Clinical nurse specialists<\/a> (CNS) possess advanced training within their specialty and are capable of working in a range of healthcare fields such as geriatric care, adult health, and community health as well as pediatric care in settings such as critical care (Cooper et al., 2019). Clinical Nurse Specialists are responsible for the conduct of physical examinations, medical history gathering, and the coordination of patient care.<\/p>\nBoth CNL and CNS strive to improve the quality of care and satisfaction of patients. Although there are several differences between the two, the primary difference is in their approach. A CNL focuses on one specific issue in a system while a CNS takes a broader view of the situation. Accordingly, both roles must adhere to the Code of Ethics for Nurses of the American Nurses Association (ANA). Several codes of ethics exist in the nursing profession that specifies the expectations of members and define what constitutes the best performance and conduct in the profession. Nurses should follow the nursing code of ethics in order to clarify their role and relationship with their patients as well as to address issues that contribute to the advancement of their health (Haddad & Geiger, 2018). Additionally, it is important that healthcare providers provide accurate medical diagnosis, treatment, and prognostic information to patients and work with them to make informed decisions. When a healthcare provider denies a patient’s wishes regarding treatment, they are not exercising their authority over that patient’s values.<\/p>\n
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References:<\/h3>\n
<\/p>\n
Cooper, M. A., McDowell, J., Raeside, L., & Group, A.-C. (2019). The similarities and differences between advanced nurse practitioners and clinical nurse specialists. British Journal of Nursing, 28(20), 1308\u20131314.<\/p>\n
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Haddad, L. M., & Geiger, R. A. (2018). Nursing ethical considerations.<\/p>\n
As a nurse practitioner, if your action\u00a0provides no benefit or good effect but does inflict intentional harm, then you are violating the rule of non-maleficence. Beneficence, on the other hand, promotes action that will benefit others<\/strong>. These two ethical guidelines remind us that we, as healthcare professionals, must act in a manner that nurtures or help others and, simultaneously, protects that person from harm.<\/p>\nWhether in advanced practice or as a regular bedside nurse, work ethics among nurses don’t change. We must protect and serve the interests of our patients at all costs. Let us take non-maleficence and beneficence, for example. CRNA, for instance, are given a choice to use general anesthesia vs. moderate sedation. Using their knowledge, skills, and expertise and considering the patient’s preferences and best interest, a CRNA may choose the milder kind of sedation as a standard choice to anesthetize a patient for a left heart catheterization. The situation may escalate and require general anesthesia. Still, considering the patient’s age, physiologic functions, and pathologic conditions, their decision has to be in the patient’s best interest and outcome.<\/p>\n
An FNP may be faced with a situation wherein she has to prescribe antihypertensive medications. A patient may not fully understand hypertension and may be hesitant to take any BP meds. Their age and education, and financial background may also sway them into noncompliance in taking their medications. An FNP using their knowledge, expertise, and interpersonal skills, may choose a drug that is easy to take to promote compliance, cost-effectiveness, and simplicity of regimen for the benefit and overall health of the patient.<\/p>\n
The key to doing our fair share in uplifting the lives of others is to uphold our oath as nurses to protect and serve our patients at all costs.<\/p>\n
Reference:<\/h3>\n
Varkey B: Principles of Clinical Ethics and Their Application to Practice. Med Princ Pract 2021;30:17-28. doi: 10.1159\/000509119<\/p>\n
