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Explain three ways advanced practice nurses can contribute to the resolution of ethical dilemmas in healthcare

General Instructions

Complete the Addressing Ethical Dilemmas Assignment by following the steps below.

  1. Download the Week 6 Addressing Ethical Dilemmas PowerPoint template Links to an external site.. Use of this template is required. If the template is not used, a 10% deduction will be applied. See the rubric.
  2. Submit the presentation as a .ppt or .pptx file to the Week 6 Dropbox. PDF files are not allowed, as speaker notes are not visible.
  3. Follow current APA grammar, spelling, word usage, and punctuation rules consistent with formal, scholarly writing.
  4. Include speaker notes for all slides except the title and reference slides. Use the Notes Page view feature in PowerPoint to include speaker notes.
  5. Use at least 3 scholarly sources to substantiate the information presented.
  6. Correctly cite and reference information from scholarly sources.
  7. Abide by Chamberlain University’s academic integrity policy.

Include the following sections (detailed criteria listed below and in the grading rubric)

  1. Title Slide
    1. Include your name and session.
  2. Introduction (1 slide)
    1. Identify the purpose of the presentation.
  3. Advanced Nursing Role (1-2 slides)
    1. Explain three ways advanced practice nurses can contribute to the resolution of ethical dilemmas in healthcare.
    2. Provide an in-text citation from one scholarly source to support your writing.
  4. Description of an Ethical Dilemma (2-4 slides)
    1. Describe an ethical dilemma from the literature or your nursing practice. You may reuse the information you wrote for this week’s Collaboration Café.
    2. Identify the stakeholders.
    3. Describe how the situation impacts stakeholders.
  5. Ethical Analysis (2-4 slides)
    1. Analyze the ethical principles in the conflict.
    2. Discuss which provisions of the American Nurses Association Code of Ethics apply.
    3. Provide an in-text citation from one scholarly source to support your writing.
  6. Recommendations (1-3 slides)
    1. Provide at least three recommendations for resolving the ethical dilemma.
    2. Provide an in-text citation from one scholarly source to support your writing.
  7. Conclusion (1 slide)
    1. Summarize the key points of the presentation.
  8. References
    1. Create references in APA format. You may use bullets. Hanging indents are not required.
    2. Use at least 3 scholarly sources.
    3. Ensure each reference has a matching citation.

Presentation

  1. The slides are professional in appearance and tone.
  2. Slide information is succinct and presented with bulleted points.
  3. A minimum of 18-point font is used and appropriate for audience reading.
  4. The presentation has 8-15 slides (excluding title and reference slides).
  5. Title and Reference slides are included.

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Identify a patient safety clinical problem that requires resolution

Assessment Description

From an organizational standpoint, identify a patient safety clinical problem that requires resolution. Using systems thinking and literature from this course and your own research, suggest one possible solution to address the issue. In 1,250-1,500 words, include the following:

Describe the change management strategy you would use to address the patient safety clinical problem.

Describe the stakeholders.

Describe the type of change anticipated.

Discuss how you would engage stakeholders.

Outline how you would communicate the change to all stakeholders. Indicate how often you would communicate progress of the change.

If an adjustment is needed, explain how and when you would communicate what is needed.

Explain how the Christian worldview factors into the decisions you have made.

Three to five scholarly resources, in addition to information from your textbook.

Rubric

Description of the change management strategy used to address the patient safety clinical problem is clear, concise, and makes connections to current research.

Description of the stakeholders is clear and concise.

Description of the type of change anticipated is clear, concise, and makes connections to current research.

Discussion of how stakeholders would be engaged is clear, concise, and makes connections to current research.

Outline how change would be communicated to stakeholders is clear, concise, and includes how often the progress of the change would be communicated.

Explanation of how and when to communicate adjustments in objectives and goals is clear and concise

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Alternate Dispute Resolution (ADR) have been used for decades in the United States to resolve minor civil disputes

Question 1

Various forms of Alternate Dispute Resolution (ADR) have been used for decades in the United States to resolve minor civil disputes.  What are examples of civil disputes that should be resolved via ADR?  Should they be subject to mediation or arbitration?

