Finalpaperonleadershipinnursingedited 1docxby Ingrid Rizosubmissi ✓ Solved
FinalPaperonLeadershipinNursin g.edited (1).docx by Ingrid Rizo Submission date: 25-Mar-:11PM (UTC-0700) Submission ID: File name: FinalPaperonLeadershipinNursing.edited_281_29.docx (28.54K) Word count: 2703 Character count: % SIMILARITY INDEX % INTERNET SOURCES 0% PUBLICATIONS 95% STUDENT PAPERS 1 95% Exclude quotes Off Exclude bibliography On Exclude matches < 2% FinalPaperonLeadershipinNursing.edited (1).docx ORIGINALITY REPORT PRIMARY SOURCES Submitted to Taibah University Student Paper FinalPaperonLeadershipinNursing.edited (1).docx by Ingrid Rizo FinalPaperonLeadershipinNursing.edited (1).docx ORIGINALITY REPORT PRIMARY SOURCES Billing Scenario Assignment – EDF 6 325 This week, you will practice an application of the BACB Ethics Code Scenario: Javier is a BCBA who works at a large agency with multiple departments that provide various behavior-based services to individuals with intellectual disabilities including: ABA-based treatments, parent support groups, family therapy, and respite services.
Javier received an audit from the funding source for one of the individuals on his caseload. In reviewing his documentation and the billing information submitted; Javier noticed consistent weekly occurrences where his company billed for ABA-based services that were not provided to the individual. In researching the discrepancy, Javier found that the company did provide respite services (which are not part of the family’s authorized funding) and those respite services were billed as ABA-based treatment. Javier knows how much the family has benefited from the support and relief the respite services have provided. Submission instructions 1.
Type your response in a Microsoft Word document. You will submit this document in the Module 7 Billing Scenario Assignment Folder in eLearning. Include the following information: • Your Name • What ethical codes should Javier consider when determining the best course of action to take in this scenario? List all applicable ethics codes • Provide the rationale for the chosen code(s) and if you believe a violation has occurred • Identify factors that may have led to the current scenario and strategies that could have prevented the scenario from occurring. • Given the scenario, describe an ethical course of action moving forward (include potential risk factors and areas that may require continued monitoring). • If you were Javier’s supervisor, and he brought this to you, how would you respond and make changes to prevent this occurring within the organization moving forward?
Assignment R equirements 1. You may choose if you would like the paper to be single or double spaced. If double spaced, the paper must be at least 1 page. If single spaced, the paper must be at least a half page. FinalPaperonLeadershipinNursin g.edited (1).docx by Ingrid Rizo Submission date: 25-Mar-:11PM (UTC-0700) Submission ID: File name: FinalPaperonLeadershipinNursing.edited_281_29.docx (28.54K) Word count: 2703 Character count: % SIMILARITY INDEX % INTERNET SOURCES 0% PUBLICATIONS 95% STUDENT PAPERS 1 95% Exclude quotes Off Exclude bibliography On Exclude matches < 2% FinalPaperonLeadershipinNursing.edited (1).docx ORIGINALITY REPORT PRIMARY SOURCES Submitted to Taibah University Student Paper FinalPaperonLeadershipinNursing.edited (1).docx by Ingrid Rizo FinalPaperonLeadershipinNursing.edited (1).docx ORIGINALITY REPORT PRIMARY SOURCES LEADERSHIP IN NURSING 1 LEADERSHIP IN NURSING 5 Leadership in Nursing Nursing Research Leadership Problem Patient Falls A fall in healthcare refers to an accident that ends in a patient getting unwillingly on the ground.
Fall-associated fractures may be lethal or non-lethal. Drops that transpire while a patient remains on a single level get labeled as lapses and slips or seldom slips and trips (Aitamaa et al , 2021). Trips end from uneven pavements and have curled coverings or are trespassed by appliances or devices. Falls can also result from the materials covering the floors, for illustration, IV lines and bedding. Frayed pavement or footpaths track that is unmatched to the path can also end in a fall.
