Write a 4–5-page research paper on negligence, regulation, and common legal issues in health care administration.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
This assessment deliverable contains two parts. Combine both parts into one research paper to submit.
Complete the “Duty of Health Care Providers” Toolwire scenario. Access the scenario by clicking the linked Toolwire activity title. Use the information in the scenario as a supporting resource for this part of the assessment.
In Part 1 of your assessment, be sure to address the following:
Describe differing kinds of informed consent that may be applicable, and assess decision-making capacity as it pertains to informed consent and the patient.
Classify different types of general and professional liability.
Describe the elements of negligence that must be present in order for a plaintiff to recover damages such as:
Duty to care.
Breach of duty.
To prepare for this part of the assessment, read Croke’s 2006 article, “Nursing Malpractice: Determining Liability Elements for Negligent Acts,” which is linked in the Resources.
After reading the article, complete the following:
Identify and describe the following elements of the cases presented in the article:
The duty to provide care.
When and how the breach of duty occurred.
The extent of the injury.
The damages as a result of the injury.
Assess the impacts of regulation on patient care and injury prevention strategies.
Discuss how the incident could have been prevented. What steps would you take?
For both parts of the assessment, refer to the resources that are recommended for this assessment and gather other professional or scholarly resources. Consult the course library guide (linked in the Resources) that was created specifically for this course to help direct your research. It is also recommended that you do some personal keyword research in the Capella library on topics such as informed consent, health care law, and negligence.
Written communication: Written communication should be free of errors that detract from the overall message.
APA formatting: References and citations should be formatted according to APA (6th edition) style and formatting.
Resources: Use a minimum of 4 references.
Paper length: Your assessment should be 4–5 typed, double-spaced pages.
Font and font size: Times New Roman, 12-point.
Linda Watson has recently accepted a position as the assistant administrator for the department of nursing at St. Joseph Hospital. There have been both personnel and financial problems at St. Joseph Hospital, and recently, the Catholic Healthcare System purchased the hospital. Like Linda, all of the management staff is new. Linda’s first priority is to assist the nurse managers in preparing their cost centers’ personnel budgets for the coming fiscal year. She has decided to begin with the nurse manager on 1 West, a step-down nursing unit. Linda wants to do extensive data collection and create a solid base for making projections.
1. Suggest all the information Linda needs to collect to prepare a budget for 1 West; be sure to include background data on the unit itself as it relates to previous budgets, nursing staff, and the organization. In other words, summarize your approach to this Case Study—briefly state the organization’s goals (customer-service orientation) for the coming year, trends, any changes in trends that you may anticipate—such as growth in the patient population and the types of data that need to be collected in order to make decisions about staffing levels and ratios.
2. Linda has collected the following information, in addition to what was asked in question number one
Average Daily Census 30
Unit Capacity 32
Average HPPD 8.8
Total Care Hours 96,360
Productive hours/employee/year 1,780
Nonproductive hours/employee/year 300
Total Hours/employee/year 2,080
Nurse aides 10%
Average Salary per Employee Category:
Nurses Aide $14.00/hour
Calculate the number of productive full-time equivalents (FTEs) that would be needed. Show your calculations.
3. How many RNs, LVNs, and nurses aides will be needed to staff this unit, assuming staff will be working 12-hour shifts? In other words, how many person-shifts will be required during a 24-hour period?
Day Shift 50%
Night Shift 50%
4. Assign staff by type and by shift.
Day Shift 50%
Night Shift 50%
5. Convert staff positions to FTE positions.
Section Two—Variance Analysis
Variance Analysis Case Study
During the month of February, an outpatient surgery clinic has incurred a significant unfavorable variance. The director of the clinic is quite concerned, as this has never occurred before. The director gathers information on total nursing care hours, average hourly rate of the employees, and total patient visits to determine what caused the variance. In addition, the director receives the patient acuity levels for the month of February.
BQi 5.0 hours per care per patient
BQo 340 visits
AQi 5.6 hours per care per patient
AQo 400 visits
1. Compare the original budget to the flexible budget and calculate the volume variance. Compare the flexible budget to the actual budget and determine the price and quantity variances. Work through the entire analysis process as presented in your lesson for Week 4, and remember to show your calculations.
What factors caused the difference in the variances? Analyze all the factors that made the differences and why the variances occurred.
Discuss the significance of the issue in terms of poor outcomes, cost, etc.Develop a scholarly project that demonstrates an application of evidence to practice for substantive change.
Develop a scholarly project that demonstrates an application of evidence to practice for substantive change. This project emphasizes critical appraisal and application of evidence-based research, scholarly writing, and critical thinking. The scholarly project will be submitted as a written paper in APA format/style. In addition, learners will present a summary of the final project orally or by creating a PowerPoint presentation.
Learners will select one of the following types of projects related to their specific advanced role specialization and target population:
Evidence-based healthcare policy change
Evidence-based clinical issue or protocol
Overview of the Evidence Based Project (EBP):
Part 1 of the project proposal in a one-page APA formatted paper (excluding the cover page and reference page). Be sure to reflect on feedback from faculty and classmates from this week’s discussion. Include:
Part 1: Introduction
Summarize the practice issue in need of change providing background information and the perceived significance of the problem
Describe the specific aims of the project – what improved outcomes do you hope to achieve
State your question in PICOT format, labeling each part with P-I-C-O-T in parentheses
Discuss the significance of the issue in terms of poor outcomes, cost, etc