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Assignment Presentation Formatting Guidelines

All undergraduate written essay and research report style assignments should be formatted using the following rules:

Margins: 2.54 left, right, top and bottom (this is the pre-set default margin setting).

 

Font Type: ‘Times New Roman’.

 

Font Size: 12 point font only with no larger fonts used for headings (if used).

 

Line Spacing: Double line spacing should be used throughout the assignment and on the reference list with no additional spaces between paragraph, assignment ‘sections’ or listed references. New paragraphs or sections are indicated by indenting of the first line of each new paragraph (see presentation format exemplar).

 

Indenting: Each new paragraph should be indented 5-7 spaces (or one Tab space).

 

Justification: No justification of text on right hand margin. Justify the left side of text in the body of essay/report except for indents required for the first lines of each new paragraph (see presentation format exemplar).

 

Page Numbers: Page numbers should be inserted in the upper right-hand side of the page header flush against the margin. Page numbers should start on the Title Page (starting at 1) and should be formatted with just the page number (see presentation format exemplar).

 

Assignment Title: Devise a suitably descriptive assignment title to include on the title page. Examples include: Managing Norovirus in Aged Care Facilities; Annotated Bibliography for Essay Question Four; Education Plan for the Long-Term Management of Type II Diabetes.

 

Footer: Your student number is to be inserted into the footer of the document (to assist with identification of lost pages if submission errors occur).

 

Griffith University Cover Page:  Complete and include the official university cover page. Assignment template documents for both INDIVIDUAL AND GROUP assignments that have the university cover page already merged are available for download on the Griffith Health Writing & Referencing Guide website.

 

Title Page: Include a title page with the following information. See presentation format exemplar for example.

 

  • Student Name:
  • Essay/Report title:
  • Word count: (excluding title page, reference list/bibliography and appendices)

 

 

Note: Your title page will also have a page number in the header (starting at ‘1’) and your student number in the footer (see presentation format exemplar).

Word Count: Word counts will comprise ALL text material contained in the body of the written assignment. This will include in-text citations, quotations, and any headings (if used). This will also include any information presented in tables or figures which are included WITHIN the body of the assignment.

 

Information included outside of the main body of the assignment (e.g. university coversheet, title page, reference list, preparation table) will NOT contribute to the word count.

 

Please Note: You must adhere to the stipulated word count for your assignment. Assignments which go over this stated limit will be penalised, with the marker ceasing to read your paper once the word count has been reached.

 

Headings: Headings are generally used more in research reports than in essays. The following rules should be followed to format headings if used.

 

Note: In general, if you are using headings in an essay, you will format them using ‘Level 2’ heading guidelines (see table below).

 

 

Level of Heading Format
1 Centred, Boldface, Uppercase and Lowercase Heading

 

2 Flush left, boldface, Upper and Lowercase Heading

 

3        Indented, boldface, lowercase paragraph heading ending with a period.

 

4        Indented, boldface, italicised, lowercase paragraph heading ending with a period.

 

5       Indented, italicised, lowercase paragraph heading ending with a period.

 

The above table has been adapted from the APA Style Guide to Electronic References (2012).

 

Note: In general, if you are using headings in an essay, you will format them using Level 2 heading guidelines. Headings in a research report will be mainly formatted as Level 1, 2, and 3 headings, however all five levels of headings can be used in research reports (depending on the size of your report and the nature of information you need to discuss in particular sections).

When using Level 1 and 2 headings, your paragraph text will commence on the next line, indented by one tab space. When using Levels 3, 4 and 5, your paragraph text will commence two spaces after the full stop at the end of the heading (i.e. continuing on the same line as the heading). See the APA Annotated Exemplars (Essay and Research Report versions) in the ‘APA Referencing Guidelines’ section of the Griffith Health Writing and Referencing Guide website for examples of how to format different levels of headings and associated paragraph text.

Important Tip: When writing research reports, do not include the heading ‘Introduction’ at the start of your report. The heading at the start of your Introduction should be the title of the report that you have included on your title page. It should be formatted as a Level 1 heading (see table above).

 

 

Serial Comma: APA conventions require the use of a comma between elements in a series of three or more items. This is known as a ‘serial comma’. For example:

 

Examining height, width, and depth indicated that ……..

