NIH

Week 1: NIH Protecting Human Research Participants Reflection

Protecting human research participants is of utmost importance. Even though your

change project will not be implemented in the field, and you will not be engaging with

human subjects in this context, it is still critical that all healthcare professionals have a

solid foundation in patient rights and protections within the realm of research.

It is essential that all healthcare professionals, whether or not they are currently

involved in research studies, remain aware of regulatory policies and updates such as

the Federal Policy for the Protection of Human SubjectsLinks to an external site.

https://www.federalregister.gov/documents/2017/01/19/2017-01058/federal-policy-for-

the-protection-of-human-subjects, or Common Rule, that will take effect January 2019.

Review the Frequently Asked Questions on Requirements for Education at the National

Institutes of Health (NIH) link here: https://humansubjects.nih.gov/requirement-

educationLinks to an external site.

Download the PDF documents listed below. Read the detailed document by the NIH

and then take the self-check quiz to check your understanding before completing this

week’s assignment.

Protecting Human Research Participants

NIH Office of Extramural Research

Introduction

Research with human subjects can occasionally result in a dilemma for investigators. When the

goals of the research are designed to make major contributions to a field, such as improving the

understanding of a disease process or determining the efficacy of an intervention, investigators

may perceive the outcomes of their studies to be more important than providing protections

for individual participants in the research.
Although it is understandable to focus on goals, our society values the rights and welfare of

individuals. It is not considered ethical behavior to use individuals solely as means to an end.
The importance of demonstrating respect for research participants is reflected in the principles

used to define ethical research and the regulations, policies, and guidance that describe the

implementation of those principles.
Who?

This course is intended for use by individuals involved in the design and/or conduct of National
Institutes of Health (NIH) funded human subjects research.
What?

This course is designed to prepare investigators involved in the design and/or conduct of

research involving human subjects to understand their obligations to protect the rights and

welfare of subjects in research. The course material presents basic concepts, principles, and

issues related to the protection of research participants.
Why?

As a part of NIH's commitment to the protection of human subjects and its response to Federal
mandates for increased emphasis on protection for human subjects in research, the NIH Office

of Extramural Research released a policy on Required Education in the Protection of Human

Research Participants in June 2000. This course is specifically designed for extramural
investigators and is one (of many) possibilities for meeting the policy requirement.
Because this course is intended to allow investigators to fulfill the Required Education in the

Protection of Human Research Subjects, it assumes that the investigators' research will be

funded by NIH and is therefore subject to all U.S. Department of Health and Human Services

(HHS) regulatory and NIH policy requirements.
Archived Content: Last maintained 9/26/2018

Assignment

This week, reflect on what you learned from the NIH materials about protecting the

rights of human research participants.

Discuss at least two of the following in your paper:

• Describe the circumstances that influenced the need for a policy to protect

human research subjects. Give examples of specific ways human research

subjects can be harmed by researchers.

• Identify three vulnerable populations and the special restrictions associated with

human research among these groups. Evaluate the requirements and

restrictions. Do you think they are adequate? Why or why not?

• The Belmont Report summarizes the ethical principles and guidelines for

research involving human subjects. Three core principles are identified: respect

for persons, beneficence, and justice. Even though these principles are

considered equal, prioritize them in order of importance to you. Explain your decisions.

• Although you are not implementing a change project at this time, and you may

not be directly involved in research as part of your professional responsibilities,

explain the reasons why it is important for you to know about these rights and

protections.

Your reflective paper should be two pages and written in current APA Style. Refer to the

rubric for more information.

NURS_691A_DE – NIH assignment rubric

NURS_691A_DE – NIH assignment rubric

Criteria Ratings Pts

This criterion is linked to a

Learning Outcome Content

21 to >19.32 pts

Accomplished

The responses fully address all elements of at least

two writing prompts. The responses provide detail

and/or quality examples for each prompt. The

responses present insightful, clear, and accurate

connections to NIH policies, procedures, and

history. The responses present personal reflection

and/or a willingness to consider multiple

possibilities.

21 pts

This criterion is linked to a

Learning Outcome

Organization and Writing

10.5 to >9.66 pts

Accomplished

There is a well-written, clear introduction, body,

and conclusion. The introduction provides an

overview of the topic. The information in the body

is relevant and presented in a logical order. The

conclusion summarizes the topic and includes the

writer's thoughts on the subject. The writing is fluid

and concise, and the word choice is excellent.

10.5 pts

This criterion is linked to a

Learning Outcome Mechanics

and APA Format

3.5 to >3.22 pts

Accomplished

The answers are well written throughout.

Information is well organized and clearly

communicated. The assignment is mostly free of

spelling and grammatical errors. Information from

sources is paraphrased appropriately and

accurately referenced and cited in APA Style when

applicable. The paper meets assignment length

requirements.

3.5 pts

Total Points: 35

  • Week 1: NIH Protecting Human Research Participants Reflection

assist week 5

Week 5 – Assignment: Support Quality Performance Improvement through Enhanced Interprofessional Communication

For your assignment this week, you will use the case study found in the week's resources titled, Case Study: A Private Practice in the Pennsylvania Chronic Care Initiative. 

After reading the case study, you will take on the role of a health administration intern hired by Dr. Johnson to run his office practice, and you will prepare a draft written communication in the form of a business letter or memorandum addressed to the local Chief Executive Officer Jamie Harper (fictitious) at Hospital Anywhere (fictitious). 

