Assignment 1: Practicum Journal Entry: Analyzing an Ethical Decision

In your role as a PMHNP, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state.

Learning Objectives

Students will:

• Analyze      salient ethical issues in  child psychiatric      mental health practice
• Compare      ethical dilemmas with state health laws and regulations
• Analyze      ethical decision-making processes

To prepare:

• Review      the literature for moral/ethical issues encountered by a PMHNP
• Select      one of the articles you found that      was published within the last 5      years to use as a focus for this assignment.

Write a 2-page paper in which you do the following:

• Summarize the moral/ethical      issue in the article (no more than 1 paragraph).
• Describe the moral and      ethical dilemmas surrounding the issue.
• Analyze the ethical issue      and compare them to the state health laws and regulations in your state. Please use( Texas) law
• Outline the process of      ethical decision making you would      use to address this ethical dilemma.

Read chapter 5, 7 and 8 of the class textbook and review the attached

PowerPoint presentations.  Once done answer the following questions;

1. Define epidemiology and describe the epidemiological triangle and other epidemiology tools in disease control and prevention.
2. Discuss the use of epidemiology in disease prevention.
3. Define and describe the concept “community as client.”
4. Describe and discuss the goals of health education within the community setting.

please present your assignment in an APA format word document, Arial 12 font  A minimum of 3 evidence-based references is required no older than 5 years.  A minimum of 700 words without counting the first and last page (reference) is required.

To prepare:

Review the articles presented in this week’s Learning Resources and analyze each study’s use of nonparametric tests.

Critically analyze each article, considering the following questions in your analysis:

What are the goals and purpose of the research study each article describes?

How are nonparametric tests used in each study? What are the results of their use?

Why are parametric methods (t tests and ANOVA) inappropriate for the statistical analysis of each study’s data?

What are the strengths and weaknesses of each study (e.g., study design, sampling, and measurement)?

How could the findings and recommendations of each study contribute to evidence-based practice in the health care field?

Reflect on the quantitative statistical analyses presented throughout this course in the research literature, the Learning Resources, media presentations, and those articles you reviewed for your abbreviated research proposal.

Ask yourself: Which method is most commonly used in research studies that pertain to my area of nursing practice, and why this might be so?

TO COMPLTE

Post 1-2 PAGES PAPER ON : A cohesive response addresses the following:

Critically analyze each article, including the items noted above.

Identify one statistical analysis method that you found recurring in many of the articles you used in your literature review for your research proposal. This method does not necessarily have to be nonparametric.

Based on your area of nursing practice ( family Nurse Practitioner) , which method of statistical analysis is most frequently used in the research literature? Why do you think other forms of statistical analysis are less frequently used? Provide a rationale for your response.

References

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

Chapter 25, “Using Statistics to Determine Differences”

Chapter 8, “Chi-Square and Nonparametric Tests”

See these attached articles :

Fisher, K., Orkin, F., & Frazer, C. (2010). Utilizing conjoint analysis to explicate health care decision making by emergency department nurses: A feasibility study. Applied Nursing Research, 23(1), 30–35. doi:10.1016/j.apnr.2008.03.

Tjia, J., Field, T., Garber, L., Donovan, J., Kanaan, A., Raebel, M., … Gurwitz, J. (2010). Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. American Journal of Managed Care, 16(7), 489–496.

Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. American Journal of Managed Care, 16(7) by Tjia, J., Field, T., Garber, L., Donovan, J., Kanaan, A., Raebel, M., & Gurwitz, J. Copyright 2010 by INTELLISPHERE, LLC. Reprinted by permission of INTELLISPHERE, LLC via the Copyright Clearance Center.