 

 

 

Use of numbers in assignment text:

  • Numbers between zero and nine should be represented in words. For example:
    • There were five experimental groups in the trial.
  • Numbers ten and above should be represented in numerical format. For example:
    • A total of 47 participants took part in the pilot test.

 

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Assignment help_NURS1003 Imagining Health in Social and Cultural Contexts


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NURS1003 Imagining Health in Social and Cultural Contexts
Assignment 1: ESSAY
Length: 1,600 words (+/- 10%) Worth: 45% Due: Friday 14th April, 6:00 p.m.
The Sustainable Development Goals (SGDs) are 17 goals for all countries, set by the United Nations for completion in 2030. The SDGs tackle global inequality (including health inequality and inequity). They recognise the inter-dependence of countries and the impact of humans on the environment. The goals need to be sustainable, so that interventions will continue well into the future.
The SDGs form an international health agenda; however, there are challenges to implementing them in ‘real life’ and every country is unique. Some countries will struggle because of war or conflict, underdeveloped infrastructure, a struggling economy or poor governance.
Essay topic
Write a 1,600 word argumentative essay on one country’s work towards achieving Target 1 of Sustainable Development Goal (SDG) 3: “By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births”
To prepare for your essay:
• Pick one low-income or lower-middle income (developing) country (NOTE: you cannot chose Uganda – as this is covered in the 4th iLecture).
Use the SociologicaI Imagination Template to structure your essay:
• All 4 factors (historical, cultural, structural and critical) must be covered
• You may use the SI Template overtly, using headings (e.g. Historical Factors) or by signposting in your narrative (e.g. “Events in the country’s history have led to today’s …”)
Structure and Presentation for Essay
Introduction
• ‘Set the scene’ by providing some information about the health issue / background information
• Engage the reader’s interest
• Provide a thesis statement (i.e., your argument) – for example, “In this essay I will demonstrate that [insert country name] is unlikely to achieve a reduction in maternal mortality to less than 70 per 100, 000 live births because…….”
Define Key Terms
• Important terms associated with the specific Target of the SDG being addressed, that is, Goal 3, Target 1. We do not require the background to the SDGs, this is discussed in iLectures and workshops/online discussion
• Clarify the health issue
NURS1003 Imagining Health in Social and Cultural Contexts
Apply the SI Template
• In these sections, keep the focus on the health issue by making the links to health outcomes clear in your narrative and in your evidence
• Historical factors: How have major events in the country’s history (e.g. natural disasters, political change, economic issue, conflict) impacted the current situation? Has the country worked on this health issue over time?
• Cultural Factors: How has culture influenced the health issue? What are local beliefs and practices for the health issue? What are people’s attitudes towards Biomedicine?
• Structural Factors: Which structural factors are most influencing this health issue?
The data you provide on your country should be up to date and from credible sources (e.g.:
o OxResearch Country Profiles: http://link.library.curtin.edu.au/p?CUR_ALMA51105700780001951
o OECD iLibrary: http://link.library.curtin.edu.au/p?CUR_ALMA61112715360001951
o World Bank: http://data.worldbank.org/country
o The World Factbook: https://www.cia.gov/library/publications/the-world-factbook/
o Country reports – http://www.countryreports.org/)
o UNDP (MDG country reports) http://www.undp.org/content/undp/en/home/librarypage/mdg/mdg-reports.html
• Critical Factors: in this section you should address the following, where relevant to your country:
o Summary – brief discussion of what has been covered in the essay with reference to the key terms identified
o Implication for professional practice – (use the dimensions of the social model of health):
The social production and distribution of health and illness
The social construction of health and illness
The social organization of health care
A success story – Is there a relevant intervention that has resulted in an improved health outcome which could be implemented/expanded for this health issue?
o Prediction – how is the country is progressing towards achieving the SDG goal/ target?
o Recommendations – What recommendations could be made? What realistic interventions could be undertaken?
Conclusion
• Re-state the main idea presented in the Introduction / re-state thesis statement
• Do not add new information, but you may support a point with data (statistics or a quote). Do not end on a reference, but with your own words
• Make a comment about the future for your country’s health.
Referencing – APA (6th ed.)
Reference List:
• Start on a separate page with heading “References” (centred) on the first line
• Use APA 6th ed. guide (accessed via Curtin Library’s homepage)
NURS1003 Imagining Health in Social and Cultural Contexts
• List is presented in same font as essay and 1.5 spacing. No additional space between references. The second and subsequent lines of the reference are required to be indented using a hanging indent
• Students should use 16 sources, and the majority of these (10+) must be current and credible academic sources such as refereed academic journal articles. Websites can be used for country information from recommended humanitarian, health and development organisations such as the World Health Organisation (WHO) and the United Nations (UN). See also, the list of websites for country information.
In-text References
• Use APA 6th ed. guide (accessed via Curtin Library’s homepage)
• Always provided for direct quotes, numbers and statistics
• Provided for all information and ideas paraphrased and taken from other writers
• Not required for your own analysis – e.g. very few, if any, in-text references are provided in the Introduction, Critical analysis and Conclusion
Presentation
• Submit in Word form
• Student number (ID) and page number in footer – name is not needed
• Typed, 1.5 spacing, size 11 or 12 font
• Grammar, sentence structure and spelling are correct (use grammar and spell check!)
• Vocabulary appropriate to Health Sciences
• Formal tone – avoid personal pronouns (‘I’, ‘we’), contractions (‘can’t’), slang (‘kids)
