The Ethics Behind Assessment

The Ethics Behind Assessment

Introduction

As an advanced practice nurse, you will run into situations where a patients wishes about his or her health conflict with evidence, your own experience, or a familys wishes. This may create an ethical dilemma. What do you do when these situations occur?

In this Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.

Throughout this course, you have explored a wide range of health assessments and abnormal examination findings. Although you have predominantly focused on the procedural aspects of health assessment, this week, you will focus on ethical considerations that should be taken into account when advising patients or their families.

You will consider how evidence-based practice guidelines and ethical considerations factor into health assessments. You will also evaluate health assessment concepts related to sports physicals and well-child and well-woman examinations.

Learning Objectives:

Students will:

Apply evidence-based practice guidelines to make an informed healthcare decision.

Apply ethical considerations to a health assessment response.

Apply concepts, theories, and principles relating to sports physicals and well-child and well-woman examinations.

Identify concepts, theories, and principles related to advanced health assessment.

Assignment: Ethical Concerns

Based on the Case Study scenario provided:

reflect on the material presented throughout this course.

What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?

Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the case study scenario you selected.

CASE STUDY 2

A 17-year-old boy has come in for a check-up after a head injury during a football game.

He has indicated that he would like to be able to play in the next game, which is in 3 days

The Assignment:

Write a detailed two-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.

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Untest

The academic style for this paper is Chicago/Turabian. The textbook is the only thing that can be used at a source. This assignment covers chapters 26-30, therefore the information can come from those chapters only. There are four parts for this assignment key IDs, Connection, geographical connection, and main takeaways. For the key IDs, three of them need to be created and there needs an explanation on why each one was chosen. Each ID should be around 250 words. For the connections, part of the Untest one connection from the time period covered in the unit needs to be found. The facts should be different facts (not two sides of an issue, battle, debate, etc.) that may not seemingly be connected, but are. List the two historical facts and then explain the connection. The connection explanation should be around 250 words. A geographic connection is similar to the connection above, except that at least one of the facts is related to geography, climate, or environment. The last part is the overall takeaway which is around 250 words as well. For this part, you have to find three key takeaways (these are the most important overall themes in the history covered in the unit they may span more than one lesson or period). This paragraph should follow the rule of three formattings and contain a thesis statement as the first sentence. This is followed by your description of the first key takeaway, its importance, and your detailed supporting evidence. Continue this pattern with the second and third key points from the thesis statement and then have a one-sentence conclusion. I have uploaded an example of what the formatting and content should look like LINK TO TEXTBOOK: http://www.americanyawp.com/index.html

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Compare and contrast deductive reasoning with inductive reasoning. Give one example of each.

Compare and contrast deductive reasoning with inductive reasoning. Give one example of each.
Do some research to Identify and describe key dimensions of the Attribution theory.
Assuming you are a team leader in your organization, how would you apply attribution theory to assess the team members performance.
Your business research company has been asked to help a business understand why their sales are decreasing. Describe the procedure you should follow to address this research request and the type of business research you would recommend.
Visit the web site of Gallup at http://www.gallup.com , read one of the recent polls conducted by Gallup, and then list the various stages of the research process and how they were (or were not) followed in Gallups projects.
4 peer-reviewed sources needed

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Introduction to reproduction

Describe the events of the ovarian and menstrual (uterine) cycles in detail. Be sure to include how these cycles are synchronized to facilitate implantation and pregnancy. Address the essay topic completely. Demonstrate the appropriate mechanics for scientific writing: Include an introductory paragraph.

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What are some of the strategies that faculty may adopt to promote effective and satisfying curriculum change that reflects evidence-based and innovative concepts and practices (pertaining to higher level education).

Posta message answering this question:

What are some of the strategies that faculty may adopt to promote effective and satisfying curriculum change that reflects evidence-based and innovative concepts and practices (pertaining to higher level education).

Citeandreferencesources in 7th ed APA formatting including links to websites references are cited from.

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Building long-term success

Part A: Case study Uber and London taxis
Part A of this TMA will be marked out of 75 marks. Your answer to this question should be no more than 1500 words.

