“Ethical, Moral, and Legal Leadership”
Program Transcript
TERRY MAHAN BUTTARO: The moral, legal, ethical implications of practice are
all back to the value of providing the best patient care for the community and for
the individual patient. That's what being a health care provider is all about. And
those values are reflected in the American Nurses Association, the Academy of
Nurse Practitioners. Those are all values that we all ascribe to, physicians also.
All right. Well, come on in and sit down.
It guides practice every day. It's why we explain the risks and benefits to patients
about medicines or about different procedures or about choosing not to do
something.
Good. OK, excellent.
MALE SPEAKER: All right.
TERRY MAHAN BUTTARO: All right. Now, make sure-You have to have integrity to be a health care provider. You have to explain
clearly and succinctly about what it is that patients face. You know, we have a
patient in an adjacent state who was brought in recently by her home health care
worker. And she actually had to get permission from the home health care
agency for this woman to drive her here.
This woman is older. None of her family lives close by. She's outlived many of
her friends. And she came in because in our practice, it is kind of an unwritten
rule, but it's well-spoken to help, that we don't just continue to renew medicines.
Patients need to be seen at least once a year, and for some meds, possibly more
often.
So she had to come in to see us to get her prescriptions, and I actually saw her.
So she didn't have complaints. She really said, I just want my medicines. And
she said, I can never come back, because I can't get a ride here.
I said, well, you need to have some blood tests, 'cause you're on medicines that
will affect your kidneys and some other things. And I need to be able to figure out
a way to help you. So, I renewed her prescriptions.
I sent her home, but she did go and get labs. And the home health care worker
actually took her to get labs right away. Because our problem here is we don't
have labs and diagnostics right on site, so they have to go to the hospital to get
these done.
© 2012 Laureate Education, Inc.
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But her labs came back, and she was really anemic. But she can't get in here. So
now, what are we going to do? So the girls in office were really helpful in
brainstorming about how can we get this patient back into the practice.
We could try Neurontin for her.
FEMALE SPEAKER: OK.
TERRY MAHAN BUTTARO: Has she tried that?
FEMALE SPEAKER: Yeah.
TERRY MAHAN BUTTARO: She did try that. Hmm.
The visiting nurses were kind of the best idea about doing this. But in other
situations, it's been calling patients about, can we talk to your family member?
We're really concerned about this.
FEMALE SPEAKER: Nothing to eat or drink after midnight. OK. Thanks a lot.
Bye.
TERRY MAHAN BUTTARO: I can also do home visits, which I've done before.
And I can draw labs and bring the labs to the hospital. So that is another way that
we'll try to provide the best patient care for patients. And that is something in the
future that's going to be really imperative-- that if we want to keep people in the
home, we have to have providers who can go into the home.
Hi.
MALE SPEAKER: Hi, good morning.
TERRY MAHAN BUTTARO: How are you?
MALE SPEAKER: Good.
TERRY MAHAN BUTTARO: What's going on?
MALE SPEAKER: Ah, just general checkup, I guess.
TERRY MAHAN BUTTARO: I think nurse practitioners always have to remember
that medicine is very humbling. One day you can feel great about what you've
done and the care you provided. And another day, you might say, oh my god,
how did I miss that? Or why did I think to prescribe that drug instead of another
drug? So every day is a new day.
Here we go. So just give this to Miss Pixie, and we'll see. OK?
© 2012 Laureate Education, Inc.
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MALE SPEAKER: OK. Thank you.
TERRY MAHAN BUTTARO: Good. Good to see you.
ABIGAIL STRIBLEA: One of the main focuses of our training with students is to
expose them to the possibility of providing for vulnerable populations, of working
in a community clinic setting. In addition to that, we're trying to instill in them the
value of providing care for homeless patients or those that are in a vulnerable
situation. These are patients that often have nowhere else to go, so the care you
provide is very important to them.
JANET WEIR: You know, especially working with an under-served population or
a homeless population, they don't have some of the, I guess, luxuries we do. So
even just within giving them medication, sometimes they don't have a place to
store it. Especially, when you're talking about insulin, where you need to keep it
cold.
So it's keeping that in mind. And sometimes we have to hold onto their
medication, and then they have to come up and take it as needed. And a lot of
the homeless population also have mental illness. So just taking care of
themselves is a really big burden, even just taking care of their own health care
needs. And so taking that into consideration.
HANNAH BAMPTON: Well, you can come into the clinic as a walk-in. And we
can do just basic health maintenance stuff that you should get every year.
Often, unfortunately, a lot of homeless people are treated as kind of second-class
citizens. And an example, actually-- Very recently, there was a single man. I think
he was in his '40s. And he was discharged from a local hospital with new
amputation. He had a new-- I think it was his right foot-- below-the-knee
amputation from diabetes complications. So that was a new thing he had to deal
with.