• Numbers under 10 should be in written format (e.g., ‘five’); numbers over 10 should be in numeric format (e.g., ‘20’)
• All numbers at the very beginning of a sentence should be in written format (e.g., “Thirty-five participants completed a questionnaire” or “Thirty five percent….”
• Mechanical accuracy – proof-read for small errors
• Capitalise names of countries, people and policies
• Clear, simple language is best; the goal is to communicate your findings to the reader.
• A Table of Contents is not required
Submission: Essays are submitted electronically to Turnitin in Blackboard, in the Assessments link.
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NURS1003 Imagining Health in Social and Cultural Contexts
Assignment 1 ESSAY MARKING RUBRIC
Criteria
Fail
0-49%
Pass
50-59%
Credit
60-69%
Distinction
70-79%
High Distinction
80-100%
Introduction & Conclusion 20%
Identifies topic. Engages readers’ interest. Provides some background information. Contains a thesis or argument to communicate author’s position on the subject. Conclusion links back to thesis and introduction.
Introduction is absent or poorly described. Background details are missing, unclear or unrelated to topic. Purpose of paper is vague or unclear (no thesis). Conclusion poorly linked to introduction and thesis.
The intention of the paper is stated but is unclear, broad and unfocused (vague thesis or outline only). Conclusion could be linked more clearly to introduction and thesis.
Introduction identifies the topic and some background information is presented. The intention of the paper is stated (thesis) but may be broad or unfocused. Conclusion is linked generally to introduction and thesis.
Introduction presents the overall topic, engages the reader and creates interest. The introduction adequately explains the background but may lack detail. Argument or thesis states author’s position on subject. Conclusion is linked to introduction and thesis.
Introduction presents the overall topic, engages reader and creates interest. The purpose of the paper is clear. The introduction is well developed and clearly states author’s position on subject. Conclusion is well-linked to introduction and thesis.
Content 30%
Relevant Historical, Structural and Cultural Factors identified and clearly linked to health outcomes.
Relevant factors missing or insufficiently covered. Irrelevant factors included. Links to health outcomes not or poorly identified.
Relevant factors covered briefly. Some irrelevant factors included. Links to health outcomes unclear.
Relevant factors identified and linked generally to health outcomes.
Relevant factors identified and well-linked to health outcomes.
Factors relevant to health topic raised and integrated into argument. Links to health outcomes clearly identified.
Evidence 10%
Points are supported by relevant evidence (quotes, numbers, statistics, dates.).
Writing too general, lacks evidence.
Writing is general in focus but with some supporting data.
Writing is specific. Most points supported by data.
Writing is specific. Depth and detail evident. Data integrated well into writing.
Writing is rich in data and detail. All points supported by relevant evidence.
Critical Analysis 20%
Succinct summary. Critical evaluation of findings, evidence and concepts. Implications of findings for professional practice identified. Predictions and recommendations provided.
No summary, or poor summary. Little critical engagement of findings. Few, if any, implications, predictions or recommendations provided.
Summary provided but may not be clear or comprehensive. Little critical engagement with findings. Few implications identified. Few or no recommendations or predictions.
Summary provided. Some critical engagement with essay content and data evident, some discussion of implications. Some recommendations and predictions.
Clear summary provided. Critical evaluation of evidence and concepts, highlights and responds to main/most points raised in essay, some consideration of findings. Relevant
Succinct and clear summary. Sophisticated critical evaluation of evidence and concepts, highlights and responds and integrates points raised in essay, considers implications of findings. Realistic and relevant
NURS1003 Imagining Health in Social and Cultural Contexts
recommendations and predictions made.
recommendations and predictions made.
Referencing 10%
APA (6th) system used. Reference List contains academic sources and shows breadth of reading (20 sources recommended). In-text citations provided for all information taken from other writers and integrated well into writing.
Referencing not APA (6th ed.). Little or no breadth of reading or academic sources. In-text references absent, insufficient or poorly integrated into writing.
Referencing APA (6th ed.) with many errors. Reference list shows some breadth of reading and academic sources. Some problems with number or integration of in-text references.
Referencing APA (6th ed.) with errors. Reference list shows breadth of reading and contains academic sources. In-text references formatted and integrated.
Referencing APA (6th ed.) with few errors. Reference list shows breadth of reading and academic research. In-text references sufficient in number and generally integrated into writing well.
Referencing APA (6th ed.) with no or almost no errors. Reference list shows breadth of reading and academic research. In-text references are used where appropriate, and integrated well.
Presentation 10%
Grammar, vocabulary and sentence structure correct and appropriate.
Mechanical accuracy (spelling, formatting and punctuation).
Major difficulties in English and academic language expression, vocabulary or grammar.
Contains too many errors in spelling, formatting or punctuation that comprehension is impeded.
Significant difficulties in English and/or academic expression. Several grammar errors and/or use of limited vocabulary.
Contains numerous spelling, formatting or punctuation errors.
Clear expression in academic English. Some grammar errors in complex forms. Vocabulary appropriate but limited. Contains a number of spelling, formatting or punctuation errors.
Clear academic English expression. A range of contextually appropriate vocabulary used. Few, if any, errors in grammar. Contains very few spelling, formatting or punctuation errors.
Clear and effective academic English. Wide range of contextually appropriate vocabulary. Free of grammatical errors. Free from spelling, formatting or punctuation errors.
Mark
/100
Scaled Mark
/45
Comments

