NURS 8002 Positive Social Change and DNP-Prepared Nurse
NURS 8002 Positive Social Change and DNP-Prepared Nurse
Post an explanation of at least two significant ethical issues relevant to the DNP-prepared nurse.
According to Ulrich et al., in a recent study conducted over 422 questionnaires were used in the analysis to ask the most frequently occurring ethical issues nurses encountered. Out of these issues a DNP-prepared nurse would be most affected by protecting patient rights, and patient autonomy (Ulrich, 2010).
The 1973 American Hospital Association patient bill of rights was the first bill of rights written specifically for patients. One important patient right includes informed consent. The following elements are required for documentation during the discussion, 1). The nature of the procedure, 2.) the risks and benefits of the procedure, 3.) reasonable alternatives, 4.) risk and benefits of alternatives, and 5.) Assessment of the patient’s understanding of elements. which include the right to be informed of potential harm to the body and right to autonomy or self-decision making (Olejarczyk, 2021).
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Patient Autonomy literally means self-rule and refers to living and making decisions according to one’s own reasons or motives. A patient who can defend his or her judgments has the right to make decisions that do not coincide with what the clinician believes is beneficial to the patient. A patient’s autonomy is violated when family members or members of a health care team pressure a patient or when they act on behalf without the patient’s permission (in a non-emergent situation) (Olejarczyk, 2021).
Then explain how these issues might compare to the types of issues you have encountered in your practice. Be specific and provide examples.
Protecting patient rights have been an issue in the past due to limited space in our clinic. Patient information on computer screens and conversations regarding patient health information can be easily overheard. To rectify this issue or department managers have asked for screen protectors, patient information to be covered whenever left on the desk, and taller cubicle space.
Informed consent has also been addressed in our clinic. When patients agree to care management, there was no written consent or agreement. Stakeholders then agreed to add an excerpt explaining care management, benefits to agreeing to the program, an opportunity to opt out, and a place on the website to go for additional questions and information. Patient are now required to sign a consent before care management begin.
Resources:
Olejarczyk, J. P. (2021, August 13). Patient rights and ethics. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK538279/.
Ulrich, C. M., Taylor, C., Soeken, K., O’Donnell, P., Farrar, A., Danis, M., & Grady, C. (2010). Everyday ethics: Ethical issues and stress in nursing practice. Journal of Advanced Nursing, 66(11), 2510–2519. https://doi.org/10.1111/j.1365-2648.2010.05425.x
As a current and future advanced practice nurse, you are and will continue to serve as an agent of change in all you do. Think about the positive impacts you have on patient care, the organization and nursing practice in which you work, and the community in which you serve. How will earning the DNP degree not only support your advocacy for positive social change but, in its own right, represent a commitment toward fostering innovation for change in nursing practice?
The two challenges I have noticed in my organization are similar issues, which are lack of communication with family or support partners as well as lack of communication with our patients. These challenges have been around for a long time, and although great strides have been made in correcting the problems we have not completely corrected the issues. My role as a DNP graduate nurse is to ensure continued research to improve patient outcomes (Falkenberg-Olson, 2019).
Family-centered Care
Family-centered care is a necessary part of nursing practice that requires establishing a connection with all parties involved in patient care. The emotional support that families provide is essential to patient care, so much so that a mass amount of research has been provided focusing on improving family-centered care (Akram et al., 2021).
Intervention
The interventions I suggest both require time. For our families, I think it is important to dedicate a set time during the shift to reach out to those family care partners interested in being contacted. The set time will be agreed upon by a designated family member and will be passed on as part of the handoff.
Patient-centered Care
Achieving the optimal outcome for the patient is the goal of every healthcare worker involved in the patient’s care. To achieve this, it is crucial to design a care plan centered around the patient. There are a number of theories that can help positively influence patient outcome. Patient-centered care allows the patient control of a situation that can be chaotic. The sudden change in a person’s health can be terrifying and can make the patient feel helpless. Patient-centered care gives the patient control of the fight by organizing the care around the individual. This is done by partnering with patients and their families, identifying the patient’s needs and preferences regarding care. Therefore, there has to be communication to establish this connection(Ortiz, 2021).