According to the Agency for Health Research and Quality, a challenge to improving quality in private physician practices is the lack of communication with hospital organizations to increase the exchange of information related to the emergency room visits, hospital admissions, and discharges of their patients especially when the physician does not have privileges to practice at the hospital and is not notified of the patient's medical or surgical treatments.

Your communication in the form of a business letter or memorandum as the health administration intern wrote on Dr. Johnson's behalf to CEO Jamie Harper will include the following information:

 A salutation and introduction of who you are and on whose behalf you are writing. Give Dr. Johnson a fictitious first name and give the medical practice a fictitious name.

 Background information in synopsis form on the operation of your physician's office practice and how and why your practice has joined the
Pennsylvania Chronic Care Initiative (PCCI). Be sure to mention the quality outcome performance of the office before and since joining the
PCCI (this information is in the case study; so, be sure to summarize the important points regarding these quality measures as it relates to the diabetic patients).

 State the reason for your written communication that includes the desire to improve the interdisciplinary communication between Hospital Anywhere and your office practice especially for your diabetic patients and the potential hospital services that would be beneficial to your diabetic patients (see the Miller-Rosales and Rodriguez (2021) resource in your Weekly Resources).  

 Propose how using the identified hospital services will benefit the hospital and your office practice from both a healthcare quality and financial perspective.

 Provide a closing paragraph in your business letter/memorandum and the appropriate complimentary signoff. Be sure to mention the attachments you are providing.

 Create a tool that you propose to collect the data from the identified hospital staff following their consultations with your diabetic patients and include it in your business letter or memorandum as an Attachment 1 (see the Miller-Rosales and Rodriguez (2021) resource in your Weekly Resources).

 Lastly, create a draft checklist that you will provide to your office staff to assure your diabetic patients are completing their annual tests and screenings and include it in your business letter/memorandum as Attachment 2 (see the Florida Blue Medicare Caregiver Guide (2019) in your resources). 

Be creative with this assignment and enjoy its real-world applicability. While it is not a requirement for this assignment, you may wish to embellish your business letter or memorandum. You can find a business or memo templates from the MS Word templates. Click
File at the top of your Word document, then click
More Templates. Remember, if you use a template, after the first page of a memorandum, the remaining pages usually are plain. Be sure to consult APA guidelines for the use of attachments which may be called appendices. 

Length: A minimum of 3-4 pages, not including the title page, reference page, or the 2 attachments

https://www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/gabbay.html

https://www.tandfonline.com/doi/full/10.1080/20009666.2019.1593782



Florida Blue Medicare Family Caregiver Guide

Florida Blue Medicare Caregiver Guide (2019).
Florida Blue Medicare Resources.

Consult page 31 in this resource for your assignment this week to see a list of the annual tests required for diabetics.

https://www.jabfm.org/content/34/1/151



Interdisciplinary Primary Care Team Expertise and Diabetes Care Management

Miller-Rosales, C., & Rodriguez, H. P. (2021). Interdisciplinary primary care team expertise and diabetes care management.
Journal of the American Board of Family Medicine, 34(1), 151-161. doi: 10.3122/jabfm.2021.01.200187.

Use this resource to complete your assignment as the researchers discuss the use of interdisciplinary care to manage patients with diabetes.

patient advocacy

Specifically define the role of the registered nurse in patient advocacy. Describe situations in which nursing advocacy can assist patients within the healthcare environment. Defend why nurses are, or are not, adequately prepared, in pre-licensure education, to act as patient advocates. 

Discusión

Please see the attached document, read and answer it appropriately as requested

no plagiarism

due date Wednesday October 4, 2023, no later

add REFERENCES 2-3 NO OLDER THAN 5 YEARS

Discussion Post-Risk factors

Choose a subject (it can be a former patient, a family member, or yourself) and identify modifiable and non modifiable risk factors. Identify methods to prevent Coronary Artery Disease (CAD) in the subject. What can you recommend to your classmates subjects? 

Minimum of 250 words.

How health care professionals can ensure that patient's rights are upheld and protected

Visit and review Americal Hospital Association’s Patient’s bill of rights. Discuss how health care professionals can ensure that patient’s rights are upheld and protected . Using APAP 7 format.Minimun 500 words citation at least 5 years old, and use at least 2 or more references.

Journal

search for a professional journal article related to a health and aging issue of interest to

the student.  For example, a student who wants to be a Physical Therapist may wish to

research a Physical Therapy journal and gain insight into a recent study on stroke

rehabilitation while a Nursing student may wish to research quality of care in acute care

settings. You are free to choose a journal article on a topic of your choosing that also

relates to health issues among the older population.  will be responsible for the

following:

Vulnerable Population

1) Many vulnerable populations exist in the United States. Which vulnerable population do you think is the most challenging to care for, and how might your nursing care change when caring for this population as opposed to individual clients? 

 Examples of Vulnerable Population

* Pregnant Teenagers
* Migrant Farmworkers
* Homeless persons
* Persons in poverty
* Substance abusers
* Individuals with mental illness
* Persons living with HIV/AIDS
* Victims of abuse/violence
* Gay, Lesbian, Bisexual, Transgender populations

DISCUSSION REPLIES

Respond to at least four colleagues post. Choose colleagues with different life experiences and beliefs from your own (holistic and patient centered approach are my own), and contrast how these factors have shaped their philosophies compared with yours. Also comment on their goals for expanding their experience, practice, and social change advocacy with suggestions or guidance based on your experience. Be specific and provide examples.

Theory Logic Model for a Project

Please see the attachment for instructions