 

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Case Study: Comprehensive Plan of Care and Paper


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Comprehensive Plan of Care and Paper

You have been provided with case studies in Week 4 and Week 5 that focused on genitourinary, and musculoskeletal disorders. You will pick one of these cases to analyze and create a comprehensive plan of care for acute/chronic care, disease prevention, and health promotion for that patient and disorder. Your care plan should be based on current best practices and supported with citations from current literature, such as systematic reviews, published practice guidelines, standards of care from specialty organizations, and other research based resources. In addition, you will provide a detailed scientific rationale that justifies the inclusion of this evidence in your plan. Your paper should adhere to APA format for title page, introduction, headings, citations, conclusion, and references. The paper should be no more than 4 pages excluding title page and references.

Criteria:

  • SOAP note
  • Evaluation of priority diagnosis
  • Facilitators and barriers to disorder management

 

Please Follow Grading Criteria Maximum Points
Introduction

The submission included a general introduction to the priority diagnosis.

10
Subjective Data

The submission included the patient’s interpretation of current medical problem. It included chief complaint, history of present illness, current medications and reason prescribed, past medical history, family history, and review of systems.

15
Objective Data

The submission included the measurements and observations obtained by the nurse practitioner. It included head to toe physical examination as well as laboratory and diagnostic testing results.

15
Assessment

The submission included at least three priority diagnoses. Each diagnosis was supported by documentation in subjective and objective notes and free of essential omissions. All diagnoses were documented using acceptable terminologies and current ICD-10 codes.

20
Plan of Care

Plan included diagnostic and therapeutic (pharmacologic and non-pharmacologic) management as well as education and counseling provided. The plan was supported by evidence/guidelines, and the follow-up plans were noted.

25
Evaluation of Priority Diagnosis

The plan chose the priority diagnosis for the patient and differentiated the disorder from normal development. Discussed the physical and psychological demands the disorder places on the patient and family and key concepts to discuss with them. Identified key interdisciplinary team personnel needed and how this team will provide care to achieve optimal disorder management and outcomes.

