Complete the Ethical Self-Assessment located at http://www.ache.org/newclub/career/ethself.cfm.

Write a 700- to 1,050-word paper in which you examine the influence of individual ethics on decision making within the health care industry.

Include the following in your paper:

• Identify the four major ethical principles.
• Discuss what you learned about your own ethical decision- making process from the self-assessments.
• Examine the effect of professional ACHE standards on your ethical decision- making process.
• Explain how your individual ethics influence your decision- making process.
• Examine the influence of individual ethics on professional decisions.
• Analyze the relationship of these principles to current health care issues.

Format your paper according to APA guidelines.

CASE STUDY

Moreno Medical Center (MMC) is a 600-bed, full-service acute care facility located in the Northwest Kelsey community. The hospital is a physician-owned, for-profit hospital that takes pride in the provider-patient relationship. With recent changes in managed care, every dollar, process, and interest of the patient serves as a common ground for making an organization more efficient.

 

To remain competitive in the marketplace, the management team at MMC decided to take a look at various processes within the hospital and noted that the overall patient experience in the outpatient surgical clinic was less than satisfactory. The main problem seems to focus on long delays throughout the entire admission to discharge process. If the hospital wants to maintain its competitive position, the administration will have to redesign the current process to improve patient satisfaction.

 

The hospital administration appointed an internal quality consultant to facilitate the planning process. The quality consultant for this new organizational role is an experienced intensive care RN with a business degree. She understands that health care is a personal encounter and that patients and families expect to have their priority needs met when experiencing a health care issue.

 

The quality consultant decided to work closely with the surgical department RN administrator who would be a powerful change agent in leading the improvement process. During the review of the surgical department processes, the administrator and consultant identified several major issues:

 

·       Surgeons delaying surgery times causing backlog of surgery schedule

·       Other hospital departments (e.g., admitting, finance, lab) conducting separate encounters with surgical patients without regard to the surgery schedule

·       Long wait times for patient transportation from surgical area to recovery room

·       Ancillary staff providing patient discharge instructions when nurses are busy

·       Nursing staff displaying a culture that the procedure, not the patient, is the priority

 

The surgical department RN administrator acknowledges that changes need to occur and the new process must be guided by what is in the best interest of the patient. He developed a new vision statement for the department with its first priority to provide a patient and family focused quality care culture.

 

Review the introduction videos and organizational charts.

Read the case study detailing key issues that have been identified at MMC.

Write a 1,050- to 1,400-word paper in which you:

• Analyze MMC’s characteristics and organizational structure to determine how they could be affecting patient satisfaction in both positive and negative ways.
  • Could reorganization help drive better patient outcomes?
  • Does the current structure empower nurses to provide the best patient care possible?
• Analyze social and cultural aspects of MMC that could be exacerbating or helping resolve admission and discharge issues.
  • Are the right individuals involved in the admission and discharge process or do roles and team dynamics contribute to the issue?
• Assess the responsibilities of MMC leaders and managers to act as change agents in mitigating the patient satisfaction issues.
  • What actions have already been taken and what other actions would you suggest to make a greater impact?
• Analyze how delegation is contributing to or improving MMC’s issues.
• Analyze how MMC’s staffing and performance evaluations could help improve overall patient satisfaction.

Cite at least five peer-reviewed, scholarly reference that are less than five years old to support your assignment.

Format your paper according to APA guidelines, and include an APA-formatted reference page.

Note: Read the following requirements thoroughly, and write 2-3 pages paper on the instructions given below. Your paper must include headings before started each new section. You must include 3-4 scholarly references cited in APA. Your answer must be 100% original.

Requirements:

1. Identify a health problem or need for health promotion for a particular stage in the life span of a population from a specific culture in your area. Choose one of the Leading Health Indicators (LHI) priorities from Healthy People 2020 (see the Healthy People.gov 2020 Leading Health Indicators website). Research a topic related to health and wellness associated with one of the Healthy People 2020 LHI topic areas. Students in a cultural concentration will use that specific cultural focus to complete this assignment.
2. You will develop an educational health promotion project addressing the population/culture in your area. For or example, if you are in the Hispanic concentration, your project might be educational interventions to address how food choices are related to the high rates of diabetes among Latinos; or, a community project that addresses the statistic that Hispanics experience new HIV infections at more than twice the rate of whites; or, finding opportunities to intervene with Puerto Ricans, a Hispanic.
3. Select a minimum of three (3) scholarly nursing or research article (published within the last 5years) related to your topic that include health promotion and wellness content.
4. Students in a cultural concentration will select at least one article specifically related to the cultural focus for this assignment.
Instructions:

Write a 2-3 pages paper (excluding the title and reference pages) using the following guidelines:

1. Write brief introduction of the topic and describe why it is important to health promotion in the specific cultural population in your area.
2. Include a description of the topic and the targeted sub culture or population (include statistics)
3. Explain how the project relates to the Healthy People 2020 topic area you have chosen.
4. Summarize the articles; include key points or findings from the articles.
5. Discuss how you used the information from the articles for your Health Promotion Project. Provide specific examples.
6. Describe the approach/approaches you developed to educate the target population about the topic. Include specific ways to promote lifestyle changes within the specified population relative to your specific culture. The approach should be appropriate for your cultural concentration.
7. Write your conclusion and summary.

As a nurse leader, you need to have the skills and knowledge to collaborate and communicate with those who plan for and manage change. This capacity is valuable in any health care setting and for many different types of change. Furthermore, it is essential to be able to evaluate a change effort and determine if it is promoting improved outcomes and making a positive difference within the department or unit, or for the organization as a whole.

To prepare:

Review Chapters 7 and 8 in the course text. Focus on the strategies for planning and implementing change in an organization, as well as the roles of nurses, managers, and other health care professionals throughout this process.
Reflect on a specific change that has recently occurred in your organization or one in which you have worked previously. What was the catalyst or purpose of the change?
How did the change affect your job and responsibilities?
Consider the results of the change and whether or not the intended outcomes have been achieved.
Was the change managed skillfully? Why or why not? How might the process have been improved?
Post (1) a summary of a specific change within an organization and describe the impact of this change on your role and responsibilities. (2) Explain the rationale for the change, and whether or not the intended outcomes have been met. (3) Assess the management of the change, and propose suggestions for how the process could have been improved.