In your work on Block 3 you encountered Uber and Londons black cab industry, most notably in Session 13, Activity 13.6 . Listen again to the audio in that activity. It investigates threats to the traditional taxi business and asks whether black cabs can respond to competition enabled by new technologies or whether theyll go the way of the red telephone box.

When you have listened to the audio return here and read the case study below, and then answer the following questions:

Using stakeholder analysis, analyse the power and level of interest of the relevant stakeholders involved in running and regulating the London taxi business. Uber are often accused of ignoring employee rights and employee welfare. How might Uber management address their employees concerns? (25 marks)
What are the potential sources for operational failure at Uber? What should Uber do to limit operational failure? (25 marks)
One of the fundamental goals of relationship marketing is said to be maximising the lifetime value of a customer. How would you describe Ubers relationship with its customers? (25 marks)
Technological challenges in the taxi industry
Uber is a technology company that offers a free programme, or app, available on a mobile device for those wishing to request a ride. At its core, Uber seeks to match passengers to drivers. The platform is able to track a users GPS coordinates, even if the user does not know where they are, and within minutes an Uber driver will arrive. The user is able to track how long until the ride will pick them up and receives a text message confirming when the Uber driver is arriving. The driver is able to hit a button on their own app that says Arriving now which sends the text message. No cash is exchanged when using Uber since signing up for an account requires providing credit card information. After the ride, Uber charges the user electronically and immediately emails them a receipt. There is a rating system so that passengers can rate their driver and vice versa (Dong et al, 2014).

According to Uber, the company pushes the limits of the transportation industry to create a simple, more efficient, and more enjoyable car service experience. For drivers, Uber is a revenue stream, allowing professional drivers to make more money by turning downtime into profits. (Uber, 2016). Unlike the taxi industry, Uber does not employ or license its drivers, but rather views them as independent contractors. The unique experience provided by Uber has enabled rapid growth and international expansion centred on three main focal points: a commitment to on-demand service, an efficient supply of luxurious rides, and the easy accessibility of its smartphone application.

Ubers growth over the past five years is an example of a major success in what is known as the sharing economy. The sharing economy is an economic system where assets or services are shared between private individuals either free or for a fee, typically by means of the internet. However, the success of this new business model is attracting criticism from government and civic leaders concerned that this new collaborative economy is simply a means of sidestepping regulations, taxes and other legal obligations. These gig economy apps have been criticised for failing to provide traditional employee rights such as paid holidays and in-work insurance.

The size of the UK taxi and private hire market is estimated at 9.4 billion. The industry is mature, with high levels of revenue volatility, technological changes, and high competition with low barriers to entry (Skok & Baker, 2019). In London, Ubers growing popularity meant that their drivers completed some 115m of business within London (Quinn, 2016). However, Uber London (the taxi apps UK holding company) recorded only a sales take of 23m and a profit before tax of 1.83m. The sales figure reflects only Ubers share of fares for trips booked on its app. In addition, Uber London retain 20% of any fare to the driver. Despite this Uber London paid just the small sum of 411,000 in UK tax last year.

Concerns have also been raised over driver working conditions, particularly regarding claims that some drivers are doing excessive and unsafe hours.

Some Uber drivers are working up to 21 hours a day to make ends meet as the company increases its cut of fares and fights a ruling giving them employment rights. Drivers in London interviewed by The Sunday Times told of regularly working hours that Uber itself describes as unsafe. The newspaper has seen official Uber documentation proving one of the men worked a 91-hour week. The disclosures come as new figures show a dramatic rise in casualties involving taxis and private hire vehicles in London.

In interviews with 12 Uber drivers waiting at Heathrow, three admitted working 16 hours or more a day. Tom, from High Wycombe, said: On average every day [I work] 14 hours, and 16 is top whack. I had a colleague last week who said he had worked 19 hours. I know people who even sleep in the car, and they go crazy I can start at six oclock in the morning and finish the following day at maybe two oclock, three oclock, a 20 or 21-hour day.

