NR510 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
NR510 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
NR510 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One
The case study has potential and legal implications for the medical assistant, nurse practitioner, medical director, and the practice. First, medical assistants do not have the legal mandate to engage in activities such as prescribing and refilling prescriptions. Stephanie should understand the consequences of her actions such as her license for practice being revoked because of the safety issues associated with her actions. The nurse practitioner, medical director, and practice administrator have the responsibility of ensuring that each of the personnel in the institution perform as per their scope of practice (Griffith & Tengnah, 2020). They must assess the skill levels and competencies of the medical assistants and other providers to provide the required care and communicate their limitations to them.
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I will embrace some strategies to prevent potentially illegal behaviors in the future in the practice site. One of them is clarifying the roles and responsibilities of the different members involved in the patient care in the setting. The roles and responsibilities should be communicated to ensure accountability, transparency and responsibility. I will also administer staff assessment tests to determine their understanding of their expected responsibilities and consider strategies such as training them to prevent similar occurrences in the future (Varkey, 2021). Lastly, I will display the policies, standards, and regulations that guide employee behaviors in the organization to eliminate potential issues in the future.
One of the leadership qualities that I would apply to effect a positive change in the practice is leading as an example. Nurse practitioners should demonstrate best practices that others can emulate for safety, quality, and efficiency. The other leadership quality I would apply is strengthening open communication, seeking and providing feedback to the other members of the team to ensure continuous quality improvement (Heinen et al., 2019). Lastly, I will advocate the adoption of effective leadership styles such as transformational leadership to encourage the development of the desired competencies among the care team.
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NR510 dq 1 Week 4: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study Part One References
Griffith, R., & Tengnah, C. (2020). Law and Professional Issues in Nursing. SAGE.
Heinen, M., van Oostveen, C., Peters, J., Vermeulen, H., & Huis, A. (2019). An integrative review of leadership competencies and attributes in advanced nursing practice. Journal of Advanced Nursing, 75(11), 2378–2392. https://doi.org/10.1111/jan.14092
Varkey, B. (2021). Principles of Clinical Ethics and Their Application to Practice. Medical Principles and Practice, 30(1), 17–28. https://doi.org/10.1159/000509119
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You are a family nurse practitioner employed in a busy primary care office. The providers in the group include one physician and three nurse practitioners. The back office staff includes eight medical assistants who assist with patient care as well as filing, answering calls from patients, processing laboratory results and taking prescription renewal requests from patients and
pharmacies. Stephanie, a medical assistant, has worked in the practice for 10 years and is very proficient at her job. She knows almost every patient in the practice, and has an excellent rapport with all of the providers.
Mrs. Smith was seen today in the office for an annual physical. Her last appointment was a year ago for the same reason. During this visit, Mrs. Smith brought an empty bottle of amoxicillin with her and asked if she could have a refill. You noted the patient’s name on the label, and the date on the bottle was 1 week ago. You also noted your name printed on the label as the prescriber. The patient admitted that she called last week concerned about her cough and spoke to Stephanie. You do not recall having discussed this patient with Stephanie nor do the other providers in the practice.
Discussion Question:
What is your next logically sound course of action? Provide evidence to support your response.
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