Intervention
The intervention here will be the same, the devotion of time. It is important to spin time with the patient. Ortiz’s (2021) article pointed out the amount of time nurses spent with their patients. The article suggested that nurses spend more time on the computer (technology) that it becomes easy for them to forget about communicating with the patient. After this finding, nurses were required to spend five minutes with each patient at the beginning of the shift. During this time, they would sit and talk with their patients, making sure to establish eye contact, listen to any questions they may have, and answer the questions completely. This would be the intervention I would suggest for this practice problem.
Conclusion
Communication is key in getting to know the needs of the patients and producing a positive outcome. You have to communicate with all parties involved to make sure everyone is on the same page related to the patient’s care. Time must be allotted for communication with both the patient and the care partners to reach optimal results.
References
Akram, R., Huda, M., Dao’od, A., Basel, A. & Mohammad, A. (2021). Enhancing family-centered care in the ICU during the COVID-19 pandemic. Nursing Management, 52, (8), 34-38. DOI: 10.1097/01.NUMA.0000758684.16364.F6
Ortiz, M. (2021). Best Practices in Patient-Centered Care: Nursing Theory Reflections.Nursing Science Quarterly, 34, (3), 322-327. DOI 10.1177/08943184211010432.
For this Discussion, review the Learning Resources and reflect on how you, as a current and future advanced practice nurse, will strive for and commit to advocacy for positive social change. Consider how your current nursing practice experiences and future opportunities will further support your role as an agent of change.
To prepare:
- Review the Learning Resources and reflect on your personal and professional commitment to advocacy for patients, communities, and the profession.
- Think about how your role as a DNP-prepared nurse contributes to advocacy for positive social change.
By Day 3 of Week 11
Post an explanation of how you anticipate enacting personal and professional commitment for advocacy to positively impact your patients, communities, and the profession. Be specific. Then, explain how your role as a DNP-prepared nurse contributes to advocacy for positive social change.
By Day 5 of Week 11
Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by expanding upon your colleague’s post or suggesting an alternative approach for enacting positive social change as a DNP-prepared nurse.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 11 Blog Rubric
Post by Day 3 of Week 11 and Respond by Day 5 of Week 11
To Participate in this Blog:
Week 11 Blog
Congratulations! After you have finished all of the assignments for this week, you have completed the course. Please submit your Course Evaluation by Day 7.
Week 11: The DNP-Prepared Nurse as an Advocate for Social Change
When you think of an advocate for social change, what comes to mind? As it impacts the role of a nurse, how does a nurse present advocacy for promoting social change?
Throughout this course, you have considered and reflected on how the DNP-prepared nurse advocates for positive social change, whether that stems from direct patient-level care or more broadly to that of community-level or population-based actions to promote nursing practice and healthcare delivery.
As a DNP-prepared nurse, you will also function as a nurse leader in identifying and serving as a champion of those nursing practice and healthcare-related issues that merit transformation. In what ways will your advocacy and leadership impact the patients, communities, and populations you serve?
This week, you analyze the role of the DNP-prepared nurse in promoting advocacy for social change. In your Blog Assignment, you and your colleagues will have the opportunity to share your perspectives and examine your role for positive leadership and you continue your program of study.
Learning Objectives
Students will:
- Analyze the role of the DNP-prepared nurse in promoting advocacy for social change
Learning Resources
Required Readings (click to expand/reduce)
Rubric Detail
Select Grid View or List View to change the rubric’s layout.
