Healthcare Ethics and Healthcare Reform

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According to the American College of Emergency Physicians. (ACEP) (n.d.), “the enacted Affordable Care Act (PPACA) of 2010 has fueled ethical debate of several important controversial topics. Ethical issues of health care reform include moral foundations, cost containment, public health, access to care, ED crowding, and end-of-life issues.”

Review the following article:

ACEP. (n.d). The Ethics of Health Care Reform: Issues in Emergency – Medicine – An Information Paper. Retrieved from https://www.acep.org/life-as-a-physician/ethics–legal/ethics/the-ethics-of-health-care-reform-issues-in-emergency—medicine—an-information-paper/#sm.0000s5twwucmldpxvhb28muxrbrou

  • From a healthcare administrator perspective, discuss the ethical and moral issues presented in this article. Do you agree or disagree? Explain your rationale in detail.
  • What ethical ramifications should be considered in regard to future healthcare reform?

250 words

Conscience and Religious Freedom Division

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Information about the Conscience and Religious Freedom Division can be found at the following source: https://www.hhs.gov/conscience/index.html

Conduct additional research on Conscience and Religious Freedom. For your Module 1 SLP assignment, you are to use reasoning (from a healthcare professional perspective) and ethical principles (i.e., Religious Ethics, Normative Ethics, Descriptive Ethics, Applied Ethics, etc.) to compose a 2-page letter to your local Congressman/Congresswoman either in support of or opposition to Conscience and Religious Freedom. This should not be opinion (e.g., avoid “I think” in your paper), but a supported analysis. Your letter should address the following:

  1. Effectiveness or ineffectiveness of Conscience and Religious Freedom to the population that you as a healthcare professional serve.
  2. Rationale for your support/opposition.
  3. Ethical principles that support your position and supporting rationale (why).
  4. Suggestions or recommendations.

Note: You are not graded on your support or opposition, but rather your critical thinking skills in supporting your position, and application of ethical principles. You may also think about referencing pivotal Supreme Court decisions as well (review background cases and supporting information in the Module 1 Background).

Frontline Health Workers Coalition. (2018). Who they are. Retrieved from https://www.frontlinehealthworkers.org/frontline-health-workers/who-they-are/

mono therapy

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Discuss Bupropion.

When would you consider adding bupropion to an SSRI and when would you use bupropion for mono therapy?

function of lipid

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One function of lipid is to provide energy. Glucose is our body’s preferred energy source, but fatty acids provide an alternative energy source when needed.

Protein is the third essential macro-nutrient. This forum explores in more depth lipid and protein.How big is your protein footprint?  Does a meat-rich diet have an adverse impact on our environment?  Does it contribute to global warming?You need to state your thesis and support it with evidence and at least one outside, reputable reference. Your textbook is not an outside reference. Remember, there is no right or wrong.  

Not-for-profit hospital

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Choose a type of healthcare delivery system to study from the list below. Prepare a 2-3 page paper which includes information about a specific hospital organization within your chosen delivery system.  Explain why you chose the organization as the basis of your paper. In your paper, include the types of consumers (patients) that would use the services of the chosen facility, how those individuals would access the healthcare system and the effect and needs of insurance. Compare and contrast your chosen healthcare delivery system to one other type of delivery system from the list with regards to the populace that would use it, how it is paid for, and your current thoughts on its effectiveness. Include your definition of “health” and how your definition would be met with your chosen healthcare system. Include a minimum of two (2) authoritative references using in-text citations and a reference list.

  1. For-profit hospital
  2. Not-for-profit hospital
  3. Health maintenance organization
  4. For-profit ambulatory surgical center

Submit the 2-3 page paper 

Research Competencies

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Difference between DNP AND PhD
 Based on Curriculum Content wise
The DNP is a practice doctorate that places greater emphasis on direct clinical practice. The curriculum focuses on organizational management, systems leadership, clinical-practice administration, quality improvement and program evaluation, in addition to other specialty areas, and less on statistics and research methodology.
 Ph.D. is more research-intensive and takes a scholarly approach to nursing. The curriculum for these degrees focuses on scientific inquiry and provides the evidence for nursing practice, as well as improving general nursing knowledge.
Based on Research Competencies
DNP-prepared nurses develop the skills necessary to implement the scientific findings conducted by nurse researchers with a Ph.D. or DNS (Doctor of Nursing Science). Graduates develop competencies in analytical methods, decision-making, enhanced knowledge and leadership skills to improve clinical practice and patient outcomes.
Ph.D. and DNS programs focus heavily on research methodology and scientific investigation. Graduates of these programs contribute to the improvement of healthcare by offering new information for practicing nurses.
Outcomes and Roles
 DNP programs have become the preferred preparation for advanced practice nurses, including nurse practitioners, clinical nurse specialists, nurse midwives or nurse anesthetists.  Meanwhile, graduates of DNS and Ph.D. programs pursue alternate paths within the field of nursing, commonly seeking roles as researchers, nurse scientists or scholars.
I would like to choose DNP if I decided to pursue my further study. We nurses frequently work alongside other health professionals with practice doctorates – physicians, pharmacists, physical therapists and more. The DNP provides nurses with a clinical option for nursing education that is more commensurate to the education of these disciplines.
According to the American Association of Colleges of Nursing, the DNP prepares nurses for the future tomorrow’s practice. If it is one’s interest in leading these changes, a DNP degree can help assume key executive positions as a nurse leader.