He had to learn to be in a wheelchair and how to be independent, which is huge.
And you need help doing that. And in addition to that, he needed dressing
changes daily for the wound. And then he also had a chronic wound on his back
that was pretty bad and definitely needed daily dressing changes.
And he was discharged here. And then our clinic is kind of an outpatient clinic.
It's not really a skilled nursing facility or an assisted living facility.
So in the meantime, we adapted. And we got him an emergency bed here in the
shelter, and then just brought him up to the clinic every day so we could do those
dressing changes. Which kind of slowed down our flow, 'cause it's not really our
role. But we just had to do it, and we were glad to.
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And then through case management-- Antonio, one of our medical assistants, is
really good at that. He kind of knows everything around here. He knows people
by name. And so he was able to get him into a skilled nursing facility, I think after
only three or four days. So that one worked out pretty well. And in the meantime,
we could manage him and take care of him.
But he really needed that higher level of care. And he should have gone there
straight from the hospital, from being discharged. Often, people are kind of
shushed away. So we try to get them all the resources that they really need.
DR. MARY MARFISEE: As far as ethical issues, I think that to work in a
community clinic setting and to work with under-served populations, you have to
know that you really do want to serve that population. Because it's not always
easy to interact with somebody who may have a different kind of social agenda
than you do or may not have the same kind of social graces or customs that you
might. And I think foremost, you have to keep yourself as non-judgmental as you
can be. It really is to your benefit to be that way.
And also, consider yourself really a servant. If you get humbled by your
servantship, then I think you'll always be in good shape.
© 2012 Laureate Education, Inc.
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1
Title of Paper – Not Assignment #
Your Name
Walden University
NURS 6053N Interprof Org & Sys
Date
Dr. E. Townsley
TITLE OF THE PAPER
2
Title of the Paper
The opening paragraph of your paper will provide your readers with their initial
impressions of your argument, your writing style, and the overall quality of your work. A vague,
disorganized, error-filled, off-the-wall, or boring introduction will probably create a negative
impression. On the other hand, a concise, engaging, and well-written introduction will start your
readers off thinking highly of you, your analytical skills, your writing, and your paper. Your
introduction is an important road map for the rest of your paper. Your introduction conveys a lot
of information to your readers. You can let them know what your topic is, why it is important,
and how you plan to proceed with your discussion. In many academic disciplines, your
introduction should contain a summary of your problem statement. Your introduction should also
give the reader a sense of the kinds of information you will use to make that argument and the
general organization of the paragraphs and pages that will follow. After reading your
introduction, your readers should not have any major surprises in store when they read the main
body of your paper.
Ideally, your introduction will make your readers want to read your paper. The
introduction should capture your readers’ interest, making them want to read the rest of your
paper. Opening with a compelling story, an interesting question, or a vivid example can get your
readers to see why your topic matters and serve as an invitation for them to join you for an
engaging intellectual conversation (remember, though, that these strategies may not be suitable
for all papers and disciplines). Item must be referenced using graduate level reference
citations/references.
The purpose statement is written after completion of the introductory paragraph. A
purpose statement is a declarative sentence which summarizes the specific topic and goals of a
TITLE OF THE PAPER
3
document. It is typically included in the introduction to give the reader an accurate, concrete
understanding what the document will cover and what he/she can gain from reading it. To be
effective, a statement of purpose should be:
•
Specific and precise - not general, broad or obscure
•
Concise - one or two sentences
•
Clear - not vague, ambiguous or confusing
•
Goal-oriented - stated in terms of desired outcomes
Some common introductory phrases for purpose statements include:
•
"The purpose of this paper/letter/document is to..."
•
"In this paper, I will describe/explain/review/etc. the..."
•
"My reason for writing is to..."
•
"This paper will discuss the..."
•
"The purpose of this paper is twofold: to ___ and ___"
To receive full points for the purpose statement it was be comprehensive and delineates
all required criteria.
Conceptual Framework
Introductory sentence. Introduce the conceptual frameworks of the ethical constructs of
ethics, moral, or legal standards. Pick ONLY ONE standard. Remember to reference concrete
statements, the conceptual framework of the standard you picked, and any other pertinent
information. I would recommend defining which standard you picked for this section. If you
pick more than one your paper will be over the page limit, and you will not have followed the
requirements for this paper and you will receive a 10% penalty. For full points this section must
exceed expectations. The topic is addressed with a minimum of 75% containing exceptional
TITLE OF THE PAPER
4
breadth and depth. You must demonstrate the ability to critically appraise and intellectually
explore key concepts. You must demonstrate and apply exceptional support of major points and
integrates 2 or more credible outside sources, in addition to 2-3 course resources to support point
of view. The references must be current (within the last five years) and credible (no blogs, wiki
sites, etc). You must synthesize and justify (defends, explains, validates, confirms) information
gleaned from sources to support major points presented. Applies meaning to the field of
advanced nursing practice.
