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NR 582NP Week 5 Discussion - Implementing Change

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NR 582NP Week 5 Discussion - Implementing Change

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Dr. Distler and classmates,

Based on the situation above, what are the ethical and legal implications for the practice at
the micro-, meso-, and macro-level of the system?

Nurse practitioners are equipped to handle healthcare challenges that occur on these different
levels of system structures (Tracy & Oerther, 2020). In healthcare, micro, meso, and macro
structures play crucial roles in shaping the delivery of services and outcomes; in this situation,
these could be the legal implications that could occur at each level of these systems. On the
micro level, the medical assistant’s prescribing medication without a proper medical license is
illegal and unethical. It can lead to serious health risks for the patient and legal consequences for
the individual and the practice. On the meso level, the office management must ensure all staff
members know their roles and responsibilities. This situation led to poor oversight and clear
communication between providers and medical assistants. On the macro level, the hospital
system should have checks and balances to prevent such incidents. This incident could damage
the reputation of the hospital system and lead to legal action.

What changes do you recommend to prevent further episodes of the problem behavior?

To enhance the efficiency and effectiveness of our healthcare services, several measures need to
be implemented. Firstly, clear protocols for handling patient calls and prescription renewals must
be established. This will ensure a streamlined process and reduce any potential errors or delays.
Secondly, regular training sessions should be conducted for all staff members. These sessions
will reinforce their roles and responsibilities, ensuring that everyone is aware of their duties and
how they contribute to the overall functioning of the healthcare facility. Lastly, a clear
communication channel must be established between providers and medical assistants. This will
facilitate better coordination and collaboration, ultimately improving patient care. These
measures, when implemented, will significantly enhance our healthcare services.

What coaching and feedback skills can be used to discuss the event with the medical
assistant?

When discussing the incident with the medical assistant, it is crucial to use a non-confrontational
approach. This approach helps to maintain a positive and respectful atmosphere during the
conversation. It is also important to provide constructive feedback, emphasizing the seriousness
of the situation. This feedback should be delivered to encourage learning and improvement rather
than causing defensiveness or resentment. Furthermore, it is essential to encourage open
communication. The medical assistant should feel comfortable discussing any issues or concerns
in the future. This open communication fosters a supportive environment where everyone feels
valued and heard, ultimately leading to a more effective and harmonious workplace.

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