Ethical leadership and the NASW Code of Ethics.
Post a potential solution to the ethical scenario that draws on ethical leadership and the NASW Code of Ethics. Provide justification for your choices using a specific NASW ethical standard. Additionally, explain the type of power you would utilize in achieving the solution.
(scenario)
You have been told that the People First San Diego organization needs to downsize in light of the economic climate and that you will be losing some staff on your Therapy Services team. The executive director has told the leadership team that at this time, everyone should remain positive and say nothing to avoid a “panic situation.” Human Resources has concurred.
One person who faces termination is Jerry, a young therapist who has just had his first child. Jerry comes to your office and shows you a real estate listing for a house he is going to make an offer on that afternoon. As you are chatting, Jerry says, “I wouldn’t be able to afford this without my salary. I’m good, right?” He laughs, not knowing anything about the impending layoffs. What do you do?
Let's break down the AACN DNP Essentials, the evolution of doctoral-prepared nurses, and the opportunities for advanced practice nurses in interprofessional collaboration within the context of population health.
1. AACN DNP Essentials and Population Health:
The AACN (American Association of Colleges of Nursing) Doctor of Nursing Practice (DNP) Essentials are designed to prepare advanced practice nurses to lead and improve healthcare systems, especially in population health. Here's how each essential aligns with providing high-quality population health:
- Essential I: Scientific Underpinnings for Practice:
- Focuses on applying evidence-based practice to improve population health outcomes.
- Emphasizes using research and data to inform interventions and policies.
- This is vital for creating evidence based population health initiatives.
- Essential II: Organizational and Systems Leadership for Quality Improvement and Systems Thinking:
- Prepares nurses to lead organizational changes to improve population health delivery.
- Emphasizes systems thinking to address complex health challenges at the population level.
- This allows DNP prepared nurses to affect change at a systems level.
- Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice:
- Focuses on using data analysis and evaluation methods to assess and improve population health programs.
- Emphasizes translating research into practice to improve population health outcomes.
- This provides the tools to measure the effectiveness of population health initiatives.
- Essential IV: Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health 1 Care:
- Prepares nurses to use technology to improve access to care, enhance communication, and monitor population health trends.
- Emphasizes using data analytics to identify and address health disparities.
- This allows for the use of technology to reach large amounts of people.
1. nursing.uky.edu - Essential V: Health Care Policy for Advocacy in Health Care:
- Focuses on advocating for policies that promote health equity and improve population health outcomes.
- Emphasizes understanding the political and regulatory landscape of healthcare.
- This essential is vital for creating policy changes that effect population health.
- Essential VI: Interprofessional Collaboration for Improving Patient and Population Health Outcomes:
- Prepares nurses to lead and participate in interprofessional teams to address complex health challenges at the population level.
- Emphasizes communication and collaboration across disciplines to improve care coordination.
- This essential is vital for creating effective population health teams.
- Essential VII: Clinical Prevention and Population Health for Improving the Nation’s Health:
- Focuses on designing and implementing population-based interventions to prevent disease and promote health.
- Emphasizes addressing social determinants of health and reducing health disparities.
- This essential is the core of population health nursing.
- Essential VIII: Advanced Nursing Practice:
- Integrates all previous essentials into advanced nursing practice, with a focus on improving population health outcomes.
- Emphasizes the role of the DNP-prepared nurse as a leader in population health.
- This essential ties all of the other essentials together.
2. Evolution of the Doctoral-Prepared Nurse:
- Past:
- Doctoral preparation in nursing was primarily focused on research (PhD).
- Advanced practice nurses focused on individual patient care.
- Population health was often addressed through public health agencies.
- Present:
- The DNP has emerged as a practice-focused doctorate, preparing nurses to lead in complex healthcare systems.
- Advanced practice nurses are increasingly involved in population health initiatives.
- There's a growing emphasis on interprofessional collaboration and systems thinking.
- Future:
- DNP-prepared nurses will play a crucial role in leading healthcare transformation and addressing health disparities.
- They will be key drivers of innovation in population health, using technology and data analytics to improve outcomes.
- Global health issues will require DNP-prepared nurses to work across borders and cultures.
- There will be an increase in DNP prepared nurses in leadership positions.
3. Clinical and Leadership Opportunities in Interprofessional Collaboration:
Advanced practice nurses with DNP preparation have numerous opportunities to lead and collaborate in interprofessional teams:
- Clinical Opportunities:
- Leading community-based health clinics.
- Developing and implementing population health programs.
- Providing advanced care management for vulnerable populations.
- Working in public health departments.
- Working in occupational health.