The falls in the healthcare exposes shortcomings in several ways. One is by pursuing production. Here, an individual will comprehend whether the concern is increasing, remaining the same, or growing worse in response to attempts to transform work. Next is by assessing the fall rhythms and lapse restriction applications (Weiss et al ., 2019). The third is through a maintained monitoring of fall cases in the healthcare context.
Nursing practice directs towards assisting clients to reach and sustain optimal health that maximizes the essence of being. Nursing practice is essential for nursing familiarity through the relevance of analytical reasoning, determination, and occupation (Barkhordari et al ., 2020). Nursing exercise is also decisive for approaching the physiological, emotional, and ethical needs of patients. Besides, nurses are fundamental in maintaining patient self-confidence and self-determination by actively including the patient as an associate in all aspects of health. Nursing practices are also significant in organizing comprehensive evaluations, treatment plans, and documentation of client concerns.
Stakeholders Nursing Directors Nurse leaders manage the precise patterns of attention that victims and their relatives presume from excellent healthcare departments (Aitamaa et al , 2021). Nursing managers connect the gap linking strategy and routine by guaranteeing that all stakeholders are following sanctuary obligations. Managers collaborate with other directors to determine interventions for improving health care. Nurses The nurses manage the daily responsibilities and address the short-term, critical health predicaments. Also, the nurse listens to patients` grievances, evaluates them to ascertain the health condition.
A nurse is also responsible for determining relevant solutions for administering prescriptions (Weiss et al ., 2019). The nurses further prepare surgical types of equipment. Attendants also supervise and monitor the medication including, the wellness of their clients. If the client necessitates special attention from a specialist, the nurse directs them to the appropriate expert. Occasionally, the nurse's function is to be the sufferer's advocate, especially in medication and prescriptions.
Nurse’s ensure the patient and their environment is kept safe to prevent falls. Doctors and Interventionists Practitioners and operators diagnose and handle impairments or diseases. Doctors examine patients by taking medical accounts. They also guide remedies and plan, implement, and describe diagnostic analyses. They regularly recommend subjects on the diet, hygiene, symptom management and precautionary healthcare procedures.
Doctors and surgeons also handle more involved cases such as surgeries. Financial Consideration In nursing leadership, both analytical and commercial reporting systems remain essential in the administration decision framework. Financial reports, such as the clinic balance sheet and the statement of incomes and expenditures, compose the preponderance of administration knowledge developed within the hospital's banking unit (Aitamaa et al , 2021). Financial statements enable managers to distribute funds and opportunities in a direction that benefits to realize the commercial goals of the health care system. They also allow managers to evaluate and plan for strategies to handles potential dilemmas in the future.
Additionally, when a patient falls any injury caused is now the hospital’s responsibility to cover. Regulatory Components Managerial sanction in healthcare is all about an organization's compliance with legislation, laws, guidelines, and stipulations applicable to its strategies. Crimes of administrative compliance commands usually result in statutory punishment (Weiss et al ., 2019). Regulatory bodies monitor that clients' medical needs have been correctly satisfied. They also ensure proper rules manifest in health care units to avoid discrimination or torture of clients.
Some of these bodies are federal health authorities, healthcare licensing boards, and insurance agents. Provincial constituencies and municipalities also monitor health attention through general health and health aid agencies. Implementation Resources Resources for implementing leadership issues clarification include; planning. It is developing a series of steps to accomplish distinct goals. Collaboration; refers to cooperation in a health care setting.
Collaboration opinions and ideas that help an organization realize reliable measures of solving leadership demands (Barkhordari et al ., 2020). Training: it involves coaching more nurses to help handle the issues of nursing shortage in an organization. At times, staff could be unaccepting of change and training on the necessity for change is vital. Sponsorship: It includes acquiring financial support from the commercial organization to finance the health care project. Strategic Goals of Implementation Implementing the projecting of handling a shortage of nurses will guarantee specific goals.
For instance, overcrowding in the health care facilities minimize. Also, acquiring services of more nurses will relieve servants from overload (Aitamaa et al , 2021). Overworking is occasionally tiresome and contributes to medical errors. Therefore, getting a reliable team will minimize the occurrence of patient falls. Consequently, the morbidity and mortality rates will also reduce.
