Assessment 2 Nursing Assignment Paper

Assessment 2 Create a 15-minute oral presentation

Assessment 2 Create a 15-minute oral presentation

Overview

Create a 15-minute oral presentation (3 pages) that examines the moral and ethical issues related to triaging patients in an emergency room.

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

· Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.

. Explain the health care policies that can affect emergency care.

. Recommend evidence-based decision-making strategies nurses can use during triage.

· Competency 3: Apply professional nursing ethical standards and principles to the decision-making process.

. Describe the moral and ethical challenges nurses can face when following hospital policies and protocols.

. Explain how health care disparities impact treatment 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.

Context

Working in an emergency room gives rise to ethical dilemmas. Due to time restraints and the patient’s cognitive impairment and lack of medical history, complications can and do occur. The nurse has very little time to get detailed patient information. He or she must make a quick assessment and take action based on hospital protocol. The organized chaos of the emergency room presents unique ethical challenge, which is why nurses are required to have knowledge of ethical concepts and principles. Assessment 2 Nursing Assignment Paper

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 does a triage nurse decide which patient gets seen first?

· How does health disparity affect the triage nurse’s decision making?

· What ethical and moral issues does the triage nurse take into account when making a decision?

· What are triage-level designations?

Resources

· Tingle, J., & Cribb, A. (Eds.). (2014).  Nursing law and ethics  (4th ed.). Somerset, NJ: John Wiley & Sons.

· Cranmer, P., & Nhemachena, J. (2013).  Ethics for nurses: Theory and practice . Maidenhead, UK: Open University Press.

· Aacharya, R. P., Gastmans, C., & Denier, Y. (2011). Emergency department triage: An ethical analysis. B MC Emergency Medicine, 11(1), 16–29.

· Guidet, B., Hejblum, G., & Joynt, G. (2013). Triage: What can we do to improve our practice? Intensive Care Medicine, 39(11), 2044–2046.

· Kangasniemi, M., & Haho, A. (2012). Human love – The inner essence of nursing ethics according to Estrid Rodhe. A study using the approach of history of ideas. Scandinavian Journal of Caring Sciences, 26(4), 803–810.

· Gastmans, C. (2013). Dignity-enhancing nursing care: A foundational ethical framework. Nursing Ethics, 20(2), 142–149.

· Domagala, S. E., & Vets, J. (2015). Emergency nursing triage: Keeping it safe. Journal of Emergency Nursing, 41(4), 313–316.

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. (2015). Ethics and Human Rights. Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/

· American Nurses Association. (2016). Position statement: The nurse’s role in ethics and human rights: Protecting and promoting individual worth, dignity, and human rights in practice settings. Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/the-nurses-role-in-ethics-and-human-rights/

· Vigil, J. M., Alcock, J., Coulombe, P., McPherson, L., Parshall, M., Murata, A., & Brislen, H. (2015). Ethnic disparities in emergency severity index scores among U.S. veteran’s affairs emergency department patients. PLoS One, 10(5). Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/26024515

Assessment instructions

Your supervisor has asked you to do a 15-minute oral presentation at a staff meeting about a recent issue that occurred at another hospital in town. Following an industrial accident, two patients arrived at the emergency room of that hospital at the same time, presenting with very similar inhalation injuries. The hospital received a great deal of negative press due to how the patients were triaged in the ER. Your supervisor would like you to use the specifics of this case to review triage procedures and best practices at your facility. Here are the details:

· One is a 32-year-old firefighter, Frank Jeffers, who is presenting with respiratory difficulties that he obtained while evacuating victims of an industrial accident. He is a married homeowner and father of two young boys. He has lived in the community all his life. He has full and comprehensive health insurance through his employer.

· The other is Brent Damascus, a 58-year-old man. Brent is presenting with respiratory difficulties with the same intensity as Mr. Jeffers above. He is well known at the hospital emergency room, as he is a frequent visitor with various complaints, including asthma, headaches, and tremors. He is homeless, unemployed, and uninsured. He stays many nights at the YMCA and eats lunch at the soup kitchen. He has lived in the community for over 10 years and has been arrested several times for petty theft.

Preparation

Search the Internet for scholarly and professional peer-reviewed articles on best practices in triage nursing. You will need at least three articles to use as support for your work on this assessment.

Directions

Create a 15-minute presentation (3 pages) that examines the moral and ethical issues that occurred when triaging these two patients and the best practices for managing this in the future.

Divide your draft into a number of talking points that you can summarize neatly. Keep in mind that an oral presentation requires slightly different language than an essay. The aim is to communicate your message so keep sentences simple and focus on the key points you want to deliver. Address the following in your presentation:

· Explain the health care policies and protocols that are in place that direct triage care in an emergency situation.

· Explain how health care disparities impact treatment decisions.

· Identify the health care policies that are in place that direct care for uninsured individuals. Is there a difference in how these individuals are triaged?

· Describe the moral and ethical challenges nurses can face when following hospital policies and protocols. Is there a conflict when a severely injured person is also uninsured?

· Recommend evidence-based strategies that should be applied for managing the care of uninsured and indigent population.

·

Additional Requirements

Your presentation should meet the following requirements:

· Written communication: Written communication should be free of errors that detract from the overall message.

· References: Include a reference section with a minimum of three references; a majority of these should be peer-reviewed sources. All resources should have been published within the last 5 years.

· APA format: Resources and citations should be formatted according to current APA style and formatting.

· Length: 3 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.

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Assessment 2 Create a 15-minute oral presentation

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. Assessment 2 Create a 15-minute oral presentation

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We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

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