25
Facilitators and Barriers

The submission interpreted facilitators and barriers to optimal disorder management and outcomes and strategies to overcome the identified barriers.

20
Conclusion

The submission included what should be taken away from this assignment.

10
APA/Style/Format

The submission was free of grammatical, spelling, or punctuation errors. Citations and references were written in correct APA Style.
Utilized proper format with coversheet, header.

10
Total 150

 

 

 

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CASE STUDY 1

Musculoskeletal Disorders

After diagnostic testing, your patient was diagnosed with low back pain without any specific injury. One of the most important aspects of the care at this point is to create a comprehensive teaching plan. What are the important teaching points you need to consider for the acute care of this individual? And what would you suggest for prevention of potential future injuries?

Buy your research paper Online [Order: http://customwritings-us.com/orders.php]CASE STUDY 2

Genitourinary

Discuss the various types of sexually transmitted diseases. Your response should include the most common pathogens, typical signs and symptoms, and treatment.

  • What are the potential sequels from these diseases?
  • How will you integrate knowledge from evidence-based practice in creating a holistic plan of care for patients with sexually transmitted diseases?

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Need help-Week 2: Structural Framework Analysis


Need help-Week 2: Structural Framework Analysis

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Locate your organization’s nursing philosophy and theoretical foundation for the nursing model.

Include the website address or a document identifying the health system you are analyzing for faculty member review.

Note: If you do not have access to a model, use the internet to search the phrase “care delivery model” to find one that is appropriate for this assignment.

Analyze the theoretical foundation of the framework by considering:

  • theoretical underpinnings, including the conceptual model, philosophy, and metaparadigm
  • how the foundation illustrates a conceptual or operational definition of nursing theory
    • if it is a conceptual definition, create an operational definition
  • the empirical indicators and how they are measured

Cite a minimum of three APA formatted references.

Format your assignment as one of the following:

  • 18- to 20-slide presentation, with speaker’s notes (minimum of 100 words per content slide). Provide a Word document of the speaker’s notes for the Instructor to submit for Turn it In.
  • 875-word minimum paper
Content: 12 points possible Points possible Points earned
Shows evidence of thoughtful selection and understanding of the chosen philosophy and nursing model 3
Explains theoretical underpinnings, including the conceptual model, philosophy, and metaparadigm 3
Defines whether the foundational shows an operational or conceptual definition of nursing theory 3
Defines empirical indicators and illustrates how they are measured 3
Format: 3 points possible Points possible Points earned
Cites a minimum of three APA formatted references. 1.5
Follows a structure that is clear, concise, and easy to follow 1.5
Total 15
Comments:

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Get Help-Alterations in Oxygen Transport


Get Help-Alterations in Oxygen Transport

Alterations in Oxygen Transport

Deb Smith, age fifty-six, came to her nurse practitioner (NP) with fatigue, pallor, dyspnea on exertion, and palpitations. Her laboratory report indicates that her hematocrit, hemoglobin, and reticulocyte counts are low; that her MCV is high; and that her MCH and MCHC are normal. Her diagnosis is pernicious anemia.

Answer the following questions regarding Deb’s anemia and provide the pathophysiology associated with the body’s response to this disease process.

  • Why should Deb’s NP ask her about paresthesia and ataxia?
  • Why did her NP prescribe vitamin B12 by intramuscular injection rather than orally?
  • What causes pernicious anemia?
  • What are the technical terms that describe an anemia with high MCV and normal MCH?

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Assignment Help-Discussion Question 1


Assignment Help-Discussion Question 1

Considering your role specialization (nurse educator, nurse informatics, nurse administrator, and family or adult-gerontology NP), rank the top three current trends or issues that you believe to be most important with regard to credentialing. You will want to identify two strategies that address how these issues will strengthen advanced nursing practice. Synthesize knowledge from values theory, ethics and legal regulatory statutes, and develop your personal philosophy for a career as an advanced practice nurse.

 

Get Help-Discussion Question 2


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Discussion Question 2

Nurses in advanced practice roles need to be familiar with current health policy and strategies to contribute to policy development. Describe a policy issue for your selected role specialization. Synthesize knowledge for values theory, ethics, and legal regulatory statutes, and develop a personal philosophy that will map out a policy strategy that uses a high degree of political competence to address the policy issue as an advanced practice nurse.

