A. Research and define the following terms as they relate to the legal and medical ethics presented in the story My Sister’s Keeper. These are the central issues needed to base a medical opinion about any case in court. (12 points)

Medical Ethics:

• Autonomy
• Veracity
• Fidelity
• Beneficence
• Non-maleficence
• Justice

B. Using these as 6 criterion, describe how each of these characteristics related back to the legal arguments and behaviors exhibited by the prosecuting and defense attorneys in this case. 

C. Then, in two to three paragraphs, describe the moral, practical, and emotional complication of putting one child in unnecessary pain and danger for the well-being of another? 

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Assignment – Critiquing Research Part 

Select a research article from a nursing journal that is related to your practice. Use the questions below to write a critique of your research article. Answer all questions that apply to the quantitative and/or qualitative study that you selected. Include 2-3 pages in the body, a title page and article citation (APA format) on the title page, and your reference page. Please save the research article that was critiqued in a .pdf and attach the article with the paper. Points will be deducted if the article is not submitted along with the critique.

l. Statement of the Problem: 

• Is the problem clearly and concisely stated?
• Is the problem stated in terms, which are specific and narrow enough to study?
• How is the problem important or significant for nursing practice?

II. Research Questions and Hypotheses: 

• Are the hypotheses stated clearly? 
• Do they contain a dependent and independent variable? If so, identify them. 
• Do the hypotheses predict a relationship between two or more variables?

III. Review of Literature:

• Does the review have a significant amount of recent work? 
• Does the review of the literature provide supporting evidence to show the need for carrying out the research? 
• Are documentation and selection of sources appropriate? 
• Is the review well organized? 
• Does the article describe a theoretical or conceptual framework? If not, should one have been included?

Assignment – Critiquing Research Part I

Hide Assignment InformationTurnitin®This assignment will be submitted to Turnitin®.Instructions

Select a research article from a nursing journal that is related to your practice. Use the questions below to write a critique of your research article. Answer all questions that apply to the quantitative and/or qualitative study that you selected. Include 2-3 pages in the body, a title page and article citation (APA format) on the title page, and your reference page. Please save the research article that was critiqued in a .pdf and attach the article with the paper. Points will be deducted if the article is not submitted along with the critique.

l. Statement of the Problem: 

• Is the problem clearly and concisely stated?
• Is the problem stated in terms, which are specific and narrow enough to study?
• How is the problem important or significant for nursing practice?

II. Research Questions and Hypotheses: 

• Are the hypotheses stated clearly? 
• Do they contain a dependent and independent variable? If so, identify them. 
• Do the hypotheses predict a relationship between two or more variables?

III. Review of Literature:

• Does the review have a significant amount of recent work? 
• Does the review of the literature provide supporting evidence to show the need for carrying out the research? 
• Are documentation and selection of sources appropriate? 
• Is the review well organized? 
• Does the article describe a theoretical or conceptual framework? If not, should one have been included?

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Assignment: The Impact of Standardized Nursing Terminology

Among the Resources in this module is the Rutherford (2008) article Standardized Nursing Language: What Does It Mean for Nursing Practice? In this article, the author recounts a visit to a local hospital to view the recent implementation of a new coding system.

During the visit, one of the nurses commented to her, “We document our care using standardized nursing languages but we don’t fully understand why we do” (Rutherford, 2008, para. 1).

How would you respond to a comment such as this one?

To Prepare:

• Review the concepts of informatics as presented in the Resources, particularly Rutherford, M. (2008) Standardized Nursing Language: What Does It Mean for Nursing Practice?
• Reflect on the role of a nurse leader as a knowledge worker.
• Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

In a 2- to 3-page paper, address the following:

• Explain how you would inform this nurse (and others) of the importance of standardized nursing terminologies.
• Describe the benefits and challenges of implementing standardized nursing terminologies in nursing practice. Be specific and provide examples.
• Be sure to support your paper with peer-reviewed research on standardized nursing terminologies that you consulted from the Walden Library.

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Assignment: Evidence-Based Practice and the Quadruple Aim

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

• Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
• Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
• Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

• Patient experience
• Population health
• Costs
• Work life of healthcare providers

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The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable, since very few drugs have been specifically researched and tested with children.

When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion.

Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.

To Prepare

• Review the interactive media piece in this week’s Resources and reflect on the types of drugs used to treat pediatric patients with mood disorders.
• Reflect on situations in which children should be prescribed drugs for off-label use.
• Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.

 Interactive media piece:

African American child suffering from Depression:

BACKGROUND INFORMATION

The client is an 8-year-old African American male who arrives at the ER with his mother. He is exhibiting signs of depression.

• Client complained of feeling “sad”
• Mother reports that teacher said child is withdrawn from peers in class
• Mother notes decreased appetite and occasional periods of irritation
• Client reached all developmental landmarks at appropriate ages
• Physical exam unremarkable
• Laboratory studies WNL
• Child referred to psychiatry for evaluation

MENTAL STATUS EXAM

Alert & oriented X 3, speech clear, coherent, goal directed, spontaneous. Self-reported mood is “sad”. Affect somewhat blunted, but child smiled appropriately at various points throughout the clinical interview. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. Judgment and insight appear to be age-appropriate. He is not endorsing active suicidal ideation, but does admit that he often thinks about himself being dead and what it would be like to be dead.

You administer the Children’s Depression Rating Scale, obtaining a score of 30 (indicating significant depression).

Write a 1-page narrative in APA format that addresses the following:

• Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.
• Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.

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