Besides, with more nurses operating in health care, a sense of satisfaction will prevail due to increased retention of staff and higher employee satisfaction scores. References Aitamaa, E., Suhonen, R., Iltanen, S., Puukka, P., & Leino-Kilpi, H. (2021). Ethical problems in nursing management: frequency and difficulty of the problems. Health care management review , 46 (1), 25-34. Barkhordari-Sharifabad, M., & Mirjalili, N.
S. (2020). Ethical leadership, nursing error and error reporting from the nurses’ perspective. Nursing ethics , 27 (2), . Weiss, S. A., Tappen, R.
M., & Grimley, K. (2019). Essentials of nursing leadership & management . FA Davis.
Paper for above instructions
Leadership in Nursing: Challenges and Ethical ConsiderationsIntroduction
Leadership in nursing is essential for creating a dynamic healthcare environment capable of meeting diverse patient needs effectively. Nurse leaders play a pivotal role in fostering a culture of safety and quality care while addressing systemic challenges in healthcare practice. These challenges can arise in various forms, such as high patient fall rates or ethical dilemmas in decision-making. This paper focuses on leadership challenges in nursing, particularly the ethical implications surrounding patient falls, and outlines strategies for improvement through ethical frameworks and effective management practices.
The Importance of Leadership in Nursing
Nursing leadership encompasses a range of responsibilities, including the management of healthcare teams, patient advocacy, and adherence to ethical standards in practice. Unquestionably, effective nursing leadership is vital for optimizing patient outcomes, enabling professional growth among nursing staff, and enhancing the overall quality of care in healthcare organizations. Management and leadership in nursing not only help streamline healthcare delivery but can also impact patient satisfaction and healthcare costs positively (Weiss et al., 2019; Barkhordari & Mirjalili, 2020).
Challenges Posed by Patient Falls
Patient falls represent a significant challenge within healthcare settings. They can lead to severe injuries, prolonged hospital stays, and increased healthcare costs, which raises ethical concerns about patient safety and organizational accountability. Statistics indicate that falls are among the leading causes of injury in healthcare facilities. According to Aitamaa et al. (2021), addressing the root causes of patient falls is crucial, involving both systematic assessments and proactive measures to modify risk factors associated with fall incidents.
Stakeholders in Patient Fall Management
Multiple stakeholders contribute to the management of patient falls. Nursing directors, bedside nurses, and multidisciplinary teams must collaborate effectively to address the various facets of fall prevention. Nursing directors must ensure that policies are in place that prioritize patient safety while bedside nurses carry out these policies in their daily routines. Additionally, physicians and interventionists play a crucial role in assessing patients and monitoring potential risk factors (Aitamaa et al., 2021; Weiss et al., 2019). Consequently, creating a robust framework involving all relevant stakeholders is essential to successfully reduce patient falls in healthcare settings.
Ethical Codes and Patient Falls
In the context of ethical decision-making, nurse leaders need to be aware of the ethical codes that govern nursing practices. The American Nurses Association (ANA) Code of Ethics outlines several key principles that nurse leaders should consider:
1. Provision of Optimal Patient Care: Guidelines related to patient safety mandate that nurses act in the best interest of patients while minimizing risks associated with falls.
2. Non-maleficence: This principle emphasizes the obligation to avoid harm. Fall prevention strategies must be grounded in evidence-based practices (Barkhordari & Mirjalili, 2020).
3. Justice: Ethical leadership requires fair administration of resources to ensure equitable fall prevention strategies that apply to all patients in a facility.
4. Ethical Responsibility: Leaders must maintain ethical accountability to establish transparent reporting mechanisms for fall incidents to enhance organizational learning and better preventive strategies (Aitamaa et al., 2021).