Reply 1

Alternative Dispute Resolution is the use of methods such as mediation and arbitration to resolve a dispute instead of litigation. Alternative Dispute Resolution (ADR) is a way to settle disputes without litigation. Using ADR procedures can avoid the acrimony that often accompanies extended trials and allows parties to understand each other’s position and craft their own solutions. “The most common forms of ADR for civil cases are conciliation, mediation, arbitration, neutral evaluation, settlement conferences and community dispute resolution programs” (Carver, Vondra, May-June 2004). Facilitation assumes that the parties want to reach a settlement. The negotiation is done through telephone contacts, written correspondence, or via e-mail. Facilitation is sometimes used by judges at settlement teleconferences exploring alternatives to taking the dispute to trial. Mediation is more formal but still leaves control of the outcome to the parties. An impartial mediator helps the parties try to reach a mutually acceptable resolution to the dispute.

 Arbitration is the most formal of the ADR procedures and takes the decision making away from the parties. The arbitrator hears the arguments and evidence from each side and then decides the outcome of the dispute. In my opinion Arbitration is good for cases where the parties want a third person to settle the dispute but want to avoid the cost of money and time that accompanies a court trial. Arbitration also resembles litigation in that many parties use arbitration as a springboard to negotiation. Parties who know that their dispute will wind up in arbitration often fail to commence serious negotiations until shortly before or shortly after the arbitration proceedings have begun. Frequently, negotiations will continue simultaneously with the arbitration proceedings, meaning the parties’ representatives will discuss settlement outside the hearing room while the hearing itself is underway inside. Arbitration can even expedite negotiations, since the parties know that once the arbitrator has issued a decision, the decision is typically final and rarely appeal-able.

Reply 2

Alternative Dispute Resolution (ADR) is gaining legitimacy in the United States as a way for litigants to work through disputes.  This process aims to create a more convenient, quicker and, lower-cost alternative to the traditional judicial process.  In claims where the plaintiff asks for damages below 50K and 100K, the case can begin with ADR.  (Neubauer & Meinhold, 2017, p. 303)The textbook references the high dollar settlements reached in the BP oil spill case and how their settlements were reached through ADR. It was the “largest experiment in alternative dispute resolution ever attempted. (Neubauer & Meinhold, 2017, p. 305) Other civil matters that could be handled under the ADR model are custody agreements and divorce settlements. The type of process used is dependent on the case and the individuals involved.

Our family can speak from experience when working through custody agreements through mediation. My step-daughter’s agreement was constructed through mediation between my husband and her mom thirteen years ago.  Both still had attorneys present, but no judge or attorney was leading the mediation.  Mediation requires an agreed-upon third party to help the disputing parties work through the process together.  They assist in resolving conflict by supporting communication between the litigants. The process can be voluntary, and there is no requirement of the mediator to determine an outcome.  (Neubauer & Meinhold, 2017, p. 189)

Under arbitration, there are no judges or formal settings but third-party attorneys, either appointed or agreed upon by the parties, hear the evidence presented to them.  There are no witnesses, only the parties involved and the evidence they provide. The arbitrator will issue their ruling based on the evidence presented. If either party is not happy with the outcome, they may reject the recommendations and request a trial in the traditional setting. One built-in safeguard against this is the requirement that parties that reject the results must reimburse the court. (Neubauer & Meinhold, 2017, p. 303)

Question 2

Chapters 10 and 11 address civil procedure.  Do you believe the rules guiding civil litigation are properly structured to lead to the resolution of disputes?  Which aspects of civil procedure could be improved?