A second driver, Peter, said: Recently, Uber cut rates per mile by 25%. Now Im having to work longer and longer hours in order to pay my rent. I want people to know how powerless you feel when your income comes from a faceless app and when you open it up one morning, things are just different and youre earning less money and theres no boss you can talk to, you werent told about it, you just see your income is lower today and you just have to deal with it. A third Uber driver, Khaled, said We need to speak the truth. I work 70-80 hours a week and weekends its 14-16 hours a day. There are plenty of days where, minus petrol, I make less than minimum wage. Its very, very stressful but I dont have a choice. I feel like Im a slave; we work like slaves for this company. I wish I knew what I know now earlier, he said. I was blindsided. If I knew about the expenses, just how expensive it is to do this gig, then I wouldnt have gone into it in the first place. The legal limit for a bus or lorry driver is 56 hours a week.

Another Uber driver, Razak, said: Once Uber got control of the market, they changed in the worst ways. When I started I made 80% of the fees from my fares with 20% going to Uber. Now they are charging anything they want, sometimes taking as much as 60%. All drivers are asking for is fair pay, and thats what Uber wont give to us. They are not willing to be transparent. They are willing to change the logo, they are willing to advertise, to spend millions on lobbying, but they are not willing to pay the drivers fairly. Uber treats drivers as just something they have to deal with until technology for autonomous cars gets to the point where they can eliminate drivers all together. They dont listen to us. Three other drivers could not be interviewed because they were asleep in their cars. One had installed curtains in the vehicle.

Figures published in 2016 by the London transport regulator, Transport for London (TfL), show there has been a 26% rise in casualties among taxi and minicab passengers during the previous year. The number of passengers killed or seriously injured rose from 13 to 20, a 54% rise.

However, Uber UK said it had no plans to limit driver hours. In London, for new drivers, it has increased the cut it takes on fares from 20% to 25%, forcing them to drive for longer to earn the same money.

The company suffered a blow in 2017 when an employment tribunal ruled that Uber drivers were not self-employed, and were entitled to holiday pay, pensions and other workers rights. In 2018 it appealed against this ruling but lost. The Appeal Court judges found there was a high degree of fiction in the wording of the standard agreement between Uber and its drivers. The judgement went on to state that For Uber to be stating to its statutory regulator that it is operating a private hire vehicle service in London and is a fit and proper person to do so, while at the same time arguing in this litigation that it is merely an affiliate of a Dutch-registered company which licenses tens of thousands of proprietors of small businesses to use its software, contributes to the air of contrivance and artificiality which pervades Ubers case. (Butler, 2018). Uber is appealing this latest judgement.

Steve Garelick, of the professional drivers branch of the GMB union, said: Through the app, Uber knows precisely how long everyone has been available. It and other operators could stop this overnight if they wanted to. Theyve made the effort to limit hours in New York, so whats wrong with London? Tom Elvidge, general manager of Uber London, said that three-quarters of Uber drivers in the capital were logged in to the app for less than 40 hours a week. We regularly advise drivers to take rest breaks he said. We take this issue very seriously and are always looking into ways to improve the overall safety of the app.

Uber London actively resists attempts by TfL or other government agencies to bring in any regulation of its services, or to bring its service into line with the historic business practices of Londons historic black cabs. The European Parliament has approved new minimum rights for workers in gig economy jobs, including Uber drivers. Under the European Union (EU) regulations, casualised employees across Europe will have a right to compensation from their bosses for last-minute cancellation of work, mandatory training will have to be provided free of charge, and exclusivity clauses that ban workers from taking other jobs will also be banned. The UK could end up following EU rules at this point if the Brexit transition period is extended, meaning the rights could apply to workers in the UK. However, if the UK leaves the EU earlier, employees will not benefit from the rules and will probably be exposed to harsher employment conditions (Stone, 2019).

In 2017, Uber was rocked by a former employees devastating assessment of her time working at the company. She detailed several instances of sexual harassment and a culture that did not welcome women. In response, Uber launched an investigation involving more than 100 listening sessions across the company. The report concluded that The focus of the company had been on the business and not the employees and that the atmosphere at the company had created a cult of the individual (Lee, 2017).