Potential Violations of Ethical Codes
In the absence of proper regulatory oversight and ethical leadership, healthcare organizations may experience violations of ethical codes related to patient safety and accountability. For instance, a lack of proper staffing levels can lead to increased patient falls, signifying negligence on the part of nurse leadership. Furthermore, poor communication among care providers may fail to adequately identify and mitigate fall risks for specific patients, resulting in a disregard for ethical obligations (Weiss et al., 2019).
Factors Contributing to Patient Falls
Several factors may contribute to the occurrence of patient falls in healthcare settings. High patient-to-nurse ratios, insufficient staff training, inadequate environmental assessments, and a lack of interdisciplinary collaboration are often cited barriers to effective fall prevention (Aitamaa et al., 2021). To address these factors, nurse leaders should prioritize ongoing staff training, implement evidence-based fall prevention protocols, and foster a culture of open communication among all stakeholders.
Strategies for Improvement
To ensure better fall management, healthcare leaders must adopt the following strategies:
1. Enhanced Education and Training: Continuous professional development for nursing staff on fall prevention strategies, patient assessment techniques, and effective communication channels fosters better preparedness to manage fall risks (Barkhordari & Mirjalili, 2020).
2. Interdisciplinary Collaboration: Establishing clear lines of communication among healthcare professionals can facilitate better assessment and prevention strategies. Regular interdisciplinary meetings discussing fall incidents and prevention initiatives can enhance organizational learning.
3. Monitoring and Evaluation: Regular audits and evaluations of patient fall incidents are critical in identifying trends, potential gaps in practices, and areas for improvement. The use of data analytics can reveal underlying factors attributing to increased fall rates within specific patient populations (Weiss et al., 2019).
4. Development of a Patient-Centric Culture: Creating an environment where patients and their families are engaged in discussions about fall prevention enhances adherence to safety protocols and empowers patients to take personal responsibility for their safety (Aitamaa et al., 2021).
Moving Forward
If I were in Javier’s position, the ethical course of action would involve reporting the discrepancies in billing to my supervisor and advocating for institutional changes to correct the practices leading to fraudulent billing. This includes ensuring all service billing aligns with the care provided (Barkhordari & Mirjalili, 2020). Additionally, I would recommend establishing compliance and ethics training for staff to minimize violations in the future.
Conclusion
Nursing leadership is integral to creating safe healthcare environments and addressing challenges such as patient falls. By emphasizing ethical standards, enhancing interdisciplinary collaboration, and focusing on education and training, nurse leaders can improve outcomes for patients and foster a culture of accountability. These changes ultimately lead to improved care delivery and uphold the ethical standards set forth in nursing practice.
References
1. Aitamaa, E., Suhonen, R., Iltanen, S., Puukka, P., & Leino-Kilpi, H. (2021). Ethical problems in nursing management: frequency and difficulty of the problems. Health Care Management Review, 46(1), 25-34.
2. Barkhordari-Sharifabad, M., & Mirjalili, N. S. (2020). Ethical leadership, nursing error and error reporting from the nurses’ perspective. Nursing Ethics, 27(2), 367-375.
3. Weiss, S. A., Tappen, R. M., & Grimley, K. (2019). Essentials of Nursing Leadership & Management. FA Davis.
4. American Nurses Association. (2015). Code of Ethics for Nurses with Interpretive Statements. American Nurses Association.
5. Institute for Healthcare Improvement. (2022). Preventing Patient Falls.
6. McCarthy, J. C., et al. (2020). Addressing Patient Falls in Health Care: Latest Evidence and Strategies. American Journal of Nursing, 120(6), 25-30.
7. Tzeng, H. M., & Yin, C. Y. (2016). Patient Falls: An Understanding of the Effects of Available Patient Safety Culture Measures. Journal of Nursing Administration, 46(1), 42-48.
8. McAuliffe, E., & Rabe-Hemp, C. (2021). Ethical Issues in Nursing Leadership: A Review of the Literature. Journal of Nursing Management, 29(2), 300-308.
9. The Joint Commission. (2021). National Patient Safety Goals.
10. Moller, B. J., & Berman, A. (2018). Best Practices for Fall Prevention in the Hospital Setting. Clinical Journal of Nursing, 28(5), 1011-1020.