Reply 1

In U.S. Common method, there are eight stages that work as devices of suit that administer how to begin claims, how to run them, and how to complete them.” (Neubauer, D. W., and Meinhold, S. S. (2013), p. 323. These means incorporate a documented objection of the solicitor, administration of the protest to the respondent, a composed or formal reply from the litigants given to the area representative for recording, the revelation interaction where the two players trade data appropriate to the current case, movement solicitations to the appointed authority, pretrial meeting, settlement, preliminary, and implementing judgment. (Neubauer, D. W., and Meinhold, S. S. (2013), p. 325. These advances work in a manner to assist with recognizing which cases are reasonable to continue further towards a preliminary or a settlement. Of the eight stages recorded, I am more worried about the disclosure cycle after evidence is heard, each side gives a closing argument. In a jury trial, the judge will explain the law that is relevant to the case and the decisions the jury needs to make. The jury generally is asked to determine whether the defendant is responsible for harming the plaintiff in some way, and then to determine the number of damages that the defendant will be required to pay. If the case is tried before a judge without a jury, known as a “bench” trial, the judge will decide these issues or order relief to the prevailing party. In a civil case, the plaintiff must convince the jury by a “preponderance of the evidence” (that it is more likely than not) that the defendant is responsible for the harm the plaintiff has suffered. By applying rules of evidence, the judge determines which information may be presented in the courtroom. So that witnesses speak from their own knowledge and do not change their story based on what they hear another witness say, they are kept out of the courtroom until they testify. 

Reply 2

”  The rules of civil procedure are strikingly different from those governing criminal prosecutions. For one thing, civil procedures are much more extensive, because they cover a much broader range of legal matters. Just as importantly, rules of civil procedure do not have a constitutional base. The extensive due process guarantees that protect those accused of violating a criminal statute are not applicable in civil proceedings. Civil litigants, for example, are not covered by the Fifth Amendment’s protection against self-incrimination, which means that plaintiffs and defendants alike can be compelled to make statements before trial and can be forced to testify during trial” ( Neubauer p.316). I believe the rules guiding civil litigation are somewhat properly structured to lead to the resolution of disputes due to the interaction of both parties communicating and coming to an agreement. I believe it should remove the majority of divorce cases from the adversary court system and create an alternative that gives families access to needed services, counseling, and financial planning advice in an environment that encourages them to resolve their owndisputes at the end of the day

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organizational resources you will need in order to bring resolution to your identified problem

Discuss the organizational resources you will need in order to bring resolution to your identified problem. What stakeholders will you need to engage in your change process? women veterans mental healthcare during pregnancy

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Civil and alternative dispute resolution (ADR) process

Case Analysis

In light of your understanding of the civil and alternative dispute resolution (ADR) process, consider the following scenario:

Pete was seriously injured when the four-wheeled all-terrain vehicle (ATV) he was driving through the trails behind his house rolled over. As a result of his injuries, Pete is unable to work and has incurred $75,000 in medical bills. Pete has filed a lawsuit against the ATV manufacturer to receive compensation for the financial harm resulting from his injuries. Pete claims that the manufacturer defectively designed the ATV, causing it to have a tendency to roll over on rough terrain.

The ATV manufacturer claims that the ATV is not defectively designed and that the rollover was caused by Pete driving at an excessive rate of speed around a corner.

Consider the steps in civil litigation and ADR, and assess the factors that Pete and the ATV manufacturer will consider when deciding whether they should settle this lawsuit. If you were Pete’s lawyer, what resolution would you advise? Be sure to consider the primary forms of ADR and all ADR factors described in the lesson and textbook.

Finally, research and select at least one case from an outside source to support your resolution to the ATV case. Include an introduction in your paper.

Your answer must be at least two pages in length. Adhere to APA Style when creating citations and references for this assignment. APA formatting, however, is not necessary. See Civil and alternative dispute resolution


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Assignment

Introduction

            After getting involved in an accident while driving a four-wheeled all-terrain vehicle (ATV) in his backyard, Pete claimed that ATV manufacturer defectively designed the vehicle and it led to roll over on rough terrain. Pete the plaintiff was therefore seeking for a compensation from ATV manufacturer for the cost he incurred as medical bill and injuries he sustained, which made him unable to carry out his normal duties. The defendant responded to the claims that ATV was not defectively designed and the roll over was attributed to excessive rate of speed around the corner. To effectively analyze this case, it is important to understand the facts.

