-Sweetened Beverage Sales in Schools.”

    On the basis of the article and your understanding on the topic,  write a 3- to 4-page essay in a Microsoft Word document on the three  types of economic efficiencies and both positive and normative economics  as it relates to regulating sugar-sweetened beverage sales in schools. Health Insurance and Economy Essay.

    Support your statements with at least two other scholarly sources,  correctly formatted in APA style. This assignment requires a title page,  an introduction, a body, a conclusion, and a separate reference page.

    Submission Details:

    Support your responses with reasoning and examples.

    Cite any sources in APA format. Health Insurance and Economy Essay