NUR 514 Compare two different advanced registered nurse roles with regard to ethical guidelines Grading Rubric<\/strong><\/h2>\n\n\n\nPerformance Category<\/strong><\/td>\n100% or highest level of performance<\/strong><\/p>\n 100%<\/strong><\/p>\n16 points<\/strong><\/td>\nVery good or high level of performance<\/strong><\/p>\n 88%<\/strong><\/p>\n14 points<\/strong><\/td>\nAcceptable level of performance<\/strong><\/p>\n 81%<\/strong><\/p>\n13 points<\/strong><\/td>\nInadequate demonstration of expectations<\/strong><\/p>\n 68%<\/strong><\/p>\n11 points<\/strong><\/td>\nDeficient level of performance<\/strong><\/p>\n 56%<\/strong><\/p>\n9 points<\/strong><\/p>\n\u00a0<\/strong><\/td>\nFailing level<\/strong><\/p>\n of performance<\/strong><\/p>\n55% or less<\/strong><\/p>\n0 points<\/strong><\/td>\n<\/tr>\n<\/thead>\n\n\n\u00a0Total Points Possible= 50 <\/strong><\/td>\n\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 16 Points<\/strong><\/td>\n\u00a0\u00a0 14 Points<\/strong><\/td>\n13 Points<\/strong><\/td>\n\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 11 Points<\/strong><\/td>\n\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 9 Points<\/strong><\/td>\n\u00a0 \u00a0 \u00a0 \u00a0\u00a0 0 Points<\/strong><\/td>\n<\/tr>\n\nScholarliness<\/strong><\/p>\n Demonstrates achievement of scholarly inquiry for professional and academic topics.<\/td>\n Presentation of information was exceptional and included all<\/strong> of the following elements:<\/p>\n\n- Provides evidence of scholarly inquiry relevant to required TD topic(s).<\/li>\n
- Presents specific information from scholarly sources to develop a comprehensive presentation of facts.<\/li>\n
- Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*<\/li>\n
- Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.<\/li>\n<\/ul>\n<\/td>\n
Presentation of information was good, but was superficial in places and included all of the following elements:<\/p>\n\n- Provides evidence of scholarly inquiry relevant to required TD topic(s).<\/li>\n
- Presents specific information from scholarly sources to develop a comprehensive presentation of facts.<\/li>\n
- Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*<\/li>\n
- Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.<\/li>\n<\/ul>\n<\/td>\n
Presentation of information was minimally demonstrated in all of the following elements:<\/p>\n\n- Provides evidence of scholarly inquiry relevant to required TD topic(s).<\/li>\n
- Presents specific information from scholarly sources to develop a comprehensive presentation of facts.<\/li>\n
- Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*<\/li>\n
- Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.<\/li>\n<\/ul>\n<\/td>\n
<\/p>\n Presentation of information is unsatisfactory in one<\/strong> of the following elements:<\/p>\n\n- Provides evidence of scholarly inquiry relevant to required TD topic(s).<\/li>\n
- Presents specific information from scholarly sources to develop a comprehensive presentation of facts.<\/li>\n
- Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*<\/li>\n
- Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.<\/li>\n<\/ul>\n<\/td>\n
<\/p>\n Presentation of information is unsatisfactory in two<\/strong> of the following elements:<\/p>\n\n- Provides evidence of scholarly inquiry relevant to required TD topic(s).<\/li>\n
- Presents specific information from scholarly sources to develop a comprehensive presentation of facts.<\/li>\n
- Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*<\/li>\n
- Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.<\/li>\n<\/ul>\n<\/td>\n
Presentation of information is unsatisfactory in three<\/strong> or more<\/strong> of the following elements<\/p>\n\n- Provides evidence of scholarly inquiry relevant to required TD topic(s).<\/li>\n
- Presents specific information from scholarly sources to develop a comprehensive presentation of facts.<\/li>\n
- Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*<\/li>\n
- Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n<\/td>\n | \u00a016 Points<\/strong><\/td>\n\u00a014 Points<\/strong><\/td>\n\u00a013 Points<\/strong><\/td>\n11 Points<\/strong><\/td>\n9 Points<\/strong><\/td>\n\u00a00 Points<\/strong><\/td>\n<\/tr>\n\nApplication of Course Knowledge<\/strong><\/p>\n Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations<\/strong><\/td>\nPresentation of information was exceptional and included all<\/strong> of the following elements:<\/p>\n\n- Applies principles, knowledge and information from scholarly resources to the required topic.<\/li>\n
- Applies facts, principles or concepts learned from scholarly resources to a professional experience.<\/li>\n
- Application of information is comprehensive and specific to the required topic.<\/li>\n<\/ul>\n<\/td>\n
Presentation of information was good, but was superficial in places and included all<\/strong> of the following elements:<\/p>\n\n- Applies principles, knowledge and information from scholarly resources to the required topic.<\/li>\n
