## Topic and Outline for Decision-Making Process Paper
### Topic: The Role of Nurses in End-of-Life Care Decision-Making
#### Outline:
1. **Introduction**
– Overview of the significance of decision-making in end-of-life care.
– Importance of the role of nurses in facilitating end-of-life decisions.
– Purpose of the paper.
2. **Background and Significance**
– Definition and scope of end-of-life care.
– The critical role of nurses in end-of-life care decision-making.
– Impact on patients, families, and healthcare providers.
– Review of literature on the challenges and best practices in end-of-life care decision-making.
3. **Decision-Making Models in Nursing**
– Description of at least three decision-making models relevant to end-of-life care:
1. **Shared Decision-Making Model**
– Overview of the model.
– Application in nursing practice.
– Benefits and limitations.
2. **Ethical Decision-Making Model**
– Overview of the model.
– Application in nursing practice.
– Benefits and limitations.
3. **Collaborative Decision-Making Model**
– Overview of the model.
– Application in nursing practice.
– Benefits and limitations.
4. **Application of Decision-Making Models to Nursing Roles**
– **Nurse Leader/Manager**
– Expected approaches to end-of-life care.
– Application of the shared decision-making model.
– Strategies for effective communication and ethical considerations.
– **Bedside/Staff Nurse**
– Role in patient and family support.
– Application of the ethical decision-making model.
– Managing emotional and ethical dilemmas.
– **Advanced Practice Nurse (CNO or NP)**
– Leadership in end-of-life care policy and practice.
– Application of the collaborative decision-making model.
– Balancing clinical and administrative responsibilities.
5. **Comparison and Contrast of Decision-Making Models**
– Detailed analysis of the similarities and differences among the three models.
– Evaluation of the effectiveness of each model in addressing end-of-life care issues.
– Discussion on which model is most applicable to specific nursing roles and why.
6. **Prioritization of the Best Decision-Making Model**
– Justification for the choice of the most effective decision-making model for end-of-life care.
– Comparison of the strengths and weaknesses of each model.
– Explanation of the rationale for prioritizing one model over the others.
7. **Possible Funding Sources**
– Identification of potential funding sources to support end-of-life care initiatives.
– Example: Sigma Theta Tau, CDC, HRSA.
– Details on how the funding would be applied to improve end-of-life care decision-making.
8. **Conclusion**
– Summary of key points.
– Reiteration of the importance of effective decision-making in end-of-life care.
– Final thoughts on the role of nurses in supporting patients and families through end-of-life decisions.
### References
– A minimum of 10 current scholarly references will be used to support the paper, adhering to APA 7th edition formatting.
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### Topic Submission Summary:
For the decision-making process paper, I have chosen to explore “The Role of Nurses in End-of-Life Care Decision-Making.” This topic is significant as it addresses the critical and sensitive nature of end-of-life care, where nurses play a vital role in supporting patients and their families. The paper will analyze three decision-making models (Shared Decision-Making, Ethical Decision-Making, and Collaborative Decision-Making) and their application across different nursing roles (Nurse Leader/Manager, Bedside/Staff Nurse, and Advanced Practice Nurse). The final paper will compare and contrast these models, prioritize the most effective model, and identify potential funding sources to support end-of-life care initiatives.
Decision Making Process Paper Instructions and Rubric- Topic Submission Assignment
Decision Making Process Paper Instructions and Rubric- Topic Submission Assignment
Top of Form
Bottom of Form
Journal Content
1.
Top of Form
This week you will submit your TOPIC and OUTLINE for your decision-making Making Process Paper
I found this really simple format to help you all in your outline writing. Give it a try.
Choose one
End-of-Life Care and Decision-Making
Nurses often play a vital role in end-of-life care, supporting patients and their families through decision-making. This can involve addressing issues like withdrawing life-sustaining treatment, palliative care, and do-not-resuscitate orders.
