Assignment Help | Write an article of 1,000 words that discusses the laws, policies, and choices surrounding end-of-life health care decisions.

Assessment 4
Directions

Write an article of 1,000 words that discusses the laws, policies, and choices surrounding end-of-life health care decisions. Address the following in your article:

Identify the political, legal, and/or legislative factors that may contribute to violence in health care settings.

(Criterion #1 – While there are a number of patient-related and organizational/environmental risk factors for workplace violence, this criterion requires a discussion of POLITICAL, LEGAL and/or LEGISLATIVE FACTORS that CONTRIBUTE to WPV. While there are a number of these, it might be helpful for you to consider several questions. Are there any current federal regulations against WPV in the healthcare setting? If not, does the absence of such laws contribute to WPV? You may wish to check out https://www.congress.gov/bill/115th-congress/house-bill/5223/text for information on a bill that was introduced to congress a year ago. Note that this bill has NOT YET been passed into law. What message does that send? Also, focus on the state in which you practice. Research whether your state has any laws that criminalize violence against healthcare professionals. A number of states have passed laws from misdemeanor to felony for WPV in the healthcare setting. Also think about the political/legal environment related to the availability of weapons. Guns are primary weapons used in violence against healthcare workers; are there federal laws that restrict gun ownership to protect the citizens? Also, once again, think about the state in which you practice. Does your state have open-carry or concealed weapons laws that might allow people to take guns into healthcare organizations? Some states have passed laws that criminalize taking any weapons into a healthcare facility, but many have not done so and permit this practice. Addressing these questions would be one way that you could meet the requirement of this criterion)

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Explain the effect of regulatory environments and controls on health care delivery and patient outcomes.
Identify the main components of OSHA’s workplace violence prevention guidelines.
Explain the American Nursing Association’s position on violence in the workplace.
Explain safety policies and protocols for preventing and responding to violence against health care workers.

2(Criterion #2 – The OSHA guidelines are VERY SPECIFIC and can be found on page #5 of the Violence Prevention Guidelines booklet or on slide #26 of the Workplace Violence Prevention Powerpoint. These are both in the US Department of Labor references listed under “Internet Resources.”)

3( Criterion #3 – Review the FULL ANA Position Statement on Incivility, Bullying and Workplace Violence. What does it require as far as behaviors, organizational climate and the tolerance of violence in the workplace? It would also be helpful to introduce the 3 levels of ANA’s preventions strategies and relate the position to organizational safety policies. The FULL ANA Position Statement is located at https://www.nursingworld.org/~49d6e3/globalassets/practiceandpolicy/nursing-excellence/incivility-bullying-and-workplace-violence–ana-position-statement.pdf) PLEASE MEET CRITERIA

4. ( Criterion #4 – There are multiple ways to explain safety policies and protocols. Consider suggesting ways in which both the OSHA guidelines and the ANA recommendations can be clinically applied. Remember to address P&Ps for BOTH preventing AND responding to violence against health care workers. You may wish to also provide an example of how your own employer’s policies address prevention and response.)PLEASE MEET CRITERIA

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RESOURCES:
Library Resources
The following e-books or articles from the Capella University Library are linked directly in this course:

Norlander, L. (2014). To comfort always: A nurse’s guide to end-of-life care (2nd ed.). Indianapolis, IN: Sigma Theta Tau International.

Hebert, K., Moore, H., & Rooney, J. (2011). The nurse advocate in end-of-life care. The Ochsner Journal, 11(4), 325–329.

Lewis, K. (2013). How nurses can help ease patient transitions to end of life care. Nursing Older People, 25(8), 22–26.

Lund, S., Richardson, A., & May, C. (2015). Barriers to advance care planning at the end of life: An explanatory systematic review of implementation studies. PLoS One, 10(2).

Aoun, S., O’Connor, M., Skett, K., Deas, K., & Smith, J. (2012). Do models of care designed for terminally ill ‘home alone’ people improve their end-of-life experience? A patient perspective. Health & Social Care in the Community, 20(6), 599–606.

Nakano, K., Sato, K., Katayama, H., & Miyashita, M. (2013). Living with pleasure in daily life at the end of life: Recommended care strategy for cancer patients from the perspective of physicians and nurses. Palliative & Supportive Care, 11(5), 405–413.

Adams, J. A., Bailey, D. E., Jr., Anderson, R. A., & Docherty, S. L. (2011).
Nursing roles and strategies in end-of-life decision making in acute care: A systematic review of the literature. Nursing Research and Practice, 2011.

MODEL ANSWER

Workplace violence involves physical, verbal abuse, threats, and homicide that happens against workers in the external and internal working environment. Most injuries and in worse scenarios, death in the workplace are as a result of violence against the workers. The problem is experienced universally and can strike any field, which makes it an epidemic that needs a timely solution in all sectors. However, the risk of workplace violence varies depending on the type and environment of the job (Wei, Chiou, Chien & Huang, 2016). Jobs that have reported to experience high cases of workplace violence deal with issues such as money exchange with the public, goods delivery, and providing night services. Reports of workplace violence in the healthcare field have also been reported to be on…

Political and Legislative Factors

Even though the healthcare industry is the most regulated field in the United States, there are no regulations in place against workplace violence in the sector. The absence of laws contributes to the high cases of violence in the healthcare environment since lack of penalties encourages individuals to engage in violent activities. Among the bills meant to tackle the issue is the Health Care Workplace Violence Prevention Act, introduced to Congress but is not yet law (Park, Cho & Hong, 2015). The law provides guidelines on how to develop a plan to solve the issue of workplace violence. The program involves the participation of security personnel and employees, identification of …

Private ownership of guns is also allowed in the United States, which gives room for more cases of workplace violence. Citizens are allowed to carry guns around provided they are licensed (Doby, 2015). Therefore, patients, family members, and sometimes criminals find their way inside healthcare facilities with firearms, the primary …

Effects of Regulatory Environments and Controls on Healthcare Delivery and Patient Outcomes The regulatory environment includes a set of laws and regulations that an organization should respect. People have their unique methods of operation and can only manage to function together without conflicts if they create rules to guide their activities. Controls and regulatory environment, on the one hand, promote effectiveness in healthcare delivery and patient care outcomes. For instance, it is a law that all..