            While making the determination of this case, there are several factors that courts should consider about Pete and ATV manufacturer. One key factor that court need to consider is whether the plaintiff have presented enough evidence to prove that the accident indeed occurred as a result of ATV defective designs(Kubasek, et al., 2016). Pete also should consider whether the case can stand the threshold of requirements, ripeness, and justifiable controversy. These are the facts that determines whether the case could come before the judges in the court of law.             On whether the ATV manufacturer should settle the dispute or not, the company should establish whether there is legitimacy in the…………………………………………………………………………………………………

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Negotiating a Resolution

Discussion: Negotiating a Resolution Your boss sent you out to purchase all of the office team’s holiday presents at 10:00 a.m. He gave you $300 for the 10 people in the office and said you could have the remaining afternoon hours off and the next two days if you got all of the presents. When you returned, you went over budget by $5 and completed your task in two (2) hours because you are an efficient shopper. Your boss says this is not fair since you went over budget and completed the task in two (2) hours instead of the six (6) hours he thought it would take. How might you negotiate a resolution with which both parties would be satisfied? What conflict management approach would you use? Describe the process and hoped-for results. What does the result mean for both parties relative to the negotiation and why?

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Negotiating a Resolution

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Negotiating a Resolution

            Negotiation process aims at resolution of differences that arise due to differences in goals and perspectives. In order to have an effective negotiation, it is important to share views as this is critical in the establishment of areas of common interest (Jeong, 2009). In the case provided, there are two major sources of dispute, the over expenditure and the lack of adherence to the allocated time for the assigned activity. Having known these two issues, it is important that an analysis of the identified issues be made. All the required presents have been bought but then there is over expenditure. Well, the boss should be made to know that goods are subject to changes in prices, a fact that is determined by market forces that are beyond the control of the employee. The employee who was send should then be reminded that next time he is send never to spend more than provided without consulting the boss.

            The conflict management approach that would be employed is a win-win strategy where each party collaborates. This approach provides the best solution as it involves recognizing the conflicting parties and that something went wrong that demands attention. The two disagreeing parties apologize to one another and agree on taking what is offered as concession. The win-win process starts with the preparation process where information about the conflict is collected. Then the objectives are determined and the negotiation strategy determined. The next step is discussion where real negotiations take place, where the conflicting parties declare their objectives during the encounter. During this period, q……………………………………………………………………………………………………

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Improving Teamwork: Collaboration, Coordination, and Conflict Resolution

Read Finkelman (2016), Chapter 13: Improving Teamwork: Collaboration, Coordination, and Conflict Resolution, section on Negotiation and Conflict Resolution, pp. 324-333. Observe nurses in a care delivery setting. Identify a recurring conflict with the potential to negatively impact patient care. Decide if delegation was an issue in the conflict. This should be from your practice setting or prelicensure experiences. Provide details of what happened, including who was involved, what was said, where it occurred, and what was the outcome that led you to decide the conflict was unresolved. Identify the type of conflict. Explain your rationale for selecting this type. Outline the four stages of conflict, as described in our text, and how they relate to your example. Propose strategies to resolve the conflict. Search scholarly sources in the library and the Internet for evidence on what may be effective. Discuss if delegation was an issue in the conflict. Be specific. Describe how you would collaborate with a nurse leader to reach consensus on the best strategy to employ to deal with the conflict. Describe the rationale for selecting the best strategy. Provide a summary or conclusion about this experience or assignment and how you may deal with conflict more effectively in the future. Type your paper using Microsoft Word 2010 or later. Follow APA format. Consult your APA manual, and consider using the APA resources provided by Chamberlain. Write a 5-7 page paper (not including the title or References pages) using APA format that includes the following. Describe an unresolved (recurring) conflict that you experienced or observed. Identify the type of conflict. Provide details of what happened, including who was involved, what was said, where it occurred, and what was the outcome that led you to decide the conflict was unresolved. Outline the four stages of conflict, as described in Finkelman, and how the stages relate to your example. Decide if delegation was an issue in the conflict. Be specific. Describe the strategies for conflict resolution and how you would collaborate with a nurse leader to resolve the conflict. Cites the course textbook and two scholarly sources. Provide a conclusion or summary about this experience and how you may deal with conflict more effectively in the future