Work Environment
Introductory sentence. Consider an ethical, moral, or legal dilemma that you have
encountered in your work environment. Pick ONLY ONE type of dilemma. Describe the
ONE TYPE of dilemma. I would recommend identifying why as a leader you felt this was a
dilemma. Remember to reference concrete statements, any specific information which needs to
be referenced about the dilemma, etc. If you pick more than one type of dilemma you will go
over the page limit, you will not have followed the requirements for this assignment, and you
will again receive another 10% penalty. For full points this section must exceed expectations.
The topic is addressed with a minimum of 75% containing exceptional breadth and depth. You
must demonstrate the ability to critically appraise and intellectually explore key concepts. You
must demonstrate and apply exceptional support of major points and integrates 2 or more
credible outside sources, in addition to 2-3 course resources to support point of view. The
references must be current (within the last five years) and credible (no blogs, wiki sites, etc).
You must synthesize and justify (defends, explains, validates, confirms) information gleaned
from sources to support major points presented. Applies meaning to the field of advanced
nursing practice.
TITLE OF THE PAPER
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Analyzing Implications
Introductory sentence or two. READ BELOW CAREFULLY.
Moral Implications
Analyze the moral implications utilized in the situation. References to validate concrete
statements. I would recommend defining moral implications.
Ethical Implications
Analyze the ethical implications utilized in the situation. References to validate concrete
statements. I would recommend defining ethical implications.
Legal Implications
Analyze the legal implications utilized in the situation. References to validate concrete
statements. I would recommend defining legal implications.
For full points this section must exceed expectations. The topic is addressed with a
minimum of 75% containing exceptional breadth and depth. You must demonstrate the ability to
critically appraise and intellectually explore key concepts. You must demonstrate and apply
exceptional support of major points and integrates 2 or more credible outside sources, in addition
to 2-3 course resources to support point of view. The references must be current (within the last
five years) and credible (no blogs, wiki sites, etc). You must synthesize and justify (defends,
explains, validates, confirms) information gleaned from sources to support major points
presented. Applies meaning to the field of advanced nursing practice.
Moral Agent
Introductory sentence. Describe your role as a moral agent or advocate for this specific
issue. I would recommend defining what a moral agent is and coordinate it with your specific
information. References to validate the information.
TITLE OF THE PAPER
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Leadership Style
Introductory sentence. Consider your leadership styles identified by your self-assessment
which was to be completed in week 1 and remember to reference the assessment. Don't guess at
your style. Use research and the assessment to determine your true leadership style. I would
recommend defining the style. Identify and determine if your leadership style acted as a barrier
or facilitation during the dilemma and why. References to validate the information in this
section. For full points this section must exceed expectations. The topic is addressed with a
minimum of 75% containing exceptional breadth and depth. You must demonstrate the ability to
critically appraise and intellectually explore key concepts. You must demonstrate and apply
exceptional support of major points and integrates 2 or more credible outside sources, in addition
to 2-3 course resources to support point of view. The references must be current (within the last
five years) and credible (no blogs, wiki sites, etc). You must synthesize and justify (defends,
explains, validates, confirms) information gleaned from sources to support major points
presented. Applies meaning to the field of advanced nursing practice.
Conclusion
Your conclusion/summary is your chance to have the last word on the subject. The
summary allows you to have the final say on the issues you have raised in your paper, to
synthesize your thoughts, to demonstrate the importance of your ideas, and to propel your reader
to a new view of the subject. It is also your opportunity to make a good final impression and to
end on a positive note. Your summary can go beyond the confines of the assignment. This
section pushes beyond the boundaries of the prompt and allows you to consider broader issues,
make new connections, and elaborate on the significance of your findings. You should make
your readers glad they read your paper, and gives your reader something to take away that will
TITLE OF THE PAPER
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help them see things differently or appreciate your topic in personally relevant ways. It can
suggest broader implications that will not only interest your reader, but also enrich your reader’s
life in some way. It is your gift to the reader.
TITLE OF THE PAPER
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References
All references provided in the body of the paper, and any items you used to formulate your
opinions, etc. must be cited here and in this format.
This entire page is formatted for references only.
For your writing to obtain full points you must:
1.
Have paragraphs and sentence which follow writing standards for structure, flow,
continuity, and clarity.
2.
Use correct grammar, spelling, and punctuation with NO errors.
3.
Use correct APA format with no errors.
All of you have the knowledge to complete this paper without any issues or problems with your
past writing experiences and also using the information on this template. There are no
resubmissions for this assignment because this is the end of the class.
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