Londons taxis are responding to the technological challenges presented by Uber, and TfL announced last year that all black cabs in London would be required to take credit cards and contactless payments from October 2016.

Groups representing taxi drivers said the decision by TfL would benefit both drivers and customers. The move by TfLs board followed a consultation in which it received support from 86% of respondents.

Every black cab taking cards is fantastic news for London. In future, when you hail a cab you can be sure that you can pay the way you like card, contactless or cash. That is without doubt better for our customers and for drivers who will benefit from extra work, said Steve McNamara, general secretary of the Licensed Taxi Drivers Association.

The move towards mandatory card payments in black cabs is part of wider changes by Londons 22,500 cabbies in rising to the challenge from Uber. For example, some black-cab operators are fighting back with smartphone apps of their own, such as Hailo and Gett. Gett offers discounts on metered fares for journeys of six miles or more and those made in off-peak hours. Hailo allows Londoners to get a taxi through their smartphone.

Remo Gerber, chief executive of Gett UK, said: This is another strong sign of how the London black cab trade is embracing the future; not only have cabbies embraced apps, but everyone is behind making card payments universally accepted and by that making all journeys easier for Londoners.

The firms application for a new licence in London was rejected in September 2017 on the basis that the company is not a fit and proper private car hire operator. At an appeal, a court decided Uber should be awarded a 15-month probationary licence to operate in London after the ride-hailing service promised improvements.

From March 2020, the global pandemic crisis has brought very many challenges. Uber has not been immune from the global shock. For a company founded on breaking down traditional ways of thinking, what is now being disrupted is their business model, because hardly anyone is moving during extended periods of lockdown. The severe downturn badly hit Uber drivers. Uber also began to make customer support and recruiting teams redundant, in an effort to cut costs.

Uber has been accused of exploiting its gig-economy model during the crisis. By avoiding treating its drivers as employees, many have been denied the coronavirus sick-leave benefits or any support from the UKs furlough scheme. By April, drivers for the company had died after being infected by Covid-19. With no alternative income, many continued to work because they desperately needed the money. As a key part of Londons transportation infrastructure drivers were in a position where they were meeting people throughout the day who could be infected (Chowdhury & Rudgard, 2020).

In an effort to keep part of its business operational Uber launched its Uber Medics programme. It also provided discounted journeys for key workers, and created a food delivery service for customers who were self-isolating and could not get a delivery from conventional food retailers due to the very high levels of demand. The company announced it planned to provide millions of face masks to drivers and food delivery workers who were still active. In order to work, drivers would have to wear face masks and disposable gloves while driving. Hand sanitisers and more stringent cleaning requirements were also introduced. This is, in part, recognition from Uber that its future ultimately depends on the health and well-being of its almost 50,000 drivers in London. Whether this leads to better long-term treatment of these gig economy workers, only time will tell.

(Source: Written by Matt Hinton, 2020)

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University Hospital: The Joint EP/CATH Lab Decision

Summarize the most important facts.
Provide an analysis of the relevant issues.
State the options for the business or entrepreneur.
Make a recommendation and defend it.
Be clear, well-written, and to the point. Use business memo form

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Use a sociological approach to compare Chinua Achebes Things Fall Apart with Joseph Conrads Heart of Darkness. How do Achebe and Conrad portray Africans in their stories? Compare Achebes portrayal of colonialism to Conrads. What can the audience learn about the effects of colonialism from this sort of comparison?

Use a sociological approach to compare Chinua Achebes Things Fall Apart with Joseph Conrads Heart of Darkness. How do Achebe and Conrad portray Africans in their stories? Compare Achebes portrayal of colonialism to Conrads. What can the audience learn about the effects of colonialism from this sort of comparison?

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History of the US Military and Withdrawals

1.) This summer President Biden has ordered the withdrawal of US forces from Afghanistan by 11 Sept 2021. Using your knowledge of US military history, you are tasked with writing a two-page memo about the history of US military withdrawals. Be sure to include what are some lessons we could learn from our past. Be sure to use examples of events that could parallel the current situation.

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