MSN 6011 Unit 4 Discussion Technology and Ethical Dilemmas in Evidence-Based Care

MSN 6011 Unit 4 Discussion Technology and Ethical Dilemmas in Evidence-Based Care

For this discussion, read the two case studies below. Choose
one of the case studies and respond to all of the questions and points under
that case study.

Case Study 1

M. J. is a 55-year-old Caucasian female who is presently
recovering in an orthopedic unit of a large medical center following a total
right hip replacement. She has had a Foley catheter in place since prior to
surgery three days ago, and has now developed a catheter-associated urinary tract
infection (CAUTI).Your institution has established a culture of safety and has
protocols in place that have resulted in a significant decrease In CAUTIs in
its post-operative population. As M. J. is the fourth patient to have a CAUTI
in the last three months, this is especially disconcerting. A committee was
established to look into the recent increases in CAUTI occurrences. Their
research resulted in a recommendation to implement a trial of utilizing
automatic computer technology prompts for the health care providers about
discontinuing urinary catheters. The hope is this notification system will
mitigate the sudden rise in CAUTIs and ensure patient safety.

If you have chosen to respond to this case study, please
address the following in your response:

What might be potential ethical barriers to implementing
automatic computerized reminders to remove Foley catheters on identified
patients?

How do you integrate the ethics of caring into this practice
environment?

Are there ethical considerations associated with using care
bundle guidelines in practice? In monitoring and tracking data?

Discuss how the culture of patient safety is aligned with
one of the ethical principles of beneficence or non-maleficence.

Be sure to cite at least two sources of evidence in your
initial discussion post.

Case Study 2

Rachel is a registered nurse who works for a major insurance
company in the diabetes wellness department. Her employer has identified
potential high-cost utilizers, and those diabetics at risk for target organ damage,
by utilizing data from the population health portal HEDIS benchmarks of those
diabetic patients enrolled with their health plan. The data points being used
are hemoglobin A1C levels less than 9% and LDL cholesterol levels below 100.
All patients with high A1Cs and LDLs are being contacted by the insurance
company to be enrolled in a telephonic nurse education program. The goal of the
program is for the nursing staff to educate the patients on healthy lifestyle
and self care to improve their diets, exercise, and medication adherence.
During one of the calls, Rachel identifies that she is employed in Iowa, and
her patient lives in Nebraska.

If you have chosen to respond to this case study, please
address the following in your response:

Are there any legal or ethical issues with the RN and
patient being in different geographical locations?

Does the nurse need to obtain a nursing license in every
state where there might be electronic contact with the patient?

If the nurse gives the patient poor advice, and there is a
case of substandard care or malpractice, where would the patient seek legal
recourse?

How do you integrate the ethics of caring into this practice
environment?

Be sure to cite at least two sources of evidence in your
initial discussion post.

Response Guidelines

Review the posts of your peers and then select two to whom
you wish to respond. If possible, these peers should have chosen to respond to
the same case study as you. In your response be sure to address the following (
Note: Your responses should be substantive, 100-200 words):

Compare the evidence that you used to inform your response
to that used by you peer.

How did the evidence lead you to similar conclusions as your
peer?

How did the evidence lead you to different conclusions than
your peer?

Briefly comment on what this indicates to you about the
importance of considering multiple sources of evidence.

Briefly explain how additional evidence has changed your
thoughts about what the appropriate actions are to take.

Resources

Discussion Participation Scoring Guide.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include 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 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 LoudCloud 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 overutilization of direct quotes in DQs and assignments at the Masters’ 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.

Lopes Write 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 LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 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.

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.