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Discuss how a provision from the American Nurses Association (ANA) code of ethics should relate to the nurse’s professional practice.

Introduction:

The purpose of this task is to implement knowledge of the nursing profession at the graduate level. You will respond to the following scenario considering the role and responsibilities of the nurse.

Scenario:

Mr. Miles, a 70-year-old patient, was admitted to the hospital for bowel obstruction. Mr. Miles is active and adventurous, and tells his nurse that he does not want to compromise his quality of life.

The patient becomes septic and goes into acute renal failure and must decide about dialysis and other lifesaving measures.

The patient refuses dialysis and expresses a wish to have an advance directive do not resuscitate (DNR). Healthcare professionals and the patient’s family members express concern regarding this decision. Mr. Miles loses consciousness before he signs a DNR.

Requirements:

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.

Professional Communications is a required aspect to pass this task. Completion of a spell check and grammar check prior to submitting your final work is strongly recommended.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Review the scenario and write a scholarly paper in which you do the following:

A. Discuss the evidenced-based practice regarding advance directive DNR.

B. Discuss the nurse’s moral responsibility by doing the following:

1. Describe the nurse’s responsibility to the patient in the scenario.

a. Discuss a potential moral dilemma that the nurse in the scenario may encounter. Include resolution strategies in your response.

2. Describe the impact of the advance directive DNR on the stakeholders in the scenario.

C. Discuss how a provision from the American Nurses Association (ANA) code of ethics should relate to the nurse’s professional practice.

1. Analyze how this provision applies to the scenario.

2. Describe the importance of patient autonomy.

Note: The “ANA Code of Ethics” can be accessed at the web link below.

D. Discuss the legal implications associated with this case by doing the following:

1. Identify potential legal conflicts among patient, family, nurse, and organization.

2. Discuss how the potential legal conflicts identified in part D1 will affect the nursing role.

3. Discuss potential nursing actions to prevent conflicts identified in part D1 among the organization, the patient, and primary care physician.

E. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

Note: For definitions of terms commonly used in the rubric, see the Rubric Terms web link included in the Evaluation Procedures section.

Note: When using sources to support ideas and elements in an assessment, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the assessment.

Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from outside sources, even if cited correctly. For tips on using APA style, please refer to the APA Handout web link included in the APA Guidelines section.

Professional Communications is a required aspect to pass this task. Completion of a spell check and grammar check prior to submitting your final work is strongly recommended.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Write a paper in which you refer to the attached “MSN Program Conceptual Framework” to do the following:

A. Discuss 2–3 model elements from the “MSN Program Conceptual Framework” to show how you will apply the role of “Nurse as Detective.”

B. Discuss 2–3 model elements from the “MSN Program Conceptual Framework” to show how you will apply the role of “Nurse as Scientist.”

C. Discuss 2–3 model elements from the “MSN Program Conceptual Framework” to show how you will apply the role of “Nurse as Manager of the Healing Environment.”

D. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

Note: For definitions of terms commonly used in the rubric, see the Rubric Terms web link included in the Evaluation Procedures section.

Note: When using sources to support ideas and elements in an assessment, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the assessment.

Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from outside sources, even if cited correctly. For tips on using APA style, please refer to the APA Handout web link included in the APA Guidelines section.
Nursing Programs Conceptual Model
BSN MSN
Nurse as Detective: The nurse uses clinical
imagination coupled with nursing science to
detect subtle changes and deviations from
expected patterns of being to prevent or control
adverse outcomes.
Nurse as Detective: The nurse uses clinical
imagination coupled with nursing science to judge
and determine the consequence of subtle changes
and deviations from expected patterns of being to
prevent or control adverse outcomes.
Nurse as Scientist: The nurse participates in
scientific inquiry to inform healthcare decisions;
and critiques, disseminates and implements
evidence to influence practice.
Nurse as Scientist: The nurse uses translational
science to influence healthcare decisions; to
prescribe and implement best practice and broadly
disseminate the findings.
Nurse as manager of the Healing
Environment: The healing environment is global
in nature and includes considerations of
healthcare policy, finance and regulations.
Acknowledging this, the nurse creates,
coordinates, and advocates for a respectful,
interdisciplinary environment that promotes
optimal well-being and affirms the dignity of the
human experience
Nurse as manager of the Healing Environment:
The healing environment is global in nature and
includes social, cultural, political and economic
influences. Acknowledging this, the nurse, as a
member of the inter-professional community,
influences public policy and promotes social justice
in the human health experience.
Operational Definitions of the Concepts in the Model
The three concentric circles of Knowing, Doing and Being describe the progressive development of the nurse
which begins with Knowing, progresses to Doing and culminates in Being.
Knowing refers to the acquision of knowledge, informaon or understanding and extends to the integraon of knowledge of the
mind, body, environment, community, self, clients and colleagues.
https://kb.wgu.edu/al/12/2/highlight.aspx?cp=12&kbid=2&type=0&tag…
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Doing describes the development of skills and abilies essenal to the pracce of nursing and the provision of care to paents,
families and communies. It is the demonstraon of skillful and helpful ways of being with paents and includes tasks and processes
nurses use in course of providing care.
Being a nurse describes the development of ‘habitus’ or habits of ethical comportment and the use of knowledge, skills and abilies
in embodying the complex role and intuion of a paent-centered praconer.
Model Elements
Compassionate Paent-centered care is the provision of holisc care with respect for values, preferences and needs of the paent,
family and community in the journey to well being across the lifespan.
Evidence based pracce is integrang “best current evidence with clinical experse and paent/family preferences and values for
delivery of opmal healthcare” (QSEN, 2009).
Genomics and Genethics includes knowledge about the genec basis of health and illness, the variables that impact the responses to
genomic informaon and related ethical issues.
Informatics/Technology
Informatics is the engineering, storing, organizing and manipulation of data to support the provision of safe, effective
quality care. Technology is the continuously changing array of devices and software used for patient care.
Leadership/Educaon
Leadership is the process of identifying and prioritizing goals to achieve optimal quality outcomes. Education is assessing
learning needs and facilitating acquisition of knowledge, skills and abilities.
Safety & Quality care minimizes risk of harm to paents, families, communies and providers through analyses of systems’
effecveness and individual performance while connually measuring quality of care in terms of cost, structure, process, and
outcomes.
Cultural competency is providing care that is acceptable to paents, families and communies from diverse cultural, ethnic and social
backgrounds.
Communicaon is effecve interacon with paents, families, communies, professional colleagues and other health care team
members.
Teamwork and collaboraon is effecve engagement with nursing and interprofessional teams to foster open communicaon,
mutual respect and shared decision making to achieve quality paent care.
Professional/Legal/ Ethical is effecve decision-making and reflecon within a framework of social jusce and law, advocacy, and
standards of pracce to promote the common good.
BSN PROGRAM OUTCOMES MSN PROGRAM OUTCOMES
The WGU Bachelor’s Degree in Nursing Program
Graduate Will:
The WGU Master’s Degree in Nursing Program
Graduate Will:
1. Communicate effectively in oral, written,
interpersonal and electronic modes.
1. Employ appropriate patient- care technologies
and information management strategies to lead
change and improve quality care outcomes.
2. Use clinical reasoning to provide safe, quality,
nursing care based on the best available evidence
and ethical principles.
2. Integrates clinical reasoning with organizational,
patient-centered, culturally appropriate strategies to
plan, deliver, and evaluate evidence-based practice.
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3. Assume accountability for providing and
ensuring safe, efficient, quality care congruent with
ethical, professional and legal standards.
3. Design innovative nursing practices to impact
quality outcomes for individuals, populations, and
systems congruent with ethical, professional and
legal standards.
4. Synthesize theoretical, clinical and empirical
knowledge from nursing, scientific, community and
humanistic disciplines within the practice of nursing.
Synthesizes theoretical and empirical knowledge
drawing from the arts and sciences to understand
the human experience as a social advocate, and
professional nurse.
4. Assemble scientific findings from nursing,
biopsychosocial fields, genetics, public health, and
organizational sciences for the continual
improvement of nursing care across diverse
settings.
BSN MSN
5. Provide compassionate, patient-centered care to
individuals, families, and communities from a variety of
cultures across the lifespan.
5. Utilize applied research outcomes within the
practice setting, navigating and integrating care services
across healthcare systems.
6. Apply leadership and education skills to engage
others in creating and promoting a healing environment
for continued self-improvement.
6. Design organization and leadership systems that
promote high quality patient-care delivery and advance
life-long learning.
7. Engage in inter-professional collaboration to
improve safety and quality of healthcare.
7. Construct interprofessional teams to communicate,
coordinate, collaborate and consult with other health
professionals to advance a culture of excellence.
8. Incorporate knowledge of genomics and genethics
into the care of patients, families and communities.
8. Integrate scientific knowledge including that from
genetics and genethics in the continual improvement of
nursing care across diverse settings and populations.
9. Use information technology to communicate,
mitigate error and make decisions related to the
provision of patient care and support incorporation of
nursing knowledge in the development of patient care
technology.
9. Provide oversight and guidance in the integration of
technology to manage care, identify performance
measures and standards that improve quality and safety
outcomes.
Professional Communications is a required aspect to pass this task. Completion of a spell check and grammar check prior to submitting your final work is strongly recommended.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Respond (suggested length of 5–8 pages) to the requirements below as the chief nursing officer from the scenario.

A. Discuss evidence-based practices for reducing nosocomial infections, including one item from each of the following areas with specific evidence for how the item reduces infections:

• products

• technology

• patient/family

• finances

• community relations

B. Analyze the impact of nosocomial infections on patient care.

C. Complete a gap analysis in which you do the following:

Note: Refer to the attached “Gap Analysis” template to assist with parts C through C5.

1. Identify major causes that lead to the transmission of nosocomial infections.

2. Discuss the impact of stakeholder roles, responsibilities, and relationships on patient care outcomes.

3. Discuss the roles of infection control and education within the organization in the scenario and how they relate to each other.

4. Describe a strategy to combat the increase of nosocomial infections.

5. Discuss one goal for reducing nosocomial infections for each of the areas from part A1:

• products

• technology

• patient/family

• finances

• community relations

6. Discuss possible solutions to the gap, anticipating potential challenges and using information from the gap analysis.

a. Analyze one solution from part C6 to recommend in combatting nosocomial infections.

D. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

Note: For definitions of terms commonly used in the rubric, see the Rubric Terms web link included in the Evaluation Procedures section.

Note: When using sources to support ideas and elements in an assessment, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the assessment.

Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from outside sources, even if cited correctly. For tips on using APA style, please refer to the APA Handout web link included in the APA Guidelines section.
Best Practice Best Practice Strategy Barriers/Challenges to Best Practice Implementation Will Implement Practice (Yes/No; Why Not?) Stakeholder Roles and Responsibilities to Implement Best Practices

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