- Applies facts, principles or concepts learned from scholarly resources to a professional experience.<\/li>\n
- Application of information is comprehensive and specific to the required topic.<\/li>\n<\/ul>\n<\/td>\n
Presentation of information was minimally demonstrated in the all<\/strong> of the following elements:<\/p>\n\n- Applies principles, knowledge and information from scholarly resources to the required topic.<\/li>\n
- Applies facts, principles or concepts learned from scholarly resources to a professional experience.<\/li>\n
- Application of information is comprehensive and specific to the required topic.<\/li>\n<\/ul>\n<\/td>\n
Presentation of information is unsatisfactory in one <\/strong>of the following elements:<\/p>\n\n- Applies principles, knowledge and information from scholarly resources to the required topic.<\/li>\n
- Applies facts, principles or concepts learned from and scholarly resources to a professional experience.<\/li>\n
- Application of information is comprehensive and specific to the required topic.<\/li>\n<\/ul>\n<\/td>\n
Presentation of information is unsatisfactory in two<\/strong> of the following elements:<\/p>\n\n- Applies principles, knowledge and information from scholarly resources to the required topic.<\/li>\n
- Applies facts, principles or concepts learned from scholarly resources to a professional experience.<\/li>\n
- Application of information is comprehensive and specific to the required topic.<\/li>\n<\/ul>\n<\/td>\n
Presentation of information is unsatisfactory in three<\/strong> of the following elements<\/p>\n\n- Applies principles, knowledge and information and scholarly resources to the required topic.<\/li>\n
- Applies facts, principles or concepts learned scholarly resources to a professional experience.<\/li>\n
- Application of information is comprehensive and specific to the required topic.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n\u00a0<\/strong><\/td>\n\u00a010 Points<\/strong><\/td>\n9 Points <\/strong><\/td>\n<\/td>\n | <\/td>\n | \u00a06 Points<\/strong><\/td>\n\u00a00 Points<\/strong><\/td>\n<\/tr>\n\nInteractive Dialogue <\/strong><\/p>\n Initial post should be a minimum of 300 words (references do not count toward word count)<\/strong><\/p>\nThe peer and instructor responses must be a minimum of 150 words each (references do not count toward word count)<\/strong><\/p>\nResponses are substantive and relate to the topic.<\/strong><\/td>\nDemonstrated all <\/strong>of the following:<\/p>\n\n- Initial post must be a minimum of 300 words.<\/li>\n
- The peer and instructor responses must be a minimum of 150 words each.<\/li>\n
- Responses are substantive<\/li>\n
- Responses are related to the topic of discussion.<\/li>\n<\/ul>\n<\/td>\n
Demonstrated 3 of the following:<\/p>\n\n- Initial post must be a minimum of 300 words.<\/li>\n
- The peer and instructor responses must be a minimum of 150 words each.<\/li>\n
- Responses are substantive<\/li>\n
- Responses are related to the topic of discussion.<\/li>\n<\/ul>\n<\/td>\n
<\/td>\n | <\/td>\n | Demonstrated 2 of the following:<\/p>\n\n- Initial post must be a minimum of 300 words.<\/li>\n
- The peer and instructor responses must be a minimum of 150 words each.<\/li>\n
- Responses are substantive<\/li>\n
- Responses are related to the topic of discussion.<\/li>\n<\/ul>\n<\/td>\n
Demonstrated 1 or less of the following:<\/p>\n\n- Initial post must be a minimum of 300 words.<\/li>\n
- The peer and instructor responses must be a minimum of 150 words each.<\/li>\n
- Responses are substantive<\/li>\n
- Responses are related to the topic of discussion.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n\u00a0<\/strong><\/td>\n8 Points<\/strong><\/td>\n7 Points<\/strong><\/td>\n\u00a06 Points<\/strong><\/td>\n\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 5 Points<\/strong><\/td>\n\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 4 Points<\/strong><\/td>\n\u00a00 Points<\/strong><\/td>\n<\/tr>\n\nGrammar, Syntax, APA <\/strong><\/p>\n Points deducted for improper grammar, syntax and APA style of writing.<\/strong><\/p>\nThe source of information is the APA Manual 6th Edition<\/strong><\/p>\nError is defined to be a unique APA error. Same type of error is only counted as one error.<\/strong><\/td>\nThe following was present:<\/p>\n\n- 0-3 errors in APA format<\/li>\n<\/ul>\n
AND<\/p>\n \n- Responses have 0-3 grammatical, spelling or punctuation errors<\/li>\n<\/ul>\n
AND<\/p>\n | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |