Scenario:
· You see another nurse practitioner writing a prescription for her husband, who is not a patient of the nurse practitioner. The prescription is for a narcotic. You can’t decide whether or not to report the incident.
· Explain the ethical and legal implications of the scenario you selected on all stakeholders involved such as the prescriber, pharmacist, patient, and the patient’s family.–
· Describe strategies to address disclosure and nondisclosure as identified in the scenario selected. Be sure to reference laws specific to your state.–
· Explain two strategies that you, as an advanced practice nurse would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.–
· Explain the process of writing prescriptions including strategies to minimize medication errors.–
An examination concerning the degree of shame experienced by individuals living with schizophrenia.
Audit
When directing examination into the disgrace that accompanies living with schizophrenia, it very well may be exceedingly hard to acquire exact data. This report will give an assortment of conceivable research plans that could be utilized in the given situation, and by investigating various information accumulation alternatives we can assess which techniques will be the best when attempting to acquire exact and dependable information.
The Diary Method is outstanding in mental research and is getting to be utilized all the more much of the time (Bolger, et al. 2003). It includes the member making every day composed records of their own considerations and sentiments, of specific encounters (Iida, et al. 2012). There are three classes of journal considers; interim unforeseen conventions, signal-unexpected conventions and occasion unexpected conventions (Wheeler and Reis, 1991). The journal strategy that would be best utilized with this situation would be the occasion unexpected conventions. By utilizing this structure technique, it implies that the member is required to give a self-report each time the occasion being referred to happens. For this situation, it will be the point at which the member feels that they have been dependent upon shame because of their schizophrenia.
One of the primary favorable circumstances of utilizing the journal technique is that specialists can assemble information in the members regular day to day existences, which means they can stop and archive the occasion. This is exceedingly significant when working with people with schizophrenia, as it has been appeared in an examination done by Alexiadou et al in 2018, that shortfalls were appeared in wordy and semantic recollections of occasions, realities and in any event, in regards to explicitly reviewed occasions. By diminishing the measure of time between the member encountering the occasion and recording it, it will fundamentally expand the legitimacy of occasions review (Almeida, 2005).
Nonetheless, one of the primary issues with the journal technique is that the members may not dependably distinguish each pertinent occasion. This can be because of miscommunication between the specialist and the member or, all the more usually, the people claim point of view of what shame towards them and their dysfunctional behavior truly is (Gunthert, 2012). This can prompt occasions not being reported, and hence diminishes the looks into unwavering quality (Iida, 2012). Despite the fact that, if the occasion being reported is more mind boggling than doubtlessly, the member has no restriction to the amount they record after the occasion that happened. Giving an a lot further understanding into the members feelings and prosperity. By utilizing this methodology, it will enable wonders and procedures to be evaluated in their characteristic settings instead of a controlled research center setting (Ebner-Priemer and Kubiak, 2007).
Another exploration strategy that could be utilized would be a self-controlled online survey. This poll will contain both open and shut inquiries. The fundamental favorable position to this technique, over the journal strategy, is that it takes into account substantially more proficient investigation of the discoveries (Cantrell, et al. 2007). Just as this, this sort of research takes into consideration quick information accumulation, as we can send a survey to any individual who fits the criteria for it, which for this situation is schizophrenia. This will give us access to an enormous example of members.
Then again, by utilizing this sort of survey, the example is constrained. As the people partaking in the survey must approach a PC or some type of electronic gadget wherein to get to it, this implies all people who don’t approach such gadgets are promptly expelled from the example. Making the outcomes less generalisable (Le Fever, et al. 2007). Be that as it may, with the bigger example size that the online survey would give, some contend that the end of a select gathering would have an insignificant impact of the outcomes (Van Selm, et al. 2006).
As expressed before, online overviews enable a specialist to arrive at gigantic measures of individuals in a short measure of time, notwithstanding potentially being isolated by incredible geographic separations (Taylor, 2000). This isn’t just a favorable position since it enables access to a bigger populace but since it has likewise been appeared to spare time for specialists (Wright, 2017). Notwithstanding, because of the constrained data that can be gotten by means of an online survey, the greatest detriment is that it has absence of knowledge and profundity into the individual and why they’ve said what they’ve said. By utilizing the Diary strategy, the scientist can pick up understanding to every occasion of disgrace that the members experience. While most, if not all, of this data is lost when utilizing an online poll.
Proposed Design
Plan
This exploration will be directed utilizing semi-organized meetings (SSI). The meetings will occur at a similar area, every member will have their very own apportioned schedule opening in which to land at the set area. Every member will be asked the equivalent SSI inquiries, given to them by a SSI control.
Members
Members will be found utilizing the emotional wellness administration. Everybody that meets the criteria will be reached and allowed the chance to partake in the examination. 6 members are required and the example size was chosen following past investigations, for example, Smith et al, (1999). All members must give a restorative structure affirming finding of schizophrenia, must be between the ages of 25 – 65 with no other comorbid conditions.
Materials
A semi-organized meeting aide will be accommodated every analyst playing out the meetings. This will contain a progression of inquiries with prompts that the specialists can use to advance the meeting. Instructions structures will likewise be required for every member alongside a questioning structures. A timetable for all the schedule vacancies for each meeting will likewise be required.
Methodology
A specialist will meet the member at the concurred area, which will be some place peaceful and private, at the chose time. The scientist will pose an opening inquiry, to settle the member into the discussion (Cridland, 2015). The primary meeting at that point starts, utilizing the SSI guide gave. The meeting should last at any rate an hour members must know that all sound is recorded from these sessions (Pietkiewicz, et al. 2014). Before the meeting starts the analyst must affirm that the member completely comprehends the brief and their entitlement to pull back from the meeting whenever. When the member has affirmed they comprehend the meeting can start. The scientist directing the meeting ought to pursue the SSI guide gave, yet don’t be astounded if different subjects are brought into the discussion by the member. Members should in any case be locked in with when they stray from the guide, as more extensive point study is perfect for SSI’s (Smith, 2011). This makes it workable for the scientist and member to take part in a discourse, which enables further inquiries to be adjusted all things considered of the other members’ (Smith, 2015). When the meeting is finished the member can be questioned.
Examination
When the sum total of what meetings have been directed, the accounts must be changed over into a transcript. Every transcript is then perused and explained, distinguishing what you accept is to be the most intriguing or huge, words or expression, in what the member said (Pietkiewicz, et al. 2012). When this has been done, the scientist returns to the comments that have quite recently been made and starts the procedure once more. This is called sectioning (Husserl, 1999. In The Essential Husserl). All condensed areas and comments become progressively brief and explicit, adjusting a more significant level of deliberation (Smith, et al. 1997). All while doing this, the analyst must ensure that they are returning over the first transcript to guarantee that the expressions or topics that have been picked, interface back to what the member at first said (Eatough, et al. 2008).
This change from the underlying transcript to subjects, takes into consideration over lapping to end up recognizable (Smith and Osborn, 2007). These subjects would now be able to be recorded together and the analyst can start to search for associations between them. This rundown is generally recorded sequentially. The scientist must make associations between these topics. A few subjects may wind up subordinate, while different topics will group together. When the bunches are distinguished it is imperative that the scientist, by and by, watches that the words utilized in the topic groups originated from the members unique transcript.
The last stage is to deliver a table of subjects and recognize the ones which most firmly identify with the current inquiry, which is the degree of shame individuals determined to have schizophrenia experience. The last table records the bunches that go with certain subordinate subjects, and an identifier is added to each occurrence. The identifier is a watchword from a particular concentrate, from the first transcript, alongside its page number (Smith and Osborn, 2007). Subjects ought not be chosen simply dependent on their pervasiveness (Jarman, et al. 1997). During the time spent making this table, certain topics might be disposed of. When this is finished, something very similar is then finished with all other 5 members information. This sort of investigation makes it perfect to consolidate all the gathered information from all members. When doing this there are two manners by which to fuse the information; you can utilize subjects from the main members information to help direct any further investigation or disregard the information gathered for the principal member and work off the following transcript as though it was the first. This investigation will be finished with the last mentioned.
Moral Considerations
The members security is one of the principle moral concerns, the members will be as often as possible helped to remember their entitlement to pull back whenever. Just as this, all sessions are recorded which can be cons.