Name: NURS_8002_Week11_Blog_Rubric
| Excellent
90%–100% |
Good
80%–89% |
Fair
70%–79% |
Poor
0%–69% |
|||
| Main Posting:
Response to the Blog prompt is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. |
18 (30%) – 20 (33.33%)
Thoroughly responds to the Blog prompt(s). Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and/or current practice experiences. No less than 75% of post has exceptional depth and breadth. |
16 (26.67%) – 17 (28.33%)
Responds to most of the Blog prompt(s). Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and/or current practice experiences. 50% of the post has exceptional depth and breadth. |
14 (23.33%) – 15 (25%)
Responds to some of the Blog prompt(s). One to two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. |
0 (0%) – 13 (21.67%)
Does not respond to the Blog prompt(s). Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. |
||
| Main Posting:
Writing |
5 (8.33%) – 5 (8.33%)
Written clearly and concisely. Contains no grammatical or spelling errors. Adheres to current APA manual writing rules and style. |
4 (6.67%) – 4 (6.67%)
Written concisely. May contain one to two grammatical or spelling errors. Adheres to current APA manual writing rules and style. |
3 (5%) – 3 (5%)
Written somewhat concisely. May contain more than two spelling or grammatical errors. Contains some APA formatting errors. |
0 (0%) – 2 (3.33%)
Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style. |
||
| Main Posting:
Timely and full participation |
5 (8.33%) – 5 (8.33%)
Meets requirements for timely, full, and active participation. Posts main Blog post by due date. |
4 (6.67%) – 4 (6.67%)
Posts main Discussion by due date. Meets requirements for full participation. |
3 (5%) – 3 (5%)
Posts main Blog post by due date. |
0 (0%) – 2 (3.33%)
Does not meet requirements for full participation. Does not post main Blog post by due date. |
||
| First Response:
Post to colleague’s main post that is reflective. |
5 (8.33%) – 5 (8.33%)
Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty. |
4 (6.67%) – 4 (6.67%)
Response has some depth and may exhibit critical thinking or application to practice setting. |
3 (5%) – 3 (5%)
Response is on topic and may have some depth. |
0 (0%) – 2 (3.33%)
Response may not be on topic and lacks depth. |
||
| First Response: Writing |
5 (8.33%) – 5 (8.33%)
Communication is professional and respectful to colleagues. Response fully answers faculty questions, if posed. Provides clear, concise opinions and ideas. Response is effectively written in standard, edited English. |
4 (6.67%) – 4 (6.67%)
Communication is mostly professional and respectful to colleagues. Response mostly answers faculty questions, if posed. Provides opinions and ideas. Response is written in standard, edited English. |
3 (5%) – 3 (5%)
Response posed in the Blog may lack effective professional communication. Response somewhat answers faculty questions, if posed. |
0 (0%) – 2 (3.33%)
Responses posted in the Blog lack effective communication. Response to faculty questions is missing. |
||
| First Response: Timely and full participation |
5 (8.33%) – 5 (8.33%)
Meets requirements for timely, full, and active participation. Posts by due date. |
4 (6.67%) – 4 (6.67%)
Meets requirements for full participation. Posts by due date. |
3 (5%) – 3 (5%)
Posts by due date. |
0 (0%) – 2 (3.33%)
Does not meet requirements for full participation. Does not post by due date. |
||
| Second Response: Post to colleague’s main post that is reflective. |
5 (8.33%) – 5 (8.33%)
Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty. |
4 (6.67%) – 4 (6.67%)
Response has some depth and may exhibit critical thinking or application to practice setting. |
3 (5%) – 3 (5%)
Response is on topic and may have some depth. |
0 (0%) – 2 (3.33%)
Response may not be on topic and lacks depth. |
||
| Second Response: Writing |
5 (8.33%) – 5 (8.33%)
Communication is professional and respectful to colleagues. Response fully answers faculty questions, if posed. Provides clear, concise opinions and ideas. Response is effectively written in standard, edited English. |
4 (6.67%) – 4 (6.67%)
Communication is mostly professional and respectful to colleagues. Response mostly answers faculty questions, if posed. Provides opinions and ideas. Response is written in standard, edited English. |
3 (5%) – 3 (5%)
Response posed in the Blog may lack effective professional communication. Response somewhat answers faculty questions, if posed. |
0 (0%) – 2 (3.33%)
Responses posted in the Blog lack effective communication. Response to faculty questions is missing. |
||
| Second Response: Timely and full participation |
5 (8.33%) – 5 (8.33%)
Meets requirements for timely, full, and active participation. Posts by due date. |
4 (6.67%) – 4 (6.67%)
Meets requirements for full participation. Posts by due date. |
3 (5%) – 3 (5%)
Posts by due date. |
0 (0%) – 2 (3.33%)
Does not meet requirements for full participation. Does not post by due date. |
||
| Total Points: 60 | ||||||
Name: NURS_8002_Week11_Blog_Rubric
