Minimum 8 Full Pages Part 1, Minimum 1 Page Part 2

Minimum 8 Full Pagespart 1 Minimum 1 Pagepart 2 Minimum 1 Pagepar

Identify your answer with the numbers, according to the question. Example: Q 1. Nursing is XXXXX Q 2. Health is XXXX 6) You must name the files according to the part you are answering: Example: Part 1.doc Part 2.doc ______________________________________________________________ Part 1 Assume that you have knowledge that the nurse working with you on your unit has been illegally using drugs. 1. Discuss your professional obligations and institutional obligations to disclose this. 2. Discuss the referral sources for impaired nurses in your state (Florida). 3. Analyze the impact of this issue on your advanced practice role as a practitioner. Part 2. How can the formation of Accountable Care Organizations improve quality of care and make providers more responsible for the cost of care? 2. Give an example of a study that has addressed coordination of care and has had documented success. 3. Describe the study and its implications for care. Part 3. The nursing process is a tool that puts knowledge into practice. By utilizing this systematic problem-solving method, nurses can determine the health care needs of an individual and provide personalized care. Write a paper about cancer and approach to care based on the utilization of the nursing process. Include the following in your paper (Mandatory): Describe the diagnosis and staging of cancer. Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects. Discuss what factors contribute to the yearly incidence and mortality rates of various cancers in Americans. Explain how the American Cancer Society (ACS) might provide education and support. What ACS services would you recommend and why? Explain how the nursing process is utilized to provide safe and effective care for cancer patients across the life span. Your explanation should include each of the five phases and demonstrate the delivery of holistic and patient-focused care. Discuss how undergraduate education in liberal arts and science studies contributes to the foundation of nursing knowledge and prepares nurses to work with patients utilizing the nursing process. Consider mathematics, social and physical sciences, and science studies as an interdisciplinary research area.

Paper For Above instruction

The ethical and professional responsibilities of nurses extend beyond direct patient care, especially when confronting issues such as substance abuse among colleagues. When aware that a nurse on your team is illegally using drugs, the obligation to disclose this misconduct becomes a pivotal aspect of professional integrity and patient safety. The fundamental duty is to protect patients from potential harm while respecting colleagues' rights and confidentiality until the situation warrants intervention. According to the American Nurses Association (ANA), nurses must report impaired colleagues through appropriate channels, typically involving supervision or designated institutional authorities, which ensures a structured and confidential process (ANA, 2015).

In Florida, the primary referral sources for impaired nurses include the Florida Nursing Non- disciplinary Program, coordinated by the Florida Board of Nursing and partnering professional organizations. This program offers confidential support and intervention, focusing on health, wellness, and safe return-to-practice protocols. The Florida Recovery Network also provides resources aimed at healthcare professionals battling substance use disorders, facilitating access to treatment while safeguarding licensure and employment (Florida Board of Nursing, 2020). These mechanisms are vital in fostering a non-punitive environment encouraging nurses to seek help.

The presence of substance abuse among healthcare professionals has significant repercussions on the advanced practice nurse’s role. It challenges the ethical principle of beneficence and nonmaleficence, directly impacting patient safety and quality of care. Advanced practice nurses (APRNs) often serve as leaders and educators within clinical settings, and they bear responsibility for advocating a culture of safety. Recognizing impaired colleagues, providing support, and navigating the delicate process of reporting require sophisticated clinical judgment, interpersonal skills, and knowledge of legal and institutional policies (Benner et al., 2010). Failure to address impairment can undermine trust in the healthcare system and compromise patient outcomes, making professional vigilance an essential component of advanced practice.

How Accountable Care Organizations (ACOs) Improve Quality and Cost

Accountable Care Organizations (ACOs) are collaborative networks that include healthcare providers responsible for delivering coordinated, high-quality care while containing costs. ACOs aim to shift from volume-based to value-based payment models, rewarding providers for efficiency, preventive care, and outcomes. By fostering collaboration among primary care physicians, specialists, hospitals, and ancillary services, ACOs enhance communication and reduce redundant or unnecessary procedures (Colla et al., 2016).

Empirical evidence supports the efficacy of ACOs in improving health outcomes. A notable study by McWilliams et al. (2016) demonstrated that hospitals participating in Medicare ACOs experienced a significant reduction in hospital admissions and emergency department visits, indicating improved care coordination. This study highlighted the role of shared savings programs and data sharing platforms as critical enablers of effective care management. The implications are profound: ACOs incentivize providers to focus on preventive and outpatient care, thereby reducing hospitalizations and overall healthcare costs, while simultaneously improving patient satisfaction and health metrics.

Care Coordination Study and Its Implications

A prominent example of successful care coordination is the study conducted by Wagner et al. (2014), which investigated the impact of the Guided Care model. This program integrated nurses into primary care teams to coordinate chronic disease management, facilitate patient education, and streamline referrals. The study reported a 20% reduction in hospital admissions and improved patient quality of life, alongside cost savings. The implications suggest that embedding dedicated care coordinators and utilizing comprehensive health assessments can optimize resource utilization, increase patient engagement, and positively influence clinical outcomes across diverse populations.

Cancer and Nursing Approach to Care

Cancer diagnosis and staging are foundational to personalized treatment planning. The TNM classification system, developed by the American Joint Committee on Cancer (AJCC), assesses tumor size and extent (T), lymph node involvement (N), and metastasis (M). Accurate staging informs prognosis and guides therapeutic decisions (Edge et al., 2017). Complications such as infection, thrombosis, and organ failure can significantly affect patient health. For example, tumor invasion can compromise organ function, while treatments like chemotherapy can cause neutropenia, anemia, and mucositis. Managing side effects involves pharmacological interventions, nutritional support, and psychological counseling, aiming to improve physical comfort and mental resilience.

Factors contributing to cancer incidence and mortality rates include lifestyle choices, environmental exposures, genetic predispositions, socioeconomic status, and healthcare access disparities (Siegel et al., 2021). American Cancer Society (ACS) initiatives—such as public education campaigns, screening programs, and support services—are designed to reduce these rates. Educational efforts increase awareness of risk factors and promote early detection. Support services, including counseling, transportation assistance, and survivorship programs, address holistic needs.

The ACS provides tailored services like the Cancer Resource Network, patient navigation, and psychosocial support, which are vital for improving survival rates and quality of life. For example, patient navigation services help overcome barriers to screening and treatment adherence, ensuring timely interventions and decreasing mortality. Implementing comprehensive education and compassionate support aligns with holistic nursing principles and fosters patient empowerment.

Utilization of the Nursing Process in Cancer Care

The nursing process comprises five interconnected phases: assessment, diagnosis, planning, implementation, and evaluation. In cancer care, this systematic approach facilitates personalized, holistic care tailored to individual patient needs across the lifespan.

Assessment involves collecting comprehensive data on physical symptoms, psychological state, social context, and cultural background. Diagnoses are formulated based on evidence, including physical findings and laboratory data. For example, a patient with lung cancer may be diagnosed with dyspnea, fatigue, or anxiety related to diagnosis and treatment side effects.

Care planning sets realistic goals addressing symptom management, psychological support, and health education. Implementation involves administering treatments (chemotherapy, radiation), managing adverse effects, providing emotional support, and educating patients and families about the disease process. For instance, nurses teach breathing exercises to manage dyspnea or counsel on nutritional strategies to combat cachexia.

Evaluation continuously monitors patient response, adjusting interventions accordingly. This cycle ensures delivery of safe, effective, and patient-centered care, promoting holistic well-being. Across the lifespan, pediatric, adult, and geriatric patients have unique needs, requiring tailored nursing strategies grounded in this structured approach.

Interdisciplinary Foundations of Nursing Knowledge

Undergraduate nursing education is enriched by liberal arts and science studies, which provide critical thinking, cultural competence, and scientific literacy essential for holistic practice. Mathematical skills underpin accurate medication dosing and data analysis. Knowledge of social sciences enhances understanding of patient behaviors, cultural influences, and health disparities, fostering effective communication and culturally sensitive care. Physical sciences—such as anatomy and physiology—equip nurses with a thorough understanding of pathophysiology, vital for accurate assessment and intervention. Interdisciplinary research in science studies fosters innovation and evidence-based practice, ensuring that nursing remains adaptable to emerging healthcare challenges (Benner et al., 2010).

References

• American Nurses Association. (2015). Code of ethics for nurses with interpretive statements.
• Benner, P., Sutphen, M., Leonard, V., & Day, L. (2010). Educating nurses: A call for radical transformation. Jossey-Bass.
• Colla, C., Morden, N. E., Hsu, J., Sequist, L. V., & Chernew, M. E. (2016). Opportunity costs and the effects of the MedicareShared Savings Program. JAMA Internal Medicine, 176(12), 1875–1882.
• Edge, S. B., et al. (2017). AJCC cancer staging manual (8th ed.). Springer.
• Florida Board of Nursing. (2020). Recovery and impairment resources for healthcare professionals. Florida Department of Health.
• McWilliams, J. M., Gunja, M., & Hatfield, L. (2016). Medicare ACOs are associated with improvements in hospital use and quality. Health Affairs, 35(9), 1694–1701.
• Siegel, R. L., Miller, K. D., & Jemal, A. (2021). Cancer statistics, 2021. CA: A Cancer Journal for Clinicians, 71(1), 7–33.
• Wagner, E. H., et al. (2014). Impact of guided care on primary care practices for patients with complex needs. Journal of General Internal Medicine, 29(4), 711–719.