Topic Examples to Explore:
The role of nurses in end-of-life care Decision-making
Advance care planning and nursing responsibilities
The ethics of withholding or withdrawing life-sustaining treatment
Do-not-resuscitate (DNR) orders: nursing perspectives and ethical considerations
Palliative sedation: a controversial end-of-life care option
End-of-life care in intensive care units: ethical dilemmas
Ethical issues and disciplinary actions in ross medical pharmacy fraud case
Communication strategies for discussing end-of-life care with patients and families
The role of spirituality in end-of-life care decision-making
Navigating cultural differences in end-of-life care preferences
The role of advanced directives in patient autonomy
The ethical implications of physician-assisted suicide
Here is a great resource on how to write an outline [please review]: How to write an outline
Here I will be approving your TOPIC and what to verify that you are on the right tract. THIS IS NOT your PAPER Submission- just topic and outline
Please access the assignment tab and/or read below and begin working on the Shared Decision Paper due week 7 – Saturday by 1159 PM EST. No Late assignments will be accepted.
The following is the instructions for the assignment- REMEMBER ONLY THE OUTLINE/Topic is due this week.
Decision-Making Process Paper
Instructions
In this assignment, you will be writing a 6–8-page paper [excluding cover and reference pages] identifying, comparing, and contrasting at least 3 different decision-making approaches of care from a multidisciplinary perspective using a pertinent and significant topic in nursing (examples might include nursing shortage and nurse turnover, nurse staffing ratios, unit closures, and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation or another current and relevant nursing issue) the topic MUST BE APPROVED by your nursing instructor before writing the paper.
You are required to use APA 7th edition format and the page count does not include the title page or reference page. Reflect on your decision-making practices and the implications this will have regarding differing approaches taken by nursing leaders and staff nurses/clinical practitioners in decision-making within issues in practice. To complete this assignment, do the following:
1. Select and describe an issue in nursing that impacts nurses at all levels from bedside to advanced practice. Make sure to provide an adequate background and its significance to all levels of nursing using a strong review of the literature. Additionally, this should include a thorough literature review that provides a good understanding of what the cause of this problem is and what is suggested to address this problem. Essentially, this review must support your choices of decision-making models and this needs to include how all levels of nursing practice (the bedside nurse to the APN are impacted by the problem).
2. Identify how you would expect a nurse leader/manager, a bedside/staff nurse, and an Advanced practice nurse (CNO or NP) to address your selected issue using at least 3 different decision-making approaches that are supported by the literature review. This must first include a detailed analysis/overview of the selected decision-making models and how they are used in practice. Then a detailed analysis of how these decision-making approaches/models would address the problem/along with a detailed analysis of how each of the three selected models would be applied to address the selected issue/problem making sure to incorporate this at all levels of practice. One of the decision-making models may be more applicable to the bedside nurse; whereas the other is more applicable to the APN; however, all levels of nursing practice need to be addressed with at least one of the chosen 3 decision-making models. However, this does not mean that each decision-making model will apply to all levels of practice only that this discussion needs to include how each level of nursing practice would utilize the decision-making model to address the problem. For instance, one decision-making model may apply to the bedside nurse; the second decision-making model may be more applicable at the level of APN (CNO, NP, etc) and the other decision-making model may be best applied to the nurse manager. This section should be detailed; meaning specific, well thought out, realistic solutions of how the nurse (at the level identified; this may include more than one level for the same decision-making model or not) would address the problem using the decision-making model is provided and well supported by the literature. of the benefits and limitations of various decision-making approaches that are applied appropriately to the level of nursing practice to address the selected issue/problem. This is informed by course readings, literature, clinical scenarios, and other evidence-based and scholarly sources.
3. Prioritize the best decision-making approach/model to address the selected problem that is grounded in best practice. This should provide a well-supported rationale for this choice that includes a good comparison and contrast of the 3 chosen decision-making models that clearly illustrate why the choice was made, that is consistent with the decision-making model, and how it would address the chosen topic or problem.
4. Identify a possible funding source that would address your approach to solving the problem. For instance, if the best approach to solving the nurse-to-patient ratio problem is through the use of SDM and shared governance, perhaps you may seek a local funding source to provide you with funding to implement a small EBP or research project that would be funded by a local nursing organization such as Sigma Theta Tau or perhaps if it was geared more towards assessing the value of this model towards NP in practice than seeking a local organization that supports funding for projects being implemented by practicing NP? If seeking money for research this would need to be overseen by a nurse with a DNP or a PhD or someone with the credentials to do so that are part of their scope of practice. Consider looking at federal, state, or local organizations. For example: There are many grants available through the CDC, HRSA, etc. Again, this needs to be specifically applied with sufficient details
5. Use at least 10 current scholarly references other than your main text. Uses APA 7th edition formatting.
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