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Pathophlysiology


Pathophlysiology

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Description

Case Study: Disorders of Hemostasis A nurse is caring for a 32-year-old pregnant woman who is admitted to the obstetric unit with the chief complaint of right-sided leg pain and swelling for 3 days. The patient is in her third trimester of pregnancy. When the nurse collects her history, she states she has been healthy, with no known medical problems in the past. She does not take medications at this time but gives a history of using oral birth control pills before she became pregnant. On physical exam, the nurse notes that the right leg is larger than the left with increased swelling and pain on palpation of the calf muscle. The admitting diagnosis is right-sided deep vein thrombosis. 1. Reviewing the information given, what risk factors does this patient have that could increase her chance of development of a clot? Are there other risk factors the nurse should consider? 2. This patient because she is pregnant is prescribed heparin intravenously as treatment for the clot. Describe how this drug works. How does heparin impact the normal clotting process? 3. Case Study: Disorders of Red Blood Cells A nurse is caring for an 18-year-old woman in an outpatient clinic who is complaining of increasing fatigue for 3 months. She denies other signs or symptoms. She is generally healthy with no pertinent past medical history. She takes no medications daily. A CBC was ordered by the physician and the following results came back the next day. Reference Values Hgb 10.6 11.1–15.7 g/dL Hct 30 34%–44% MCV Mean corpuscular volume 66 82–98 mm3 MCH Mean corpuscular Hgb 25 26–34 pg/cell 3. Evaluate each of the above results. What does each result tell you about this patient’s red blood cell function? 4. What are common signs and symptoms of anemia the nurse should monitor for in this patient? What is the physiological reason for each? 5. What are the two most common causes of anemia in this age female? Compare and contrast the pathophysiology of each.

PLEASE ANSWER ONLY QUESTIONS # 4 and # 5

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Discussion Question 2


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Discussion Question 2

There is no right or wrong answer for this ethical question; however, you will need to discuss an ethical consideration or dilemma of the APRN. Please remember what is correct for one person may not be correct for another. Look at the Nuremburg Code (US Department of Health & Human Services, 2005; Washington, 2012) as it was the major start of ethics in research and that can carry over to nursing practice.

 

US Department of Health & Human Services. (2005). The Nuremberg code. Retrieved from http://www.hhs.gov/ohrp/archive/nurcode.html

 

Washington, H. A. (2012). Non-consenting adults. Retrieved from http://www.slate.com/articles/health_and_science/new_

scientist/2012/01/the_nuremberg_code_set_up_to_protect_the_human_subjects_of_research_is_being_routinely_ignored_.html

 

Review the American Nurses Association (ANA) Code of Ethics and the ANA Code of Ethics for Nurses with Interpretive Statements (ANA, 2011a, 2011b) and identify one barrier to ethical practice. Please expand on the following points:

 

Choose a potential barrier to ethical practice that you may face in your chosen advanced practice nursing role.

Discuss if there is a relationship between your personal beliefs and values and this barrier.

Describe at least one mechanism to overcome the barrier discussed.

Examine the potential cost and benefits to this barrier.

American Nurses Association. (2011a). Code of ethics. Retrieved from http://www.nursingworld.org/Mobile/Code-of-Ethics

 

American Nurses Association. (2011b). Code of ethics for nurses with interpretive statements. Retrieved from http://www. nursingworld.org/code-of-ethics-preface

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Moral and Ethical Issues


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Moral and Ethical Issues

Overview

Create a 15-minute oral presentation (3–4 pages) that examines the moral and ethical issues related to triaging patients in an emergency room.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes. ◦Explain the health care policies that can affect emergency care.

◦Recommend evidence-based decision-making strategies nurses can use during triage.

  • Competency 3: Apply professional nursing ethical standards and principles to the decision-making process. ◦Describe the moral and ethical challenges nurses can face when following hospital policies and protocols.

◦Explain how health care disparities impact treatment decisions.

  • Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals. ◦Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

◦Correctly format citations and references using APA style.