ultimate goal of improving health care

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The Doctor of Nursing Practice (DNP) prepares BSN or MSN degreed nurses for the highest level of nursing leadership and practice within organizations with the ultimate goal of improving health care. The DNP will prepare nurses to become nurse leaders in interdisciplinary health care teams by providing the skills necessary to translate evidence gained through nursing research into their practice. The DNP program focuses on evidence-based practice and quality improvement and system leadership. They will have the skills to improve systems of care and measure outcomes of patient groups, populations and communities. (All Nursing Schools, n.d.)

The PhD in Nursing prepares nurse “scientist” to develop new knowledge for the science and practice of nursing.  They are prepared for an intellectual inquiry through scholarship and research. They pursue research interests; utilize external funding and creating well-designed methods to discover new knowledge related to nursing. PhD nurses will lead interdisciplinary research teams, design and conduct research studies and disseminate knowledge for nursing and related disciplines, particularly addressing trajectories of chronic illness and care systems. (All Nursing Schools, n.d.)

During my research of the DNP and PhD, I learned things about both degrees that I was not aware of. If I decided to continue my education to the doctoral level, I think I would go for the DNP. The DNP is more evidence based and hands on. I am more a hands on person and prefer to have the evidence there in front of me.

Mental Health Nurse

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The major difference between a Doctor of Nursing Practice (DNP) and a Doctor of Philosophy degree (PhD) is whether nurses translate research into practice to improve patient outcomes with a DNP or whether nurses want to advance the science of nursing, conducting research using a PhD (AACN, 2018). Most nurses who want to complete their DNP are oriented in the direction of improving outcomes, patient centered care and population health. Most nurses who want to complete their PhD are oriented in the direction of developing new nursing knowledge and scientific inquiry (AACN, 2018). Nurses who are committed to their practice will usually choose to purse a DNP when deciding on a doctoral program and nurses who want to commit their lives to research will most likely choose a PhD program of study. According to the American Association of Colleges of Nursing (2018), nurses who complete the DNP program or PhD program of study will be able to contribute to health care improvements through the development of practice and new knowledge from scholarly expertise in teaching and research.

Personally, if I had to choose between a DNP or a PhD in nursing I would go with a Doctor of Nursing Practice-Psychiatric Mental Health Nurse Practitioner (DNP-PMHNP), since that is where my passion and clinical expertise remains. After completing my BSN, I plan on becoming ANCC Psychiatric-Mental Health Nursing certified. There is so much more to discover when it comes to assessing, diagnosing, and treating patients who are seeking help with mental health disorders. I wish to acquire the advanced skills and abilities to integrate my knowledge, while making a positive contribution to the community and improving patient outcomes. I see myself as a leader in health care, taking initiatives to promote health, educating peers, patients and other health care providers.  I believe that a DNP would be in my best interest when it comes to my professional and personal goals as a professional nurse.

Doctoral learners

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Use the following information to ensure successful completion of the assignment:

  • Use at least two additional scholarly research sources published within the last 5 years. Provide citations and references for all sources used.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • This assignment uses a rubric. Please Review the rubric prior to the beginning to become familiar with the      expectations for successful completion.
  • You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

For a specific focus of patient practice (e.g., acute care hospital, clinic, primary care, long-term care, home health), select a particular disease process. Chose a topic of concern such as providing elements of care for a specific disease process or an administrative problem. This topic must be in need of progression or process improvement. Once identified, summarize the literature supporting proposed change. Identify an action plan to introduce change and potential barriers to implementing change. Finally, describe how you would propose evaluating the change.

Your case report must include the following:

  1. Introduction with a problem statement.
  2. Brief synthesized review.
  3. Description of the case/situation/conditions.
  4. Proposed solutions describing the validity      and reliability of the research you have read.
  5. Conclusion.

practice problem.

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Week 7 Instructions

Tutor MUST have a good command of the English language

Tutor MUST have a good command of the English language

Sources need to be journal/scholarly articles. 

Use only articles that are published between 2015-2018 (except for your theory articles which will be older as you must cite primary sources).

No textbook or direct quotes

Details:

 

In this assignment, learners are required to write a case report addressing the personal knowledge and skills gained in the current course and potentially solving an identified practice problem.