Purpose  

To begin with, the purpose of this ethical and legal implications discussion is to discuss organizational changes and ethical-legal influences in a clinical scenario at an out-patient family practice. Students will explore potential effects on patient outcomes and ethical and legal implications for members of the heath care team as a result of illegal behaviors. Further, students will develop strategies that result in prevention of untoward outcomes that result in a positive practice culture.  

Activity Learning Outcomes – ethical and legal implications

Through this discussion, the student will demonstrate the ability to:  

1. Demonstrate effective leadership styles in the management of organizational change (CO3)  
2. Interpret various forms of ethical theories and application into practice (CO4)  
3. Discuss practice guidelines and malpractice prevention (CO2)  

Requirements:  

First of all, you are a family nurse practitioner employed in a busy primary care office. The providers in the group include one physician and three nurse practitioners. Further, the back office staff includes eight medical assistants. They assist with patient care. Besides, they help in filing, answering calls from patients, and processing laboratory results. Additionally, they take prescription renewal requests from patients and pharmacies. Stephanie, a medical assistant, has worked in the practice for 10 years and is very proficient at her job. She knows almost every patient in the practice, and has an excellent rapport with all of the providers.  

Mrs. Smith was seen today in the office for an annual physical. Her last appointment was a year ago. During this visit, Mrs. Smith brought an empty bottle of amoxicillin with her and asked if she could have a refill. You noted the patient’s name on the label, and the date on the bottle was 1 week ago. 

Case Study Questions:  

1. Firstly, what are the potential ethical and legal implications for each of the following practice members?  
   • Medical assistant  
   • Nurse Practitioner  
   • Medical Director  
   • Practice  
2.  Secondly, what are the strategies to prevent further episodes of potentially illegal behavior?  
3. Thirdly, what leadership qualities would you apply to effect a positive change in the practice?  Be thinking about the culture of the practice. 
4. Finally, a scholarly resource must be used for EACH discussion question each week. 

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