 

Context

Working in an emergency room gives rise to ethical dilemmas. Due to time restraints and the patient’s cognitive impairment and lack of medical history, complications can and do occur. The nurse has very little time to get detailed patient information. He or she must make a quick assessment and take action based on hospital protocol. The organized chaos of the emergency room presents unique ethical challenge, which is why nurses are required to have knowledge of ethical concepts and principles.

 

Questions to Consider

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.

  • How does a triage nurse decide which patient gets seen first?
  • How does health disparity affect the triage nurse’s decision making?
  • What ethical and moral issues does the triage nurse take into account when making a decision?
  • What are triage-level designations?

 

Suggested Resources

Library Resources

 

The following e-books or articles from the Capella University Library are linked directly in this course:

  • Tingle, J., & Cribb, A. (Eds.). (2014). Nursing law and ethics (4th ed.). Somerset, NJ: John Wiley & Sons.
  • Cranmer, P., & Nhemachena, J. (2013). Ethics for nurses: Theory and practice. Maidenhead, UK: Open University Press.
  • Aacharya, R. P., Gastmans, C., & Denier, Y. (2011). Emergency department triage: An ethical analysis. B MC Emergency Medicine, 11(1), 16–29.
  • Guidet, B., Hejblum, G., & Joynt, G. (2013). Triage: What can we do to improve our practice? Intensive Care Medicine, 39(11), 2044–2046.
  • Kangasniemi, M., & Haho, A. (2012). Human love – The inner essence of nursing ethics according to Estrid Rodhe. A study using the approach of history of ideas. Scandinavian Journal of Caring Sciences, 26(4), 803–810.
  • Gastmans, C. (2013). Dignity-enhancing nursing care: A foundational ethical framework. Nursing Ethics, 20(2), 142–149.
  • Domagala, S. E., & Vets, J. (2015). Emergency nursing triage: Keeping it safe. Journal of Emergency Nursing, 41(4), 313–316.

 

Internet Resources

Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.

 

Assessment Instructions

Your supervisor has asked you to do a 15-minute oral presentation at a staff meeting about a recent issue that occurred at another hospital in town. Following an industrial accident, two patients arrived at the emergency room of that hospital at the same time, presenting with very similar inhalation injuries. The hospital received a great deal of negative press due to how the patients were triaged in the ER. Your supervisor would like you to use the specifics of this case to review triage procedures and best practices at your facility. Here are the details:

  • One is a 32-year-old firefighter, Frank Jeffers, who is presenting with respiratory difficulties that he obtained while evacuating victims of an industrial accident. He is a married homeowner and father of two young boys. He has lived in the community all his life. He has full and comprehensive health insurance through his employer.
  • The other is Brent Damascus, a 58-year-old man. Brent is presenting with respiratory difficulties with the same intensity as Mr. Jeffers above. He is well known at the hospital emergency room, as he is a frequent visitor with various complaints, including asthma, headaches, and tremors. He is homeless, unemployed, and uninsured. He stays many nights at the YMCA and eats lunch at the soup kitchen. He has lived in the community for over 10 years and has been arrested several times for petty theft.

 

Preparation

Directions

Create a 15-minute presentation (3–4 pages) that examines the moral and ethical issues that occurred when triaging these two patients and the best practices for managing this in the future.

Divide your draft into a number of talking points that you can summarize neatly. Keep in mind that an oral presentation requires slightly different language than an essay. The aim is to communicate your message so keep sentences simple and focus on the key points you want to deliver. Address the following in your presentation:

  • Explain the health care policies and protocols that are in place that direct triage care in an emergency situation.
  • Explain how health care disparities impact treatment decisions.
  • Identify the health care policies that are in place that direct care for uninsured individuals. Is there a difference in how these individuals are triaged?
  • Describe the moral and ethical challenges nurses can face when following hospital policies and protocols. Is there a conflict when a severely injured person is also uninsured?
  • Recommend evidence-based strategies that should be applied for managing the care of uninsured and indigent population.

 

 

Additional Requirements

 

Your presentation should meet the following requirements:

  • Written communication: Written communication should be free of errors that detract from the overall message.
  • References: Include a reference section with a minimum of three references; a majority of these should be peer-reviewed sources. All resources should have been published within the last 5 years.
  • APA format: Resources and citations should be formatted according to current APA style and formatting.
  • Length: 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
  • Font and font size: Times New Roman, 12-point.
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